The unmet mental health needs of U.S. adults living with chronic pain.

IF 5.9 1区 医学 Q1 ANESTHESIOLOGY PAIN® Pub Date : 2024-12-01 Epub Date: 2024-07-30 DOI:10.1097/j.pain.0000000000003340
Jennifer S De La Rosa, Benjamin R Brady, Katherine E Herder, Jessica S Wallace, Mohab M Ibrahim, Alicia M Allen, Beth E Meyerson, Kyle A Suhr, Todd W Vanderah
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Abstract

Abstract: Previous research suggests that individuals with mental health needs and chronic pain may be less likely to use mental health treatment compared with those with mental health needs only. Yet, few studies have investigated the existence of population-level differences in mental health treatment use. We analyzed data from the National Health Interview Survey (n = 31,997) to address this question. We found that chronic pain was associated with end-to-end disparities in the mental health journeys of U.S. adults: (1) Those living with chronic pain are overrepresented among U.S. adults with mental health needs; (2) among U.S. adults with mental health needs, those living with chronic pain had a lower prevalence of mental health treatment use; (3) among U.S. adults who used mental health treatment, those living with chronic pain had a higher prevalence of screening positive for unremitted anxiety or depression; (4) among U.S. adults living with both chronic pain and mental health needs, suboptimal mental health experiences were more common than otherwise-just 44.4% of those living with mental health needs and co-occurring chronic pain reported use of mental health treatment and screened negative for unremitted anxiety and depression, compared with 71.5% among those with mental health needs only. Overall, our results suggest that U.S. adults with chronic pain constitute an underrecognized majority of those living with unremitted anxiety/depression symptoms and that the U.S. healthcare system is not yet adequately equipped to educate, screen, navigate to care, and successfully address their unmet mental health needs.

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美国成年慢性疼痛患者未得到满足的心理健康需求。
摘要:以往的研究表明,与仅有心理健康需求的人相比,有心理健康需求并伴有慢性疼痛的人可能不太可能使用心理健康治疗。然而,很少有研究调查过心理健康治疗使用方面是否存在人群层面的差异。为了解决这个问题,我们分析了全国健康访谈调查(n = 31,997)的数据。我们发现,慢性疼痛与美国成年人心理健康历程中端到端的差异有关:(1)在有心理健康需求的美国成年人中,患有慢性疼痛的人所占比例过高;(2)在有心理健康需求的美国成年人中,患有慢性疼痛的人使用心理健康治疗的比例较低;(3)在使用心理健康治疗的美国成年人中,患有慢性疼痛的人筛查出未缓解的焦虑或抑郁呈阳性的比例较高;(4)在同时患有慢性疼痛和抑郁的美国成年人中,患有慢性疼痛的人筛查出未缓解的焦虑或抑郁呈阳性的比例较高;(5)在同时患有慢性疼痛和抑郁的美国成年人中,患有慢性疼痛的人筛查出未缓解的焦虑或抑郁呈阳性的比例较高。(4) 在同时患有慢性疼痛和心理健康需求的美国成年人中,不理想的心理健康经历比其他情况更常见--在有心理健康需求并同时患有慢性疼痛的人中,仅有 44.4% 的人报告使用过心理健康治疗,且未缓解的焦虑和抑郁筛查呈阴性,而在仅有心理健康需求的人中,这一比例为 71.5%。总之,我们的研究结果表明,在美国成年人慢性疼痛患者中,大部分人的焦虑/抑郁症状未得到充分认识,美国的医疗保健系统在教育、筛查、引导就医以及成功解决他们未得到满足的心理健康需求方面尚未做好充分准备。
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来源期刊
PAIN®
PAIN® 医学-临床神经学
CiteScore
12.50
自引率
8.10%
发文量
242
审稿时长
9 months
期刊介绍: PAIN® is the official publication of the International Association for the Study of Pain and publishes original research on the nature,mechanisms and treatment of pain.PAIN® provides a forum for the dissemination of research in the basic and clinical sciences of multidisciplinary interest.
期刊最新文献
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