退伍军人与慢性疼痛。
Veterans and chronic pain.
作者信息
Gauntlett-Gilbert Jeremy, Wilson Sarah
机构信息
Bath Centre for Pain Services & Department of Psychology, University of Bath, Bath, UK.
出版信息
Br J Pain. 2013 May;7(2):79-84. doi: 10.1177/2049463713482082.
Abstract
- Musculoskeletal problems are the commonest reason for medical discharge in all the British armed forces. By definition, these problems are chronic and resistant to treatment. 2. Pain is also common in veterans who have experienced severe injuries (polytrauma), often accompanied by post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) orpostconcussive syndrome. 3. In veterans seeking treatment for chronic pain, PTSD is common. There is also evidence for elevated levels of alcohol misuse in veterans who have been deployed to conflict. However, most veterans do not have pain, PTSD or alcohol problems. 4. Pain clinicians would benefit from training in meeting veterans' needs, in order to promote their engagement and successful treatment. This should include countering stereotypes, information about the military and support for the assessment and onward referral of PTSD and alcohol problems.
摘要
- 肌肉骨骼问题是所有英国武装部队人员因病退伍最常见的原因。根据定义，这些问题是慢性的且难以治疗。2. 在经历过严重损伤（多发伤）的退伍军人中，疼痛也很常见，通常伴有创伤后应激障碍（PTSD）和创伤性脑损伤（TBI）或脑震荡后综合征。3. 在寻求慢性疼痛治疗的退伍军人中，PTSD很常见。也有证据表明，被部署到冲突地区的退伍军人中酒精滥用水平升高。然而，大多数退伍军人没有疼痛、PTSD或酒精问题。4. 疼痛科临床医生将从满足退伍军人需求的培训中受益，以促进他们参与治疗并成功治愈。这应该包括消除刻板印象、提供有关军队的信息以及支持对PTSD和酒精问题的评估及进一步转诊。
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