Beckham J C, Crawford A L, Feldman M E, Kirby A C, Hertzberg M A, Davidson J R, Moore S D
Department of Psychiatry, Duke University Medical Center, Durham, NC, USA.
J Psychosom Res. 1997 Oct;43(4):379-89. doi: 10.1016/s0022-3999(97)00129-3.
A study was conducted to investigate chronic pain patterns in Vietnam veterans with posttraumatic stress disorder (PTSD). Combat veterans with PTSD completed standardized PTSD severity, pain, somatization, and depression measures. Of 129 consecutive out-patient combat veterans with PTSD, 80% reported chronic pain. In descending order were limb pain (83%), back pain (77%), torso pain (50%), and headache pain (32%). Compared to PTSD combat veterans without chronic pain, PTSD veterans who reported chronic pain reported significantly higher somatization as measured by the Minnesota Multiphasic Inventory 2 hypochondriasis and hysteria subscales. In the sample of 103 combat veterans with PTSD and chronic pain, MMPI 2 hypochondriasis scores and B PTSD symptoms (reexperiencing symptoms) were significantly related to pain disability, overall pain index, and current pain level MMPI 2 hypochondriasis and depression scores were also significantly related to percent body pain. These results are discussed in the context of current conceptualizations of PTSD.
一项研究旨在调查患有创伤后应激障碍（PTSD）的越南退伍军人的慢性疼痛模式。患有PTSD的退伍军人完成了标准化的PTSD严重程度、疼痛、躯体化和抑郁测量。在129名连续的患有PTSD的门诊退伍军人中，80%报告有慢性疼痛。按降序排列依次为肢体疼痛（83%）、背痛（77%）、躯干疼痛（50%）和头痛疼痛（32%）。与没有慢性疼痛的患有PTSD的退伍军人相比，报告有慢性疼痛的患有PTSD的退伍军人在明尼苏达多相人格调查表2疑病症和癔症分量表测量的躯体化方面得分显著更高。在103名患有PTSD和慢性疼痛的退伍军人样本中，MMPI - 2疑病症得分和B类PTSD症状（再体验症状）与疼痛残疾、总体疼痛指数和当前疼痛水平显著相关。MMPI - 2疑病症得分和抑郁得分也与身体疼痛百分比显著相关。这些结果在PTSD当前概念的背景下进行了讨论。
