因肌肉骨骼疼痛就医者的吸烟史、基线疼痛干扰和症状分布与出院时身体功能之间的关系

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-08-19 DOI:10.1016/j.addbeh.2024.108133
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引用次数: 0

摘要

目标对吸烟与疼痛强度之间关系的研究产生了相互矛盾的结果;而对疼痛干扰的关注则较少。不同的疼痛结构可能与吸烟行为有不同的关联。本研究试图调查吸烟史不仅与疼痛强度有关,还与疼痛干扰、症状分布和身体功能有关。方法从物理治疗常见部位肌肉骨骼疼痛(腰椎和颈椎、膝关节或髋关节)患者的病历中提取吸烟史(当前、过去或无)、疼痛干扰(疼痛、生活享受和一般活动量表)、症状分布和身体功能评分。广义线性模型评估了吸烟史与疼痛/功能之间的关系。结果 833 名患者来自一个综合医疗系统(平均 57.6 岁,SD=16.3;43% 为男性)。在对多个变量进行控制后,与从不吸烟者和曾经吸烟者相比,目前吸烟者的基线疼痛干扰评分明显更高(β[B]:0.65,95 %CI:0.13 至 1.18,P=.02)。吸烟对基线症状分布[B: 0.17, 95 %CI -0.06 to 0.42, P=.16]或出院时身体功能评分[B: -0.03, 95 %CI: -0.08 to 0.02, P=.25]没有明显的预测作用。然而,所有吸烟人群在入院时的症状分布和出院时的功能都相似。这些研究结果表明,戒烟和禁烟可能是帮助抑制疼痛干扰的重要建议。
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Associations between smoking history, baseline pain interference and symptom distribution, and physical function at discharge, in individuals seeking care for musculoskeletal pain

Objective

Study of the association between smoking and pain intensity has produced conflicting results; with less focus on pain interference. Different pain constructs could have varying associations with smoking behaviors. This study sought to investigate the association between smoking history and not only pain intensity, but also pain interference, symptom distribution and physical function.

Methods

Smoking history (current, past, or none), pain interference (Pain, Enjoyment of Life, and General Activity scale), symptom distribution and physical function scores were extracted from medical records of patients seen in physical therapy for common sites of musculoskeletal pain (lumbar and cervical spine, knee, or hip). Generalized linear models assessed the relationship between smoking history and pain/function.

Results

833 patients from an integrated healthcare system were included (mean: 57.6 years, SD=16.3; 43 % male). After controlling for several variables, current smokers had significantly higher baseline pain interference scores compared to never and former smokers (beta [B]: 0.65, 95 %CI: 0.13 to 1.18, P=.02). Smoking was not a significant predictor of symptom distribution at baseline [B: 0.17, 95 %CI −0.06 to 0.42, P=.16] or physical function scores at discharge [B: -0.03, 95 %CI: −0.08 to 0.02, P=.25].

Conclusion

Smokers experienced a greater impact of pain at baseline. However, symptom distribution at intake and function upon discharge were similar between all smoking groups. These findings suggest smoking cessation and abstinence may be important recommendations to help curb pain interference.

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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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