Thompson James M, Heber Alexandra, Zacharias Ramesh, Besemann Markus, Gupta Gaurav, Hapidou Eleni, Buckley Norm, Lamoureux Daniel, Begley Kimberly
Department of Public Health Sciences, Queens University, Kingston, Ontario, Canada.
Canadian Institute for Military and Veteran Health Research, Kingston, Ontario, Canada.
Can J Pain. 2020 Sep 10;4(1):199-204. doi: 10.1080/24740527.2020.1796479.
This commentary summarizes proceedings of a workshop on chronic pain in military personnel and veterans (released personnel) at the Annual Forum of the Canadian Institute for Military and Veteran Health Research in Gatineau and Ottawa on October 22, 2019. The extent and impact of chronic pain among Canadian Armed Forces (CAF) veterans and their families is significant and has been underappreciated, largely due to limited disclosure by serving and veteran military personnel, stemming from a fear of stigmatization. Living with pain is seen as a fact of life in military cultures, something to be endured and not discussed. Though progress is being made in reducing the stigma of mental illness, the discourse on chronic pain remains censored. This workshop's goal was to bring the discussion of chronic pain out of the shadows in the search for ways to help veterans and active service personnel living with chronic pain. Many points of view were brought forward at this first national Canadian multidisciplinary gathering of researchers, veterans with lived experience, clinicians, and policymakers. A CAF member described his lived experience with constant chronic pain. Clinicians described aspects of chronic pain in military personnel and veterans whom they treat in their clinics. Dr. Ramesh Zacharias described the new Chronic Pain Center of Excellence for Canadian Veterans that will be established with funding from Veterans Affairs Canada. Dr. Norman Buckley highlighted collaboration with the existing Chronic Pain Network funded by the Canadian Institute for Health Research. Audience members identified a diverse variety of issues.
本评论总结了2019年10月22日在加蒂诺和渥太华举行的加拿大军事与退伍军人健康研究协会年度论坛上关于军事人员和退伍军人(退役军人)慢性疼痛问题研讨会的会议记录。加拿大武装部队(CAF)退伍军人及其家属中慢性疼痛的程度和影响相当大,且在很大程度上未得到充分认识,这主要是由于现役和退役军人因害怕被污名化而很少透露相关情况。在军事文化中,忍受疼痛被视为生活的一部分,是需要忍受而不是讨论的事情。尽管在减少精神疾病污名化方面取得了进展,但关于慢性疼痛的讨论仍然受到限制。本次研讨会的目标是让慢性疼痛的讨论走出阴影,寻找帮助患有慢性疼痛的退伍军人和现役军人的方法。在加拿大首次全国性的多学科研究人员、有实际经验的退伍军人、临床医生和政策制定者聚会上,提出了许多观点。一名加拿大武装部队成员描述了他持续遭受慢性疼痛的亲身经历。临床医生描述了他们在诊所治疗的军事人员和退伍军人慢性疼痛的情况。拉梅什·扎卡里亚斯博士介绍了将由加拿大退伍军人事务部资助设立的加拿大退伍军人慢性疼痛卓越中心。诺曼·巴克利博士强调了与由加拿大卫生研究院资助的现有慢性疼痛网络的合作。与会听众指出了各种各样的问题。