Pharmacologic and Non-Pharmacologic Treatments for Chronic Pain Used by Patients with Pain, HIV, and Depression.

Pharmacologic and Non-Pharmacologic Treatments for Chronic Pain Used by Patients with Pain, HIV, and Depression.
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疼痛、HIV和抑郁症患者使用的慢性疼痛的药物和非药物治疗。

DOI:
10.1007/s10461-021-03447-x
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发表时间:
2022-03
期刊:
影响因子:
4.4
通讯作者:
Stein, Michael D.
Stein, Michael D.
中科院分区:
医学2区
文献类型:
--
作者:
Uebelacker, Lisa A.;Cherenack, Emily M.;Busch, Andrew;Baker, Jason, V;Pinkston, Megan;Gleason, Neil;Madden, Stephanie;Caviness, Celeste M.;Stein, Michael D.

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Evaluate characteristics of treatments for pain used by people living with HIV (PLWH), chronic pain, and elevated depression symptoms. A cross-sectional interview was administered at the baseline visit of a randomized clinical trial (RCT) of a psychotherapeutic intervention for chronic pain and depression symptoms. Participants included 187 PLWH enrolled in the parent RCT at three HIV primary care clinics in the United States. All participants reported chronic pain lasting at least six months and elevated depression symptoms. Participants provided information on clinical features of pain and depression, pain treatment use in the past three months, and perceived treatment efficacy. Chi-square tests for independence and regression models were used to examine relationships between demographic characteristics and clinical features of pain and depression in relation to pain treatment. 85% of participants reported taking a pain medication, most commonly a non-steroidal anti-inflammatory drug (NSAID). One quarter (25%) reported non-pharmacological professional treatments for pain (e.g., massage, physical therapy), 60% reported mind-body treatments, including exercise, meditation, and yoga, and 62% reported other non-pharmacological self-administered treatments (e.g., heat/cold, trigger point massage). Most professional- and self-administered pain treatments were rated as “slightly helpful” or “moderately helpful.” Non-pharmacological self-administered treatments were more common among women (74%) compared to men (52%) and among individuals with constant pain (70%) compared to intermittent pain (46%). Participants with HIV, pain, and depression use a variety of treatments that do not fully relieve chronic pain. Research is needed to evaluate the efficacy of these analgesic modalities among PLWH.
DOI: 10.1016/j.berh.2015.04.022
发表时间: 2015-02
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影响因子: --
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