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双相障碍中的疼痛:患病率、特征及与自杀风险的关系。

Pain in the bipolar disorder: prevalence, characteristics and relationship with suicide risk.

机构信息

Instituto Israelita de Ensino e Pesquisa Albert Einstein, Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2021 Jun 28;29:e3463. doi: 10.1590/1518-8345.4737.3463. eCollection 2021.

Abstract

OBJECTIVE

to know the prevalence and characteristics of pain, to verify how pain management has been carried out by the health services, and to correlate suicide risk with pain intensity in patients with bipolar disorder.

METHOD

an observational study with a quantitative approach. The study included people with bipolar disorder assessed by the McGill-Reduced Pain Questionnaire, Body Diagram, Visual Numerical Scale, and the Suicidal Ideation Scale (Beck).

RESULTS

the sample of 60 participants was mainly composed of women with a mean age of 40 years old and a mean psychiatric treatment time of approximately 13 years. Of these, 83% reported feeling pain at the time of the interview. Half of the participants indicated that pain interferes with routine and 80% did not receive care in health institutions. The main descriptors that qualify the painful experience were as follows: painful, heavy and sensitive for the sensory descriptors, tiring and punishing in the affective category. Suicide attempt was reported by 57% of the participants. There was a correlation between suicide risk and pain intensity.

CONCLUSION

pain presented a high prevalence. Suicide risk was identified in more than half of the participants. Pain intensity showed a significant correlation with suicide risk.

摘要

目的

了解疼痛的患病率和特征,验证卫生服务部门如何进行疼痛管理,并将双相情感障碍患者的疼痛强度与自杀风险相关联。

方法

这是一项观察性研究,采用定量方法。研究对象为通过 McGill 简化疼痛问卷、身体图、视觉数字量表和自杀意念量表(Beck)评估的双相情感障碍患者。

结果

共有 60 名参与者入组,主要为女性,平均年龄为 40 岁,平均精神科治疗时间约为 13 年。其中,83%的参与者在接受采访时表示感到疼痛。一半的参与者表示疼痛影响日常生活,80%的参与者未在医疗机构接受治疗。描述疼痛体验的主要特征包括:感觉描述符中的疼痛、沉重和敏感,情感类别中的疲倦和惩罚。57%的参与者报告有自杀企图。自杀风险与疼痛强度之间存在相关性。

结论

疼痛的患病率较高。超过一半的参与者存在自杀风险。疼痛强度与自杀风险显著相关。

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Pain in Brazilian people experiencing homelessness.巴西无家可归者的疼痛。
Pain Rep. 2019 Dec 6;4(6):e792. doi: 10.1097/PR9.0000000000000792. eCollection 2019 Nov-Dec.
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Mood Spectrum Disorders and Perception of Pain.心境障碍与疼痛感知。
Psychiatr Q. 2017 Dec;88(4):687-700. doi: 10.1007/s11126-017-9489-8.

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