Pain-related psychological distress, self-rated health and significance of neuropathic pain in Danish soldiers injured in Afghanistan
Pain-related psychological distress, self-rated health and significance of neuropathic pain in Danish soldiers injured in Afghanistan
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DOI：
10.1111/aas.12579
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发表时间：
2015-11-01
影响因子：
2.1
通讯作者：
Nielsen, P. R.
中科院分区：
文献类型：
--
作者：
Duffy, J. R.;Warburg, F. E.;Nielsen, P. R.
背景疼痛和心理健康问题在退伍军人中普遍存在。虽然大多数研究都集中在慢性疼痛作为一个实体，很少有工作针对调查神经性疼痛的作用，心理共病。因此，我们假设，参与者与神经性疼痛的迹象将报告更高水平的心理困扰和减少自我评价的健康相比，那些没有一个neuropathic component.MethodsA回顾性审查的标准化问卷调查（PainDETECT问卷，创伤后应激障碍检查表，平民，医院焦虑和抑郁量表，和欧洲生活质量视觉焦虑量表）受伤的士兵。参与者被分为三组，根据PainDETECT问卷：非神经性疼痛，可能的神经性疼痛和明确的神经性pain.ResultsFifty-three参与者。创伤后应激障碍检查表-平民评分中位数（四分位数范围）为26（22-31），医院焦虑和抑郁量表焦虑和抑郁评分分别为4（2-6.5）和2（1-5）。神经病理性疼痛的证据与创伤后应激障碍量表平民评分呈正相关（rho=0.469，P
BackgroundPain and mental health concerns are prevalent among veterans. While the majority of research has focused on chronic pain as an entity, there has been little work directed towards investigating the role of neuropathic pain in relation to psychological comorbidity. As such, we hypothesised that participants with signs of neuropathic pain would report higher levels of psychological distress and diminished self-rated health compared to those without a neuropathic component.MethodsA retrospective review of standardised questionnaires (PainDETECT Questionnaire, Post-traumatic Stress Disorder Checklist-Civilian, the Hospital Anxiety and Depression Scale, and EuroQOL Visual Analogue Scale) administered to injured soldiers. The participants were classified into three groups according to the PainDETECT questionnaire: non-neuropathic pain, possible neuropathic pain and definite neuropathic pain.ResultsFifty-three participants were included. The Post-traumatic Stress Disorder Checklist-Civilian score was in median (interquartile range) 26 (22-31), the Hospital Anxiety and Depression Scale score was 4 (2-6.5) and 2 (1-5) for anxiety and depression respectively. Evidence of neuropathic pain correlated positively with the Post-traumatic Stress Disorder Checklist-Civilian score (rho=0.469, P