Relations Between Pain, PTSD Symptoms, and Substance Use in Veterans
Relations Between Pain, PTSD Symptoms, and Substance Use in Veterans
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DOI：
10.1080/00332747.2015.1069659
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发表时间：
2015-09-01
影响因子：
2.4
通讯作者：
Back, Sudie E.
中科院分区：
文献类型：
--
作者：
Gros, Daniel F.;Szafranski, Derek D.;Back, Sudie E.
目的：创伤后应激障碍（PTSD）和慢性疼痛的频繁并发症在文献中引起了广泛关注。然而，现存的文献是有限的，因为这些研究通常排除了合并物质使用障碍（SUD）的患者。因此，本研究调查了创伤后应激障碍和SUD的退伍军人与高和低疼痛症状的症状。方法：作为一项更大研究的一部分，招募了寻求治疗PTSD和SUD共病症状的退伍军人（N = 136）。所有参与者都完成了基线评估，其中包括一系列诊断访谈和自我报告问卷，测量疼痛，PTSD和SUD的症状。结果如下：高水平的自我报告的疼痛被发现与自我报告和临床医生评定的PTSD症状有关，超出了人口统计学变量的影响。然而，物质使用和疼痛之间没有可靠的关系。结论：虽然是初步的，但研究结果强调了患有PTSD/SUD共病的退伍军人中慢性疼痛的常见发生，以及疼痛对临床表现的潜在影响。这些发现可能有助于为这一高危人群的评估和治疗实践提供特殊考虑。
Objective: The frequent co-occurrence of posttraumatic stress disorder (PTSD) and chronic pain has received much attention in the literature. However, the extant literature is limited in that these investigations generally exclude patients with co-occurring substance use disorders (SUD). Thus, the present study investigated symptoms of PTSD and SUD in veterans with high and low pain symptoms. Method: Veterans (N = 136) seeking treatment for comorbid symptoms of PTSD and SUD were recruited as part of a larger study. All participants completed a baseline assessment, which included a series of diagnostic interviews and self-report questionnaires measuring symptoms of pain, PTSD and SUD. Results: Higher levels of self-reported pain were found to be associated with both self-reported and clinician-rated PTSD symptoms above and beyond the influence of the demographic variables. However, no reliable relations were demonstrated between substance use and pain. Conclusions: Although preliminary, the findings highlight the common occurrence of chronic pain among veterans with comorbid PTSD/SUD, and the potential impact of pain on clinical presentation. The findings may help inform special considerations for assessment and treatment practices for this high-risk population.