“两种疼痛交织”：感染艾滋病毒患者对慢性疼痛心理层面的看法
'Two pains together': patient perspectives on psychological aspects of chronic pain while living with HIV.
作者信息
Merlin Jessica S, Walcott Melonie, Ritchie Christine, Herbey Ivan, Kertesz Stefan G, Chamot Eric, Saag Michael, Turan Janet M
机构信息
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States of America; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
出版信息
PLoS One. 2014 Nov 3;9(11):e111765. doi: 10.1371/journal.pone.0111765. eCollection 2014.
OBJECTIVE
Chronic pain is common in HIV-infected individuals. Understanding HIV-infected patients' chronic pain experience not just from a biological, but also from a psychological perspective, is a critical first step toward improving care for this population. Our objective was to explore HIV-infected patients' perspectives on psychological aspects of chronic pain using in-depth qualitative interviews.
METHODS
Investigators engaged in an iterative process of independent and group coding until theme saturation was reached.
RESULTS
Of the 25 patients with chronic pain interviewed, 20 were male, 15 were younger than age 50, and 15 were African-American. Key themes that emerged included the close relationship between mood and pain; mood and pain in the context of living with HIV; use of alcohol/drugs to self-medicate for pain; and the challenge of receiving prescription pain medications while dealing with substance use disorders.
CONCLUSIONS
The results suggest that psychological approaches to chronic pain treatment may be well received by HIV-infected patients.
目的
慢性疼痛在HIV感染者中很常见。不仅从生物学角度，而且从心理学角度理解HIV感染患者的慢性疼痛经历，是改善该人群护理的关键第一步。我们的目的是通过深入的定性访谈来探索HIV感染患者对慢性疼痛心理方面的看法。
方法
研究人员进行了独立编码和小组编码的迭代过程，直至达到主题饱和。
结果
在接受访谈的25名慢性疼痛患者中，20名是男性，15名年龄小于50岁，15名是非洲裔美国人。出现的关键主题包括情绪与疼痛之间的密切关系；感染HIV情况下的情绪与疼痛；使用酒精/药物自我治疗疼痛；以及在应对物质使用障碍时接受处方止痛药的挑战。
结论
结果表明，慢性疼痛治疗的心理学方法可能会受到HIV感染患者的欢迎。
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