Pain and psychiatric comorbidities among two groups of Iraq and Afghanistan era Veterans.
Pain and psychiatric comorbidities among two groups of Iraq and Afghanistan era Veterans.
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两组伊拉克和阿富汗时期退伍军人的疼痛和精神合并症。
DOI：
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发表时间：
2016
影响因子：
--
通讯作者：
Rose C. Collins
中科院分区：
文献类型：
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作者：
K. Phillips;Michael E. Clark;R. Gironda;Suzanne McGarity;Robert W Kerns;C. Elnitsky;E. Andresen;Rose C. Collins
本研究旨在（1）确定在伊拉克自由行动（OIF）、持久自由行动（OEF）和新黎明行动（OND）期间部署的人员中疼痛和精神病合并症的患病率和严重程度;（2）评估退伍军人事务部（VA）多发创伤护理系统和OIF/OEF/OND登记研究是否反映了患者之间的真实的差异。参与者（N = 359）从两家VA医院招募。他们完成了临床访谈，结构化诊断访谈和自我报告措施。结果表明，疼痛是最常见的投诉，87%的人在前一周经历疼痛，56%的人报告中度或重度疼痛。80%的参与者符合七种共病问题（中度或重度疼痛，脑震荡后障碍，创伤后应激障碍[PTSD]，焦虑症，情绪障碍，物质使用障碍，精神病）中至少一种的标准，59%符合两个或更多问题的标准。PTSD和脑震荡后障碍很少发生在没有疼痛或其他合并症的情况下（分别为0.3%和0%）。多发伤组与登记组相比，有更多的共病精神疾病（χ（2）= 48.67，p < 0.05），症状严重程度更高（p < 0.05）。这项研究证实了从军事部署返回的人员中疼痛和并发心理健康问题的高患病率。
This study aimed to (1) identify the prevalence and severity of pain and psychiatric comorbidities among personnel who had been deployed during Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), and Operation New Dawn (OND) and (2) assess whether the Department of Veterans Affairs (VA) Polytrauma System of Care and an OIF/OEF/OND registry reflect real differences among patients. Participants (N = 359) were recruited from two VA hospitals. They completed a clinical interview, structured diagnostic interview, and self-report measures. Results indicated pain was the most common complaint, with 87 percent experiencing pain during the prior week and 56 percent reporting moderate or severe pain. Eighty percent of participants met criteria for at least one of seven assessed comorbid problems (moderate or severe pain, postconcussional disorder, posttraumatic stress disorder [PTSD], anxiety disorder, mood disorder, substance use disorder, psychosis), and 59 percent met criteria for two or more problems. PTSD and postconcussional disorder rarely occurred in the absence of pain or other comorbidities (0.3% and 0%, respectively). The Polytrauma group had more comorbid psychiatric conditions (χ(2) = 48.67, p < 0.05) and reported greater severity of symptoms (p < 0.05) than the Registry group. This study confirmed the high prevalence of pain and concurrent mental health problems among personnel returning from military deployment.
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影响因子：
2.7
作者：
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通讯作者：
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4.7
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120.7
作者：
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通讯作者：
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影响因子：
7.6
作者：
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通讯作者：
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