Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management.
Factors Associated With Interest in Engaging in Psychological Interventions for Pain Management.
复制标题
与参与疼痛管理心理干预的兴趣相关的因素。
DOI：
10.1097/ajp.0000000000001165
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Scherrer,JeffreyF
中科院分区：
文献类型：
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作者：
Miller-Matero,LisaR;Yaldo,Marissa;Chohan,Sikander;Zabel,Celeste;Patel,Shivali;Chrusciel,Timothy;Salas,Joanne;Wilson,Lauren;Sullivan,MarkD;Ahmedani,BrianK;Lustman,PatrickJ;Scherrer,JeffreyF
目的：参与基于证据的心理干预疼痛管理是低的。确定与对干预措施感兴趣相关的特征，可以为提高接受和参与的方法提供信息。本研究的目的是探讨与慢性非癌性疼痛接受处方阿片类药物的人之间的心理干预的兴趣相关的因素：慢性非癌性疼痛和一个新的30至90天的阿片类药物处方的参与者从2个卫生系统招募。参与者（N= 845）完成了有关疼痛，阿片类药物的使用，精神症状，情感支持，并在心理干预疼痛management.Results的兴趣的措施：有245（29.0%）的参与者谁报告了高兴趣的心理干预疼痛管理。在双变量分析中，与兴趣相关的变量包括年轻、女性、更严重的疼痛、更大的疼痛干扰、更多的疼痛部位、更低的情感支持、抑郁、焦虑和创伤后应激障碍（P< 0.05）。在多变量模型中，疼痛严重程度越高，（比值比[OR]= 1.17; CI：1.04-1.32），抑郁（OR= 2.10; CI：1.39-3.16），创伤后应激障碍（OR= 1.85，CI：1.19-2.95），情感支持较低（OR= 0.69; CI：0.5-0.97）仍具有统计学显著性。对疼痛管理的心理干预的兴趣率较低，这可能表明开始阿片类药物治疗慢性非癌症疼痛的患者对心理干预的兴趣较低。更大的疼痛严重程度和精神痛苦与兴趣有关，具有这些特征的患者可能特别受益于心理干预。提供者可能希望在开始使用阿片类药物之前或之后进行心理干预。需要开展更多的工作，以确定这是否会减少长期使用阿片类药物。
Objective:Engagement in evidence-based psychological interventions for pain management is low. Identifying characteristics associated with interest in interventions can inform approaches to increase uptake and engagement. The purpose of this study was to examine factors associated with interest in psychological interventions among persons with chronic noncancer pain receiving prescription opioids.Methods:Participants with chronic noncancer pain and a new 30 to 90 day opioid prescription were recruited from 2 health systems. Participants (N= 845) completed measures regarding pain, opioid use, psychiatric symptoms, emotional support, and interest in psychological interventions for pain management.Results:There were 245 (29.0%) participants who reported a high interest in psychological interventions for pain management. In bivariate analyses, variables associated with interest included younger age, female sex, greater pain severity, greater pain interference, greater number of pain sites, lower emotional support, depression, anxiety, and post-traumatic stress disorder (P< 0.05). In a multivariate model, greater pain severity (odds ratio [OR]= 1.17; CI: 1.04-1.32), depression (OR= 2.10; CI: 1.39-3.16), post-traumatic stress disorder (OR= 1.85; CI: 1.19-2.95), and lower emotional support (OR= 0.69; CI: 0.5-0.97) remained statistically significant.Discussion:The rate of interest in psychological interventions for pain management was low, which may indicate that patients initiating opioid treatment of chronic noncancer pain have low interest in psychological interventions. Greater pain severity and psychiatric distress were related to interest, and patients with these characteristics may especially benefit from psychological interventions. Providers may want to refer to psychological interventions before or when opioids are initiated. Additional work is needed to determine whether this would reduce long-term opioid use.