双重打击：童年不良经历与疼痛反映了接受药物滥用治疗的女性的症状及生活质量。
Double whammy: Adverse childhood events and pain reflect symptomology and quality of life in women in substance abuse treatment.
作者信息
Zlotnick Cheryl, Lawental Maayan, Pud Dorit
机构信息
a Cheryl Spencer Department of Nursing, Faculty of Health and Welfare Sciences , University of Haifa , Mt. Carmel , Haifa , Israel.
b School of Social Work, Faculty of Health and Welfare Sciences , University of Haifa , Mt. Carmel , Haifa , Israel.
出版信息
Soc Work Health Care. 2017 Mar;56(3):189-201. doi: 10.1080/00981389.2016.1265629. Epub 2017 Jan 19.
BACKGROUND
This study examined the profiles of symptoms and health-related quality of life (QOL) of women in substance abuse treatment, comparing those with higher versus lower histories of adverse childhood events (ACE), and those with versus without current pain.
METHODS
Adult women in outpatient substance abuse treatment (n = 30) completed questionnaires (cross-sectional study) on topics including drug use, adverse childhood events (ACE), QOL, functional ability, current pain, and depression.
RESULTS
Women with pain indicated significant differences in emotional (p < 0.05), and functional ability (p < 0.01); but no significant differences were found between women with high versus low levels of ACE. Yet, radar plots of women with both current pain and high levels of ACE, versus those without, portrayed a distinctive profile indicating high levels of anxiety and depression.
CONCLUSIONS
Rather than a checklist, visual composites of symptoms experienced by women in substance abuse treatment illustrates areas of concern in the overall status of women in substance abuse treatment.
背景
本研究调查了接受药物滥用治疗的女性的症状特征及与健康相关的生活质量（QOL），比较了童年不良事件（ACE）病史较多与较少的女性，以及目前有疼痛和无疼痛的女性。
方法
门诊药物滥用治疗的成年女性（n = 30）完成了关于药物使用、童年不良事件（ACE）、生活质量、功能能力、当前疼痛和抑郁等主题的问卷调查（横断面研究）。
结果
有疼痛的女性在情绪方面（p < 0.05）和功能能力方面（p < 0.01）存在显著差异；但ACE水平高的女性与ACE水平低的女性之间未发现显著差异。然而，当前有疼痛且ACE水平高的女性与无疼痛且ACE水平低的女性的雷达图呈现出不同的特征，表明焦虑和抑郁水平较高。
结论
对于接受药物滥用治疗的女性，症状的视觉综合呈现而非清单式呈现，更能说明她们整体状况中值得关注的领域。
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