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Psychological Symptoms in Patients with Injury-Related Chronic Pain

机译:与损伤相关的慢性疼痛患者的心理症状

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摘要

Background. Chronic injury-related pain could be influenced by psychological symptoms such as depression, anxiety, and stress that also affect daily life. Methods. Patients with chronic pain caused by an injury (n = 86) aged 18–65 years referred to the Pain Rehabilitation Clinic at the Umeå University Hospital answered a set of questionnaires to assess pain intensity, depression, anxiety, posttraumatic stress, sleep disturbance, and fatigue. Results. A significantly higher proportion of women (47.5%) reported depression (Hospital Anxiety and Depression Scale (HAD)) than men (22.2%). In all patients anxiety (HAD) was reported by 39.5% and moderate/severe posttraumatic stress (Impact of Event Scale) by 30.2%. A majority reported sleep disturbance (84.9%) and fatigue (90.7%). Significant relationships were found between posttraumatic stress and depression and anxiety. Conclusion. These findings indicate the importance of assessing and treating psychological symptoms associated with chronic pain as the result of trauma.
机译:背景。与慢性损伤相关的疼痛可能会受到诸如抑郁,焦虑和压力等心理症状的影响,这些心理症状也会影响日常生活。方法。由Umeå大学医院疼痛康复诊所转介的18-65岁受伤(n = 86)的慢性疼痛患者回答了一组问卷,以评估疼痛强度,抑郁,焦虑,创伤后压力,睡眠障碍和疲劳。结果。报告患有抑郁症(医院焦虑症和抑郁量表(HAD))的女性比例(47.5%)比男性(22.2%)高得多。在所有患者中,焦虑(HAD)占39.5%,中度/重度创伤后应激(事件量表的影响)占30.2%。多数报告有睡眠障碍(84.9%)和疲劳(90.7%)。发现创伤后应激与抑郁和焦虑之间存在重要关系。结论。这些发现表明,评估和治疗与创伤导致的慢性疼痛相关的心理症状的重要性。

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