Smoking cigarettes as a coping strategy for chronic pain is associated with greater pain intensity and poorer pain-related function.
Smoking cigarettes as a coping strategy for chronic pain is associated with greater pain intensity and poorer pain-related function.
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DOI：
10.1016/j.jpain.2011.11.008
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发表时间：
2012-03
期刊：
影响因子：
4
通讯作者：
Morasco, Benjamin J.
中科院分区：
文献类型：
--
作者：
Patterson, Alexander L.;Gritzner, Susan;Resnick, Michael P.;Dobscha, Steven K.;Turk, Dennis C.;Morasco, Benjamin J.
吸烟在患有慢性疼痛的人中很普遍。一些研究表明尼古丁可以减轻疼痛，另一些研究则表明尼古丁可能会引起或加剧疼痛。这项横断面研究的参与者是来自一家大型城市退伍军人医疗中心的151名慢性疼痛患者。患者被分成3组：(1)非吸烟者，(2)否认使用香烟止痛的吸烟者，(3)报告使用香烟止痛的吸烟者。报告吸烟是慢性疼痛的一种应对策略的患者在疼痛相关结果的大多数衡量标准上比其他两组患者得分明显更低。不吸烟者和拒绝吸烟以应对的吸烟者在所检查的任何变量上没有差异。在控制了人口统计学和临床因素的影响后，吸烟作为一种疼痛应对策略与疼痛强度(p=0.04)、疼痛干扰(p=0.005)和疼痛恐惧(p=0.04)显著正相关。除了评估一般的吸烟状况外，对慢性疼痛患者吸烟原因的更具体评估可能是跨学科疼痛治疗的重要考虑因素。
Smoking cigarettes is prevalent among individuals with chronic pain. Some studies indicate nicotine reduces pain and others suggest it may cause or exacerbate pain. Participants in this cross-sectional study were 151 chronic pain patients from a large, urban VA medical center. Patients were divided into 3 groups: (1) non-smokers, (2) smokers who deny using cigarettes to cope with pain, and (3) smokers who report using cigarettes to cope with pain. Patients who reported smoking as a coping strategy for chronic pain scored significantly worse compared to the other 2 groups on the majority of measures of pain-related outcome. Non-smokers and smokers who denied smoking to cope did not differ on any variable examined. After controlling for the effects of demographic and clinical factors, smoking cigarettes as a coping strategy for pain was significantly and positively associated with pain intensity (p=0.04), pain interference (p=0.005), and fear of pain (p=0.04). In addition to the assessment of general smoking status, a more specific assessment of the chronic pain patient’s reasons for smoking may be an important consideration as part of interdisciplinary pain treatment.
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影响因子：
3
作者：
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作者：
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