Pain Intensity, Pain-Related Anxiety, and Hazardous Drinking Among Individuals With PTSD.

IF 1.5 4区医学 Q3 PSYCHIATRY Journal of Dual Diagnosis Pub Date : 2024-04-01 Epub Date: 2024-02-26 DOI:10.1080/15504263.2024.2319034

Sarah E Polhill, Emma C Lape, Alexa G Deyo, T Smit, M J Zvolensky, Emily L Zale, Joseph W Ditre

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Abstract

Objective: Evidence suggests that pain intensity may be indirectly linked to hazardous drinking and PTSD symptom severity via pain-related anxiety. The goal of this analysis was to test the hypotheses in a population with PTSD symptoms that pain intensity would be positively and indirectly associated with hazardous drinking, alcohol dependence, alcohol-related problems, and PTSD symptom severity via pain-related anxiety.

Methods: Heavy drinkers with probable PTSD were recruited via Qualtrics panels (N = 371, 53% Female, M_age = 39.68, SD = 10.86). Linear regression and conditional process models were conducted to examine indirect associations between pain intensity and primary outcomes via pain-related anxiety.

Results: Pain intensity was found to be indirectly associated with hazardous drinking, alcohol dependence, alcohol-related problems, and PTSD symptom severity via greater pain-related anxiety.

Conclusion: These initial findings suggest that pain-related anxiety may play an important role in relations between the experience of pain and hazardous patterns of alcohol consumption among individuals with probable PTSD. Future research is needed to determine the temporal nature of these associations and to examine the potential utility of treatments that address pain-related anxiety in the context of comorbid pain, PTSD, and hazardous drinking.

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创伤后应激障碍患者的疼痛强度、与疼痛相关的焦虑和危险饮酒。

目的：有证据表明，疼痛强度可能通过疼痛相关焦虑与危险饮酒和创伤后应激障碍症状严重程度间接相关。方法：通过 Qualtrics 小组招募可能患有创伤后应激障碍的酗酒者（N = 371，53% 为女性，Mage = 39.68，SD = 10.86）。采用线性回归和条件过程模型，通过与疼痛相关的焦虑来检验疼痛强度与主要结果之间的间接关联：结果：研究发现，疼痛强度与危险饮酒、酒精依赖、酒精相关问题以及创伤后应激障碍症状严重程度之间存在间接关系，而这与疼痛相关焦虑有关：这些初步研究结果表明，在可能患有创伤后应激障碍的个体中，疼痛相关焦虑可能在疼痛体验与危险饮酒模式之间的关系中扮演重要角色。未来的研究需要确定这些关联的时间性质，并研究在疼痛、创伤后应激障碍和危险饮酒并存的情况下，针对疼痛相关焦虑的治疗方法的潜在效用。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.