Aggression, impulsivity, and suicide risk in benign chronic pain patients - a cross-sectional study.
Aggression, impulsivity, and suicide risk in benign chronic pain patients - a cross-sectional study.
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DOI：
10.2147/ndt.s66209
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发表时间：
2014
影响因子：
3.2
通讯作者：
Margari L
中科院分区：
文献类型：
--
作者：
Margari F;Lorusso M;Matera E;Pastore A;Zagaria G;Bruno F;Puntillo F;Margari L
本研究的目的是调查公开攻击性和冲动等精神病理学维度在确定良性慢性疼痛患者 (CPP) 自杀风险中的作用。此外，我们还调查了可能引发这些负面情绪的保护/风险因素，分析了 CPP 与其照顾者之间的关系。我们总共招募了 208 名患者，分为 CPP 和受内科疾病影响的对照组。评估包括收集社会人口统计学和医疗保健数据、疼痛特征、视觉模拟量表 (VAS)、改良公开攻击量表 (MOAS)、巴拉特冲动量表第 11 版 (BIS)、汉密尔顿抑郁评定量表 (HDRS) 和护理人员自填问卷。所有变量均进行统计分析。各组之间的 VAS、MOAS 总分/语言/自我攻击性、HDRS 总分/自杀平均分存在显着差异。滥用镇痛药的 CPP 的 BIS 平均分较高。在 CPP 中，发现 MOAS 总/言语/自我攻击与 BIS 平均分、MOAS 与 HDRS 自杀平均分以及 BIS 与 HDRS 自杀平均分之间存在相关性。当护理人员不支持时，MOAS 和 BIS 平均分显着更高。在 CPP 中，攻击性和冲动可能会增加自杀风险。此外，冲动、明显的攻击性和痛苦可能通过共同的生物核心相互关联。我们的研究支持多学科方法在 CPP 管理中的重要性以及监督护理人员的必要性，这可能成为干扰 CPP 治疗和康复的情绪发展的风险/保护因素。
The objective of this study was to investigate the role that psychopathological dimensions as overt aggression and impulsivity play in determining suicide risk in benign chronic pain patients (CPPs). Furthermore we investigated the possible protective/risk factors which promote these negative feelings, analyzing the relationship between CPPs and their caregivers. We enrolled a total of 208 patients, divided into CPPs and controls affected by internistic diseases. Assessment included collection of sociodemographic and health care data, pain characteristics, administration of visual analog scale (VAS), Modified Overt Aggression Scale (MOAS), Barratt Impulsiveness Scale Version 11 (BIS), Hamilton Depression Rating Scale (HDRS), and a caregiver self-administered questionnaire. All variables were statistically analyzed. A significant difference of VAS, MOAS-total/verbal/auto-aggression, HDRS-total/suicide mean scores between the groups were found. BIS mean score was higher in CPPs misusing analgesics. In CPPs a correlation between MOAS-total/verbal/auto-aggression with BIS mean score, MOAS with HDRS-suicide mean score and BIS with HDRS-suicide mean scores were found. The MOAS and BIS mean scores were significantly higher when caregivers were not supportive. In CPPs, aggression and impulsivity could increase the risk of suicide. Moreover, impulsivity, overt aggression and pain could be interrelated by a common biological core. Our study supports the importance of a multidisciplinary approach in the CPPs management and the necessity to supervise caregivers, which may become risk/protective factors for the development of feelings interfering with the treatment and rehabilitation of CPPs.