Psychiatry and Internal Medicine at Wright State University School of Medicine, Dayton, OH, USA.
Int J Psychiatry Clin Pract. 2010 Nov;14(4):248-51. doi: 10.3109/13651501.2010.486901.
Abstract Objective. In this study, we examined the relationships between five types of self-reported trauma in childhood and the prescription of pain medications in adulthood. Methods. Using a cross-sectional sample of convenience, we surveyed 80 internal medicine outpatients with regard to five types of childhood trauma (i.e. sexual, physical, emotional abuses; physical neglect; the witnessing of violence). We then retrospectively examined the medical record of each participant for active prescriptions of pain medications during the preceding 4 weeks (i.e. narcotic analgesics, non-steroidal anti-inflammatory drugs or NSAIDS, "other" pain medications). Results. We found that the number of different types of abuse in childhood correlated with NSAID prescriptions, "other" pain medication prescriptions, and the total number of prescribed pain medications-but not with narcotic analgesic prescriptions. Also, no individual form of childhood trauma exceeded the others in contribution. Conclusions. While a greater number of different types of childhood trauma demonstrate an association with a greater number of different pain medications prescribed, according to findings in the medical record, there is no associated increase in the prescription of narcotic analgesics. We discuss the potential implications of these findings.
摘要 目的：本研究旨在探讨童年时期五种类型的自我报告创伤与成年后开具止痛药之间的关系。方法：我们使用横断面样本便利法，调查了 80 名内科门诊患者的五种类型的童年创伤（即性虐待、身体虐待、情感虐待、身体忽视、目睹暴力）。然后，我们回顾性地检查了每位参与者在过去 4 周内的医疗记录，以了解是否开具了止痛药（即麻醉性镇痛药、非甾体抗炎药或 NSAIDs、“其他”止痛药）。结果：我们发现童年时期遭受不同类型的虐待次数与 NSAID 处方、“其他”止痛药处方和开具的总止痛药数量相关，但与麻醉性镇痛药处方无关。此外，没有一种特定形式的童年创伤比其他形式对结果的贡献更大。结论：虽然童年时期遭受的不同类型的创伤次数越多，与开具的不同种类的止痛药数量越多之间存在关联，但根据医疗记录，开具麻醉性镇痛药的数量并未增加。我们讨论了这些发现的潜在意义。
