创伤相关性慢性疼痛患者的心理症状
Psychological symptoms in patients with injury-related chronic pain.
作者信息
Stålnacke Britt-Marie
机构信息
Department of Community Medicine and Rehabilitation, Umeå University Hospital, Umeå University, 901 85 Umeå, Sweden.
出版信息
ISRN Psychiatry. 2012 Mar 15;2012:196069. doi: 10.5402/2012/196069. Print 2012.
Background. Chronic injury-related pain could be influenced by psychological symptoms such as depression, anxiety, and stress that also affect daily life. Methods. Patients with chronic pain caused by an injury (n = 86) aged 18-65 years referred to the Pain Rehabilitation Clinic at the Umeå University Hospital answered a set of questionnaires to assess pain intensity, depression, anxiety, posttraumatic stress, sleep disturbance, and fatigue. Results. A significantly higher proportion of women (47.5%) reported depression (Hospital Anxiety and Depression Scale (HAD)) than men (22.2%). In all patients anxiety (HAD) was reported by 39.5% and moderate/severe posttraumatic stress (Impact of Event Scale) by 30.2%. A majority reported sleep disturbance (84.9%) and fatigue (90.7%). Significant relationships were found between posttraumatic stress and depression and anxiety. Conclusion. These findings indicate the importance of assessing and treating psychological symptoms associated with chronic pain as the result of trauma.
背景。与慢性损伤相关的疼痛可能会受到抑郁、焦虑和压力等心理症状的影响，这些症状也会影响日常生活。方法。18至65岁因损伤导致慢性疼痛并转诊至于默奥大学医院疼痛康复诊所的患者（n = 86）回答了一系列问卷，以评估疼痛强度、抑郁、焦虑、创伤后应激、睡眠障碍和疲劳。结果。报告有抑郁（医院焦虑抑郁量表（HAD））的女性比例（47.5%）显著高于男性（22.2%）。在所有患者中，报告有焦虑（HAD）的占39.5%，报告有中度/重度创伤后应激（事件影响量表）的占30.2%。大多数患者报告有睡眠障碍（84.9%）和疲劳（90.7%）。创伤后应激与抑郁和焦虑之间存在显著关联。结论。这些发现表明，评估和治疗与创伤所致慢性疼痛相关的心理症状非常重要。
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