Bae Jieun, Lim Yun Hee, Hong Sung Jun, Jeong Jae Hun, Choi Hey Ran, Park Sun Kyung, Kim Jung Eun, Kim Jae Hun
Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea.
Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Korean J Pain. 2025 Jan 1;38(1):69-78. doi: 10.3344/kjp.24314.
Chronic pain significantly affects daily activities, mental health, and the interpersonal relationships of patients. Consequently, physicians use various treatments to manage pain. This study investigated the perceptions of treatment, accompanying symptoms, and other problems in patients with chronic pain.
The authors enrolled patients with chronic pain from 19 university hospitals in South Korea. Data was collected on age, gender, diagnosis, disease duration, severity of pain, perception of pain treatment, and accompanying symptoms or problems using an anonymous survey comprising 19 questions.
In total, 833 patients with chronic pain completed the survey, and 257 (31.0%) and 537 (64.5%) patients expressed concerns about the potential adverse effects of medication and opioid addiction, respectively. Personality changes such as irritability or anger were the most frequent accompanying symptoms in 507 (63.8%) patients, followed by depression and sleep disturbance in 462 (58.1%) and 450 (54.5%) patients, respectively. Depression ( = 0.001) and anxiety ( = 0.029) were more common among women, whereas divorce ( = 0.016), family conflict ( < 0.001), unemployment ( < 0.001), suicide attempts ( < 0.001), and restrictions on economic activity ( < 0.001) were more common among men. The frequency of accompanying symptoms, except for suicidal ideation, was higher in the younger patients aged ≤ 40 years than in the older patients aged > 40 years.
Many patients with chronic pain had concerns about adverse effects or medication tolerance and experienced anxiety, depression, or sleep disturbances. The prevalence of accompanying problems varies according to age and gender.
慢性疼痛严重影响患者的日常活动、心理健康及人际关系。因此，医生会采用各种治疗方法来控制疼痛。本研究调查了慢性疼痛患者对治疗的看法、伴随症状及其他问题。
作者招募了韩国19所大学医院的慢性疼痛患者。通过一项包含19个问题的匿名调查，收集了患者的年龄、性别、诊断、病程、疼痛严重程度、对疼痛治疗的看法以及伴随症状或问题等数据。
共有833名慢性疼痛患者完成了调查，分别有257名（31.0%）和537名（64.5%）患者对药物的潜在不良反应和阿片类药物成瘾表示担忧。易怒或愤怒等性格变化是507名（63.8%）患者最常见的伴随症状，其次分别有462名（58.1%）和450名（54.5%）患者出现抑郁和睡眠障碍。抑郁（=0.001）和焦虑（=0.029）在女性中更为常见，而离婚（=0.016）、家庭冲突（<0.001）、失业（<0.001）、自杀未遂（<0.001）和经济活动受限（<0.001）在男性中更为常见。除自杀观念外，≤40岁的年轻患者伴随症状的发生率高于>40岁的老年患者。
许多慢性疼痛患者担心不良反应或药物耐受性，并经历焦虑、抑郁或睡眠障碍。伴随问题的患病率因年龄和性别而异。
