Pain in ambulatory AIDS patients .2. Impact of pain on psychological functioning and quality of life
Pain in ambulatory AIDS patients .2. Impact of pain on psychological functioning and quality of life
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DOI：
10.1016/s0304-3959(96)03220-4
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发表时间：
1996-12-01
期刊：
影响因子：
7.4
通讯作者：
Portenoy, RK
中科院分区：
文献类型：
--
作者：
Rosenfeld, B;Breitbart, W;Portenoy, RK
通过对从纽约市医疗机构招募的 438 名流动艾滋病患者进行前瞻性横断面调查，研究了疼痛、心理困扰和其他生活质量问题之间的关系。在该样本中，274 名 (62.6%) 患者报告在前 2 周内频繁或持续疼痛。有疼痛和无疼痛的患者完成了一份调查问卷，其中包括心理症状困扰（简要症状量表和纪念症状评估量表的心理困扰子量表）、抑郁（贝克抑郁量表和贝克绝望量表）、社会支持（社会支持问卷）和总体生活质量（功能生活指数 - 癌症，针对艾滋病修改）。多变量分析（MANOVA，多重回归）显示疼痛的存在和强度与心理困扰、抑郁、绝望和生活质量的评分之间存在显着关联（大多数分析 P < 0.0001）。感知到的社会支持是否充足也与较低水平的心理困扰和抑郁以及更好的生活质量显着相关。这些结果证明了疼痛、心理健康和生活质量之间的重要关系，并肯定了为艾滋病患者提供充分的疼痛治疗的必要性。
The relationships among pain, psychological distress and other quality of life concerns were examined through a prospective cross-sectional survey of 438 ambulatory AIDS patients recruited from health care facilities in New York City. In this sample, 274 (62.6%) patients reported frequent or persistent pain during the prior 2 wks. Patients with and without pain completed a questionnaire packet that included measures of psychological symptom distress (Brief Symptom Inventory and the Psychological Distress Subscale of the Memorial Symptom Assessment Scale), depression (Beck Depression Inventory and Beck Hopelessness Scale), social support (Social Support Questionnaire), and overall quality of life (Functional Living Index - Cancer, modified for AIDS). Multivariate analyses (MANOVA, multiple regression) revealed significant associations between the presence and intensity of pain and scores on the measures of psychological distress, depression, hopelessness, and quality of life (P < 0.0001 for most analyses). Perceived adequacy of social support was also significantly associated with lower levels of psychological distress and depression, and better quality of life. These results demonstrate the significant relationships between pain, psychological well-being, and quality of life, and affirm the need to provide adequate treatment of pain in patients with AIDS.