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慢性疼痛与创伤后应激障碍的相互作用。

The Interaction Between Chronic Pain and PTSD.

机构信息

Suffolk University, Boston, MA, USA.

United States of America Department of Veterans Affairs, VA Boston Healthcare System, Boston, MA, USA.

出版信息

Curr Pain Headache Rep. 2019 Nov 28;23(12):91. doi: 10.1007/s11916-019-0828-3.


DOI:10.1007/s11916-019-0828-3
PMID:31781875
Abstract

PURPOSE OF REVIEW: Post-traumatic stress disorder (PTSD) and chronic pain often co-occur. Understanding the shared mechanisms, signs to identify PTSD, and treatment options is integral in allowing providers to better serve their patients. RECENT FINDINGS: Individuals with comorbid PTSD and chronic pain report greater PTSD symptoms, pain, anxiety, depression, disability, and opioid use than those with only one of these conditions. There are several empirically supported therapies for chronic pain, and for PTSD, as well as pilot data for a treatment of comorbid pain and PTSD. The purpose of this paper is to review and synthesize current literature investigating the interaction between chronic pain and PTSD, and provide treatment recommendations for providers treating patients with chronic pain and PTSD.

摘要

目的综述:创伤后应激障碍(PTSD)和慢性疼痛常同时发生。了解共有的机制、识别 PTSD 的迹象和治疗选择对于提供者更好地为患者服务至关重要。

最新发现:患有 PTSD 和慢性疼痛共病的个体报告 PTSD 症状、疼痛、焦虑、抑郁、残疾和阿片类药物使用的情况比只有一种这些疾病的个体更严重。有几种经过实证支持的慢性疼痛治疗方法,也有 PTSD 的治疗方法,以及针对疼痛和 PTSD 共病的治疗的初步数据。本文的目的是综述和综合目前研究慢性疼痛和 PTSD 之间相互作用的文献,并为治疗患有慢性疼痛和 PTSD 的患者的提供者提供治疗建议。

相似文献

[1]
The Interaction Between Chronic Pain and PTSD.

Curr Pain Headache Rep. 2019-11-28

[2]
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[3]
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[4]
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[5]
Post-traumatic stress symptoms in children and adolescents with chronic pain: A topical review of the literature and a proposed framework for future research.

Eur J Pain. 2016-10

[6]
Associations of PTSD, chronic pain, and their comorbidity on cannabis use disorder: Results from an American nationally representative study.

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[7]
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[8]
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[10]
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本文引用的文献

[1]
Chronic postsurgical pain: is there a possible genetic link?

Br J Pain. 2017-11

[2]
Prevalence of Posttraumatic Stress Disorder in Persons with Chronic Pain: A Meta-analysis.

Front Psychiatry. 2017-9-14

[3]
Effectiveness of Cognitive Processing Therapy and Prolonged Exposure in the Department of Veterans Affairs.

Psychol Rep. 2018-4

[4]
Severe Pain in Veterans: The Effect of Age and Sex, and Comparisons With the General Population.

J Pain. 2017-3

[5]
Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Systematic Review and Meta-Analyses.

Clin J Pain. 2017-6

[6]
Posttraumatic stress disorder symptoms in youth with vs without chronic pain.

Pain. 2016-10

[7]
Chronic Pain Types Differ in Their Reported Prevalence of Post -Traumatic Stress Disorder (PTSD) and There Is Consistent Evidence That Chronic Pain Is Associated with PTSD: An Evidence-Based Structured Systematic Review.

Pain Med. 2017-4-1

[8]
The epidemiology of DSM-5 posttraumatic stress disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III.

Soc Psychiatry Psychiatr Epidemiol. 2016-8

[9]
Prescription opioid use: Patient characteristics and misuse in community pharmacy.

J Am Pharm Assoc (2003). 2016

[10]
Chronic pain and comorbid mental health conditions: independent associations of posttraumatic stress disorder and depression with pain, disability, and quality of life.

J Behav Med. 2015-6

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