Relationship between post-traumatic stress disorder and pain in two American Indian tribes
Relationship between post-traumatic stress disorder and pain in two American Indian tribes
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DOI：
10.1111/j.1526-4637.2005.05005.x
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发表时间：
2005-01-01
期刊：
影响因子：
3.1
通讯作者：
Manson, S
中科院分区：
文献类型：
--
作者：
Buchwald, D;Goldberg, J;Manson, S
目标.评估美国印第安人终生创伤后应激障碍（PTSD）和疼痛的关系，并确定部落、性别、文化和心理社会因素或重度抑郁症是否影响这种关系的程度。1997年至2000年完成的一项横截面概率抽样调查。由受过训练的部落成员进行结构化访谈，以收集有关人口统计学和文化特征、身体健康状况、精神疾病和功能状态的信息。一般社区。内裤。从西南部（N = 1，446）和北方平原（N = 1，638）部落群的部落名册中随机选择了3，084名年龄在15-54岁并且居住在其保留地或其保留地20英里以内的个体。简明量表-36的躯体疼痛子量表。线性回归模型被用来检验终生PTSD和疼痛之间的关系，并调整了人口统计学、文化、心理社会特征、疼痛的医疗条件和严重抑郁症。在西南部和北方平原，终生PTSD的患病率分别为16%和14%;在这两个部落中，女性终生PTSD的患病率几乎是男性的两倍。最终的调整模型表明，平均简表-36身体疼痛子量表评分较低（表明更多的疼痛）的个人与终身创伤后应激障碍比那些没有终身创伤后应激障碍。部落、性别和抑郁症的影响修正未被证实。在这个美国印第安人的农村样本中，终身创伤后应激障碍与身体疼痛密切相关。临床医生应该意识到并解决身体疼痛综合征和PTSD之间的联系。
Objectives. To estimate the association of lifetime post-traumatic stress disorder (PTSD) and pain in American Indians, and determine if tribe, sex, cultural and psychosocial factors, or major depression influence the magnitude of this association.Design. A cross-sectional probability sample survey completed between 1997 and 2000. A structured interview was conducted by trained, tribal members to gather information on demographic and cultural features, physical health status, psychiatric disorders, and functional status.Setting. General community.Participants. A total of 3,084 individuals randomly selected from the tribal rolls of a Southwestern (N = 1,446) and a Northern Plains (N = 1,638) tribal group who were 15-54 years of age and lived on or within 20 miles of their reservations.Outcome Measures. Bodily pain subscale of the Short Form-36. Linear regression models were fit to examine the association between lifetime PTSD and pain, adjusting for demographic, cultural, psychosocial features, painful medical conditions, and major depression.Results. The prevalence of lifetime PTSD was 16% in the Southwestern and 14% in the Northern Plains; women were nearly twice as likely as men to have lifetime PTSD in both tribes. The final adjusted model demonstrated that mean Short Form-36 bodily pain subscale scores were lower (indicating more pain) among individuals with lifetime PTSD than those without lifetime PTSD. Effect modification by tribe, sex, and depression was not observed.Conclusions. Lifetime PTSD was strongly associated with bodily pain in this rural sample of American Indians. Clinicians should be aware of, and address, the link between physical pain syndromes and PTSD.