The Role of Childhood and Adulthood Abuse Among Women Presenting for Chronic Pain Management

The Role of Childhood and Adulthood Abuse Among Women Presenting for Chronic Pain Management
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儿童期和成年期虐待对寻求慢性疼痛治疗的女性的作用

DOI:
10.1097/00002508-200112000-00011
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发表时间:
2001
期刊:
The Clinical Journal of Pain
影响因子:
--
通讯作者:
A. Tait
A. Tait
中科院分区:
--
文献类型:
--
作者:
C. Green;H. Flowe;Lee Rosenblum;A. Tait

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本研究调查了慢性疼痛女性中反复的儿童期和成年期虐待与躯体症状报告、精神卫生保健使用和物质使用之间的关联。连续样本的调查。患者连续九十名女性患者在多学科疼痛管理中心接受慢性疼痛管理。结果测量:作者评估了是否存在身体或性虐待(使用Drossman身体-性虐待调查),虐待时间,人口统计学,精神卫生保健使用,药物或酒精使用和物质滥用,以及是否存在身体,疼痛和焦虑(躯体)症状。结果调查患者的应答率为64%。在43名报告虐待的受访者中,17名(40%)提到了儿童期虐待,12名(28%)提到了成年期虐待,14名(33%)提到了重复虐待。描述长期滥用的妇女报告了显着更多的身体,疼痛和焦虑症状,更有可能报告的药物滥用史比妇女报告的滥用在童年或成年单独。结论这些数据表明,健康状况和报告的虐待妇女之间的一个显着的关联提出了一个多学科的疼痛中心疼痛管理。这一发现与以前的研究者一致,并强调了对长期滥用的存在进行常规评估的重要性,作为慢性疼痛状态发作的可能预测因素。
ObjectiveThis study investigated the association between repeated childhood and adulthood abuse and somatic symptom reporting, mental health care use, and substance use among women with chronic pain. DesignA survey of a consecutive sample. PatientsNinety consecutive women patients presenting for chronic pain management at a multidisciplinary pain management center. Outcome MeasuresThe authors assessed the presence or absence of physical or sexual abuse (using the Drossman Physical-Sexual Abuse Survey), period of abuse, demographics, mental health care use, drug or alcohol use and substance abuse, and the presence or absence of physical, pain, and anxiety (somatic) symptoms. ResultsThe response rate among patients surveyed was 64%. Of the 43 respondents (48%) who reported abuse, 17 (40%) cited childhood abuse, 12 (28%) cited adulthood abuse, and 14 (33%) cited repeated abuse. Women describing long-term abuse reported a significantly greater number of physical, pain, and anxiety symptoms and were more likely to report a history of substance abuse than women reporting abuse during childhood or adulthood alone. ConclusionsThese data indicate a significant association between health status and reported abuse among women presenting to a multidisciplinary pain center for pain management. This finding is consistent with those of previous investigators, and emphasizes the importance of routine evaluation of the presence of long-term abuse as a possible predictor of the onset of chronic pain states.
关于日常饮酒和饮酒量测量的问题存在困难。
DOI: 10.1111/j.1530-0277.1998.tb04296.x
发表时间: 1998
期刊: Alcoholism, clinical and experimental research
影响因子: --
作者:
Hasin,D;Carpenter,KM
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在新英格兰东南部使用两种不同的问题格式自我报告酒精摄入量。
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发表时间: 1996
影响因子: 7.7
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DOI: 10.1016/0016-5085(94)90228-3
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