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2
From the Bio-Psycho-Social Model to the Development of a Clinical-Forensic Assessment Tool for Chronic Pain in Victims of Violence: A Research Protocol.从生物-心理-社会模型到暴力受害者慢性疼痛临床法医评估工具的开发：一项研究方案。
Brain Sci. 2024 Sep 24;14(10):953. doi: 10.3390/brainsci14100953.
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Understanding Trauma in IPV: Distinguishing Complex PTSD, PTSD, and BPD in Victims and Offenders.了解亲密伴侣暴力中的创伤：区分受害者和施暴者中的复杂性创伤后应激障碍、创伤后应激障碍和边缘型人格障碍。
Brain Sci. 2024 Aug 25;14(9):856. doi: 10.3390/brainsci14090856.
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Mapping resilience: a scoping review on mediators and moderators of childhood adversity with a focus on gender patterns.绘制韧性图谱：以性别模式为重点，对儿童逆境的中介和调节因素进行的范围综述。
BMJ Open. 2024 Sep 23;14(9):e080259. doi: 10.1136/bmjopen-2023-080259.
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Types of childhood maltreatment as predictors of posttraumatic stress disorder severity and complex posttraumatic stress disorder in patients with substance use disorders.童年期虐待类型对物质使用障碍患者创伤后应激障碍严重程度和复杂创伤后应激障碍的预测作用。
Eur J Psychotraumatol. 2024;15(1):2367179. doi: 10.1080/20008066.2024.2367179. Epub 2024 Jun 27.
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The association between violence against women and chronic pain: a systematic review and meta-analysis.暴力侵害妇女与慢性疼痛之间的关联：系统评价和荟萃分析。
BMC Womens Health. 2024 Jun 4;24(1):321. doi: 10.1186/s12905-024-03097-w.
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The Risk Factors of Chronic Pain in Victims of Violence: A Scoping Review.暴力受害者慢性疼痛的风险因素：一项范围综述
Healthcare (Basel). 2023 Aug 29;11(17):2421. doi: 10.3390/healthcare11172421.
8
Peritraumatic Pain in Child Maltreatment: A Systematic Literature Review.儿童虐待中的创伤后疼痛：系统文献综述。
Trauma Violence Abuse. 2024 Jul;25(3):1725-1736. doi: 10.1177/15248380231194069. Epub 2023 Sep 1.
9
Narrative Review of the Complex Interaction between Pain and Trauma in Children: A Focus on Biological Memory, Preclinical Data, and Epigenetic Processes.儿童疼痛与创伤之间复杂相互作用的叙述性综述：聚焦生物记忆、临床前数据和表观遗传过程
Children (Basel). 2023 Jul 13;10(7):1217. doi: 10.3390/children10071217.
10
Mental Defeat and Suicidality in Chronic Pain: A Prospective Analysis.慢性疼痛中的心理挫败感和自杀倾向：前瞻性分析。
J Pain. 2023 Nov;24(11):2079-2092. doi: 10.1016/j.jpain.2023.06.017. Epub 2023 Jun 29.

女性慢性疼痛的风险因素：一项病例对照研究中暴力暴露的作用。

Risk Factors for Chronic Pain in Women: The Role of Violence Exposure in a Case-Control Study.

作者信息

Uvelli Allison, Pugliese Erica, Ferretti Fabio

机构信息

Department of Medical Science, Surgery, and Neurosciences, University of Siena, 53100 Siena, Italy.

Department of Clinical Psychology, University of Amsterdam, 1012 WS Amsterdam, The Netherlands.

出版信息

Life (Basel). 2025 Jun 18;15(6):976. doi: 10.3390/life15060976.

DOI:10.3390/life15060976
PMID:40566628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12194286/
Abstract

BACKGROUND

Chronic pain is an unpleasant sensory and emotional experience that greatly affects functioning and well-being. Studies link chronic pain and violence against women, with an odds ratio of 2.08 and a 26% prevalence rate. The bio-psycho-social consequences reduce quality of life and cause disability. Despite extensive research, the etiology remains unclear. This study investigates the bio-psycho-social risk factors of chronic pain in women, both victims and non-victims of violence.

METHODS

A case-control study (December 2023-June 2024) used odds ratios and Fisher's exact test to explore risk factors associated with chronic pain. Univariate logistic regressions identified significant predictors.

RESULTS

The study included 170 women (68 victims), half with chronic pain. Nine risk factors were specific to victims (three biological, six psycho-social), four to non-victims (two biological, two psycho-social), and twenty-three to all women (five biological, eighteen psycho-social). A four-factor model best explained risk in victims and all women, while a two-factor model fit non-victims.

CONCLUSIONS

The bio-psycho-social model of chronic pain is supported, identifying specific risk factors. These findings can aid anti-violence and healthcare professionals in screening and early intervention.

摘要

背景

慢性疼痛是一种令人不快的感官和情感体验，会极大地影响功能和幸福感。研究表明慢性疼痛与针对女性的暴力行为有关，优势比为2.08，患病率为26%。其生物 - 心理 - 社会后果会降低生活质量并导致残疾。尽管进行了广泛研究，但其病因仍不清楚。本研究调查了暴力受害者和非受害者女性慢性疼痛的生物 - 心理 - 社会风险因素。

方法

一项病例对照研究（2023年12月 - 2024年6月）使用优势比和费舍尔精确检验来探索与慢性疼痛相关的风险因素。单因素逻辑回归确定了显著的预测因素。

结果

该研究纳入了170名女性（68名受害者），其中一半患有慢性疼痛。九个风险因素是受害者特有的（三个生物学因素，六个心理 - 社会因素），四个是非受害者特有的（两个生物学因素，两个心理 - 社会因素），二十三个是所有女性共有的（五个生物学因素，十八个心理 - 社会因素）。一个四因素模型最能解释受害者和所有女性的风险，而一个双因素模型适合非受害者。

结论

慢性疼痛的生物 - 心理 - 社会模型得到支持，确定了特定的风险因素。这些发现可帮助反暴力和医疗保健专业人员进行筛查和早期干预。