Psychopathological and Psychosocial Factors Associated with suicide-related Outcomes in Patients with non-malignant Chronic Pain: A Systematic Review.

IF 3.1 3区 医学 Q2 ANESTHESIOLOGY
Jelena Forget, Larissa Kalisch, David Attali, Raffaella Calati, Gabriele Torino, Philippe Courtet, Carolina Baeza-Velasco
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引用次数: 0

Abstract

Objectives: Non-malignant chronic pain patients are at increased risk for suicide, making it essential to identify factors associated with suicide-related outcomes (suicidal ideation, suicide attempt, and suicide death) in this population. This study aims to explore the psychopathological and psychosocial factors related to suicide-related outcomes in individuals with non-malignant chronic pain.

Method: A systematic review was conducted by searching databases including PubMed, PsycInfo, Embase, and Cochrane using predefined keywords and a systematic search strategy to identify psychopathological and psychosocial factors associated with suicide-related outcomes in adults with non-malignant chronic pain.

Results: A total of 49 studies identified 17 factors associated with suicide-related outcomes in non-malignant chronic pain: 11 psychopathological, including schizophrenia spectrum and other psychotic disorders, bipolar and related disorders, depressive disorders, anxiety disorders, obsessive-compulsive and related disorders, trauma and stressor-related disorders, personality disorders, unspecified psychopathology, substance-related and addictive disorders, somatic symptom and related disorders, and sleep-wake disorders; and 6 psychosocial, including health-related quality of life, impact of pain/pain-related beliefs, coping strategies, interpersonal relationships, psychological and emotional state, and life events.

Discussion: This systematic review highlights the variety of psychopathological and psychosocial factors associated with suicide-related outcomes in non-malignant chronic pain, underscoring the necessity of integrating these aspects to improve pain management and patient care.

非恶性慢性疼痛患者自杀相关结果的精神病理和社会心理因素:一项系统综述。
目的:非恶性慢性疼痛患者自杀风险增加,因此有必要确定该人群中与自杀相关结果(自杀意念、自杀企图和自杀死亡)相关的因素。本研究旨在探讨与非恶性慢性疼痛患者自杀相关的心理病理和社会心理因素。方法:通过检索PubMed、PsycInfo、Embase和Cochrane等数据库,使用预定义关键词和系统搜索策略进行系统综述,以确定与非恶性慢性疼痛成人自杀相关结果相关的精神病理和社会心理因素。结果:共有49项研究确定了17个与非恶性慢性疼痛中自杀相关结果相关的因素:精神病理学,包括精神分裂症谱系和其他精神障碍、双相情感障碍及相关疾病、抑郁症、焦虑症、强迫症及相关疾病、创伤和压力相关疾病、人格障碍、未指明的精神病理学、物质相关和成瘾障碍、躯体症状及相关疾病、以及睡眠-觉醒障碍;6 .心理社会,包括健康相关的生活质量,疼痛/疼痛相关信念的影响,应对策略,人际关系,心理和情绪状态,以及生活事件。讨论:本系统综述强调了与非恶性慢性疼痛自杀相关结果相关的精神病理和社会心理因素的多样性,强调了整合这些方面以改善疼痛管理和患者护理的必要性。
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来源期刊
Clinical Journal of Pain
Clinical Journal of Pain 医学-临床神经学
CiteScore
5.40
自引率
3.40%
发文量
118
审稿时长
4-8 weeks
期刊介绍: ​​​The Clinical Journal of Pain explores all aspects of pain and its effective treatment, bringing readers the insights of leading anesthesiologists, surgeons, internists, neurologists, orthopedists, psychiatrists and psychologists, clinical pharmacologists, and rehabilitation medicine specialists. This peer-reviewed journal presents timely and thought-provoking articles on clinical dilemmas in pain management; valuable diagnostic procedures; promising new pharmacological, surgical, and other therapeutic modalities; psychosocial dimensions of pain; and ethical issues of concern to all medical professionals. The journal also publishes Special Topic issues on subjects of particular relevance to the practice of pain medicine.
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