Psychopathology and pain correlates of dispositional optimism in methadone-maintained patients.
Psychopathology and pain correlates of dispositional optimism in methadone-maintained patients.
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DOI：
10.1111/j.1521-0391.2012.00293.x
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发表时间：
2012-11
期刊：
影响因子：
--
通讯作者：
Barry DT
中科院分区：
文献类型：
--
作者：
Beitel M;Savant JD;Cutter CJ;Peters S;Belisle N;Barry DT
虽然较高水平的性格乐观与较低水平的精神病理和疼痛以及较高水平的心理健康功能（阿片类药物治疗计划的重要结果）相关，但很少有研究调查阿片类药物使用障碍患者的性格乐观。本研究的目的是检查参加美沙酮维持治疗（MMT）的阿片类药物依赖患者性格乐观的临床相关因素（即精神病理学，疼痛状态）。对150名MMT患者进行了人口统计学、疼痛、精神病理学和性格乐观的调查。在多变量分析中，较高水平的性格乐观与较低水平的抑郁、筛选的人格障碍标准、筛选的创伤后应激障碍症状和与疼痛相关的情绪紧张显著相关。与那些没有慢性疼痛史的患者相比（即，非癌症相关的身体疼痛持续至少3个月），报告终生或当前慢性疼痛的MMT患者表现出明显较低的性格乐观水平。较高水平的性格乐观、较低水平的精神病理学和较低的疼痛相关情绪紧张之间的关联表明，关注特定干预措施促进MMT患者性格乐观的有效性的研究是有必要的。
While higher levels of dispositional optimism are associated with decreased levels of psychopathology and pain, and higher levels of mental health functioning—important outcomes in opioid treatment programs—a paucity of studies has examined dispositional optimism among individuals with opioid use disorders. The aim of this study was to examine the clinical correlates (i.e., psychopathology, pain status) of dispositional optimism in opioid dependent patients enrolled in methadone maintenance treatment (MMT). A survey targeting demographics, pain, psychopathology, and dispositional optimism was administered to 150 MMT patients. In multivariable analyses, higher levels of dispositional optimism were significantly associated with lower levels of depression, screened personality disorder criteria, screened symptoms of PTSD, and pain-related emotional strain. In comparison to those without a history of chronic pain (i.e., non-cancer related physical pain lasting at least 3 months), MMT patients who reported either lifetime or current chronic pain exhibited significantly lower levels of dispositional optimism. The associations among higher levels of dispositional optimism, lower levels of psychopathology, and lower pain-related emotional strain suggest that research focusing on the efficacy of specific interventions to promote dispositional optimism in MMT patients is warranted.