Almeida Jouce Gabriela de, Kurita Geana Paula, Braga Patricia Emilia, Pimenta Cibele Andrucioli de Mattos
Escola de Enfermagem, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2010 Mar;26(3):591-602. doi: 10.1590/s0102-311x2010000300016.
Chronic pain may be at least as prevalent in psychiatric patients as in the general population. To estimate the prevalence of chronic pain in schizophrenic patients, compare the groups with and without chronic pain, and characterize the pain, a cross-sectional study was performed on a probabilistic sample of 205 adult patients with a diagnosis of schizophrenia (mean age 37 years; 65% men; mean schooling nine years; 87% single; 65% living with parents), treated at a public hospital in the city of São Paulo, Brazil. Prevalence of pain was 36.6%, and the most frequent sites were abdomen (30.7%), head, face, and mouth (24%), and lower back (14.7%). Twenty-four percent of patients reported feeling pain every day. Mean duration of pain was 41 months, with moderate intensity. Prevalence of chronic pain in schizophrenic patients was similar to that in the general population, and the clinical course was significant in terms of duration, intensity, and frequency.
慢性疼痛在精神科患者中的患病率可能至少与普通人群一样高。为了估计精神分裂症患者中慢性疼痛的患病率,比较有慢性疼痛和无慢性疼痛的两组患者,并对疼痛进行特征描述,我们对巴西圣保罗市一家公立医院收治的205例成年精神分裂症患者(平均年龄37岁;65%为男性;平均受教育年限9年;87%为单身;65%与父母同住)的概率样本进行了一项横断面研究。疼痛的患病率为36.6%,最常见的部位是腹部(30.7%)、头部、面部和口腔(24%)以及下背部(14.7%)。24%的患者报告每天都感到疼痛。疼痛的平均持续时间为41个月,强度为中度。精神分裂症患者中慢性疼痛的患病率与普通人群相似,并且在持续时间、强度和频率方面临床过程具有显著性。