Department of Psychology, University of Houston, 3695 Cullen Blvd., Room 126, Houston, TX, 77204, USA.
Legacy Community Health Center, Houston, TX, USA.
J Racial Ethn Health Disparities. 2018 Dec;5(6):1389-1396. doi: 10.1007/s40615-018-0489-7. Epub 2018 Apr 9.
Latinos, one of the fastest growing populations in the United States, suffer from high rates of posttraumatic stress symptoms (PTS) and its clinical correlates (e.g., disability). Although research suggests the experience of pain is closely related to PTS among trauma-exposed groups, there has been little exploration of the processes that may link pain intensity to greater PTS among trauma-exposed Latinos. The current study explored insomnia, a common problem associated with both pain intensity and PTS, as a mechanism in the association between pain intensity and PTS among trauma-exposed Latinos (N = 208, M = 39.39 years, SD = 11.48) attending a Federally Qualified Health Center. Results indicated that insomnia partially explained the relationship between pain intensity and PTS total score (B = 0.25, 95% CI [0.12, 0.43]), as well as re-experiencing (B = 0.09, 95% CI [0.04, 0.17]), avoidance (B = 0.09, 95% CI [0.04, 0.17]), and arousal symptoms (B = 0.10, 95% CI [0.04, 0.17]). Future work is needed to explore the extent to which insomnia accounts for relations between pain and PTS using longitudinal designs to further clarify theoretical health disparity models involving these comorbid conditions.
拉丁裔是美国人口增长最快的群体之一，他们遭受创伤后应激症状（PTS）及其临床相关症状（如残疾）的比率很高。尽管研究表明，疼痛体验与创伤后群体中的 PTS 密切相关，但对于可能将疼痛强度与创伤后拉丁裔中的 PTS 联系起来的过程，研究甚少。目前的研究探讨了失眠，这是一种与疼痛强度和 PTS 都有关的常见问题，作为创伤后拉丁裔人群中疼痛强度与 PTS 之间关联的一个机制（N = 208，M = 39.39 岁，SD = 11.48），他们在一家联邦合格的健康中心就诊。结果表明，失眠部分解释了疼痛强度与 PTS 总分之间的关系（B = 0.25，95% CI [0.12, 0.43]），以及再体验（B = 0.09，95% CI [0.04, 0.17]）、回避（B = 0.09，95% CI [0.04, 0.17]）和唤醒症状（B = 0.10，95% CI [0.04, 0.17]）。需要进一步开展工作，使用纵向设计来探索失眠在多大程度上解释了疼痛与 PTS 之间的关系，以进一步阐明涉及这些共病的理论健康差异模型。
