Pain Descriptors Used by Military Personnel Deployed to Iraq and Afghanistan Following Combat-Related Blast Experience.
Pain Descriptors Used by Military Personnel Deployed to Iraq and Afghanistan Following Combat-Related Blast Experience.
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DOI：
10.1037/mil0000089
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发表时间：
2015-11
期刊：
影响因子：
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通讯作者：
Walker WC
中科院分区：
文献类型：
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作者：
Stratton KJ;Wells BD;Hawn SE;Amstadter AB;Cifu DX;Walker WC
在伊拉克和阿富汗作战行动的军事人员中，疼痛投诉非常普遍，部分原因是与爆炸有关的伤害。此外，疼痛通常与创伤后应激障碍和创伤性脑损伤等疾病同时发生，从而使评估变得复杂。在多发伤的背景下，对疼痛特征的准确理解有可能改善诊断和治疗方案。本研究探讨的因素结构的简短形式麦吉尔疼痛问卷的样本209名美国军人和退伍军人谁报告爆炸的经验，在战斗部署。因素分析得出了一个4因素解决方案，其中包括与描述符“疼痛”、“触痛”和“裂开”相关的独特疼痛特征。报告头部、下背部和膝盖疼痛的个体在这一因素上得分很高，这表明这些疼痛描述符可能与我们样本中军事人员最常遭受的伤害类型特别相关。
Pain complaints are highly prevalent among military personnel of the combat operations in Iraq and Afghanistan, due, in part, to blast-related injuries. Further, pain often co-occurs with conditions such as posttraumatic stress disorder and traumatic brain injury, thereby complicating assessment. An accurate understanding of pain characteristics in the context of polytrauma injuries has the potential to improve diagnostic and treatment options. The present study examined the factor structure of the Short Form–McGill Pain Questionnaire in a sample of 209 U.S. military service members and veterans who reported blast experience during combat deployment. Factor analysis yielded a 4-factor solution that included a unique pain profile associated with the descriptors “aching,” “tender,” and “splitting.” Individuals reporting head, lower back, and knee pain scored highly on this factor, suggesting that these pain descriptors may be particularly relevant to the types of injuries most frequently sustained by the military personnel in our sample.