Department of Community Medicine and Rehabilitation, Umeå University, Sweden.
Neuropsychiatr Dis Treat. 2008 Dec;4(6):1245-9.
To investigate, in patients with injury-related chronic pain, pain intensity, levels of post-traumatic stress, anxiety and depressions.
One hundred and sixty patients aged 17-62 years, admitted for assessment to the Pain Rehabilitation Clinic at the Umeå University Hospital, Umeå Sweden, for chronic pain caused by an injury, answered a set of questionnaires to assess post-traumatic stress (Impact of Event Scale [IES]), pain intensity (VAS), depression, and anxiety (Hospital Anxiety and Depression Scale [HAD]).
Moderate to severe post-traumatic stress was reported by 48.1% of the patients. Possible-probable anxiety on the HAD was scored by 44.5% and possible-probable depression by 45.2%. Pain intensity (VAS) was significantly correlated to post-traumatic stress (r = 0.183, p = 0.022), the HAD-scores anxiety (r = 0.186, p = 0.0021), and depression (r = 0.252, p = 0.002). No statistically significant differences were found between genders for post-traumatic stress, pain intensity, anxiety, or depression. Participants with moderate to severe stress reaction reported statistically significant higher anxiety scores on the HAD (p = 0.030) in comparison with patients with mild stress.
The findings of relationships between pain intensity, post-traumatic stress, depression, and anxiety may have implications for clinicians and underline the importance of considering all these factors when managing patients with injury-related chronic pain.
在与损伤相关的慢性疼痛患者中，调查疼痛强度、创伤后应激、焦虑和抑郁水平。
160 名年龄在 17-62 岁之间的患者，因损伤引起的慢性疼痛到瑞典于默奥大学医院的疼痛康复诊所就诊，他们回答了一组问卷，以评估创伤后应激（事件影响量表[IES]）、疼痛强度（VAS）、抑郁和焦虑（医院焦虑和抑郁量表[HAD]）。
48.1%的患者报告有中度至重度创伤后应激。44.5%的患者 HAD 评分可能为焦虑，45.2%可能为抑郁。疼痛强度（VAS）与创伤后应激显著相关（r = 0.183，p = 0.022），HAD 评分焦虑（r = 0.186，p = 0.0021）和抑郁（r = 0.252，p = 0.002）。创伤后应激、疼痛强度、焦虑或抑郁在性别之间无统计学差异。有中度至重度应激反应的参与者在 HAD 上的焦虑评分显著高于轻度应激的患者（p = 0.030）。
疼痛强度、创伤后应激、抑郁和焦虑之间关系的发现可能对临床医生有意义，并强调在管理与损伤相关的慢性疼痛患者时考虑所有这些因素的重要性。
