Merlin Jessica S, Zinski Anne, Norton Wynne E, Ritchie Christine S, Saag Michael S, Mugavero Michael J, Treisman Glenn, Hooten W Michael
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A; Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.
Pain Pract. 2014 Mar;14(3):207-16. doi: 10.1111/papr.12052. Epub 2013 Apr 1.
Chronic pain is common in persons with HIV and is often associated with psychiatric illness and substance abuse. Current literature links psychiatric illness and substance abuse with worse HIV outcomes; however, the relationship of chronic pain, alone and in the context of psychiatric illness and substance abuse, to outcomes in HIV has not been described. To develop this new area of inquiry, we propose an adapted biopsychosocial framework specifically for chronic pain in HIV. This framework will describe these relationships and serve as a conceptual framework for future investigations.
慢性疼痛在艾滋病病毒感染者中很常见,且常与精神疾病和药物滥用相关。当前文献将精神疾病和药物滥用与更差的艾滋病病毒感染结果联系起来;然而,慢性疼痛单独以及在精神疾病和药物滥用背景下与艾滋病病毒感染结果之间的关系尚未得到描述。为了开拓这个新的研究领域,我们提出一个专门针对艾滋病病毒感染者慢性疼痛的适应性生物心理社会框架。这个框架将描述这些关系,并作为未来研究的概念框架。