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Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure

机译:慢性疼痛个体与创伤暴露史的三种亲密关系

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摘要

Individuals with chronic pain often have psychiatric disorders, such as depression and posttraumatic stress disorder (PTSD), which can affect their intimate relationship satisfaction and stability. Little is known about the nature of support stemming from chronic pain patients’ intimate relationships, and therefore, this study sought to: (1) use cluster modeling to construct specific intimate relationship groups based on types of support patients receive, and (2) determine if there is a relationship between support type and PTSD, chronic pain, anxiety, and depression. Ward’s method of cluster analysis in Stata was used to create groups based on the level of informational, affirmation, confident, emotional, and fun support received from chronic pain patients’ most intimate relationship. Three types of support were identified: high (type 1, n = 17), high emotional/low instrumental (type 2, n = 9), and unstable (type 3, n = 15). Types 1 and 3 included more family members (Type 1: 100%, Type 2: 93%), than type 2 (77%). Type 2 patients experienced more trauma (Mean = 9.4 ± 1.7 vs. 7.5 ± 0.88 for types 1 and 3) and were significantly more likely to have PTSD (X2 = 7.91, p < 0.05. Patients with low familial support may also benefit from PTSD screening and referral but further study is needed.
机译:患有慢性疼痛的人经常患有精神疾病,例如抑郁症和创伤后应激障碍(PTSD),这会影响他们的亲密关系满意度和稳定性。对于慢性疼痛患者的亲密关系所产生的支持的性质知之甚少,因此,本研究旨在:(1)使用聚类模型根据患者获得的支持类型来构建特定的亲密关系组,以及(2)确定支持类型与PTSD,慢性疼痛,焦虑和抑郁之间是否存在关系。 Ward在Stata中进行的聚类分析方法用于根据慢性疼痛患者最亲密的关系所获得的信息,肯定,自信,情感和乐趣的支持来创建分组。确定了三种类型的支持:高(1型,n = 17),高情绪/低工具(2型,n = 9)和不稳定(3型,n = 15)。类型1和类型3包含的家庭成员(类型1:100%,类型2:93%)比类型2(77%)更多。 2型患者遭受的创伤更大(均值分别为9.4±1.7和1型和3型的7.5±0.88),并且罹患PTSD的可能性更高(X 2 = 7.91,p <0.05)。 PTSD筛查和转诊也可能使低家族性支持受益,但仍需要进一步研究。

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