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慢性疼痛的被监禁女性的疼痛特征与疼痛灾难化

Pain characteristics and pain catastrophizing in incarcerated women with chronic pain.

作者信息

Darnall Beth D, Sazie Elizabeth

机构信息

Anesthesiology & Perioperative Medicine, UHN-2, Oregon Health & Science University, Portland, OR 97239, USA.

出版信息

J Health Care Poor Underserved. 2012 May;23(2):543-56. doi: 10.1353/hpu.2012.0042.

Abstract

Chronic pain in incarcerated women is understudied and poorly described. Study objectives were to describe pain characteristics, correlates, and predictors in a convenience sample of incarcerated women with chronic pain. A survey packet that included the Brief Pain Inventory Short Form (BPI-SF) and the Pain Catastrophizing Scale (PCS) was distributed to all inmates at a state prison for women. Those who self-identified as having chronic pain ≥4 on a 0-10 numeric rating scale were invited to complete the survey. Demographics and medical and psychiatric diagnoses were abstracted by chart review. Participants (N=159) rated their current and average pain intensity as severe. Pain catastrophizing was found to predict average pain intensity and level of pain-related interference in functioning. Pain catastrophizing is treatable with behavioral intervention in the general population. Findings suggest that pain catastrophizing may be an important target for research and treatment in incarcerated women with chronic pain.

摘要

被监禁女性的慢性疼痛研究不足且描述甚少。本研究的目的是描述患有慢性疼痛的被监禁女性便利样本中的疼痛特征、相关因素及预测指标。向一所州立女子监狱的所有囚犯发放了一份包含简明疼痛问卷简表(BPI-SF)和疼痛灾难化量表(PCS)的调查问卷包。那些在0至10数字评分量表上自我认定慢性疼痛≥4分的人被邀请完成该调查。通过病历审查提取人口统计学信息以及医学和精神科诊断结果。参与者(N = 159)将其当前和平均疼痛强度评为重度。发现疼痛灾难化可预测平均疼痛强度以及疼痛对功能的干扰程度。在普通人群中,疼痛灾难化可通过行为干预进行治疗。研究结果表明,疼痛灾难化可能是患有慢性疼痛的被监禁女性研究和治疗的一个重要靶点。

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