Combat-Deployment Status in Relation to Chronic Pain Interference and Hazardous Drinking Among U.S. Veterans.

IF 1.7 4区 医学 Q3 PSYCHIATRY
Joon Kyung Nam, Kyle M White, Victoria E Carlin, Joseph W Ditre
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引用次数: 0

Abstract

Background: Chronic pain and hazardous drinking often co-occur among U.S. veterans. Research examining associations between pain interference and alcohol use has yielded mixed findings, with some studies linking greater pain interference to lower levels of alcohol consumption, and others linking it with increased odds of alcohol dependence. However, there has been a paucity of research examining these relations among veterans. The novel contribution of the present study was to test whether combat-deployment status moderated the association between pain interference and AUDIT total scores among veterans with chronic pain.

Methods: Data were drawn from a Qualtrics Panel survey of 430 U.S. veterans with chronic pain who endorsed past-month alcohol use. Participants had a mean age of 56.7 years (SD = 14.81), and 76.3% were male.

Results: Greater pain interference was positively associated with higher AUDIT total scores. Significant interactions were observed, such that this association was more pronounced among combat veterans, particularly among those reporting severe pain interference.

Conclusions: Among veterans with chronic pain, greater pain interference was associated with higher AUDIT total scores, and this relationship was especially pronounced among combat veterans. Tailored interventions addressing pain interference and hazardous drinking among veterans may be warranted, with attention to combat-related experiences.

美国退伍军人中与慢性疼痛干扰和危险饮酒有关的战斗部署状况。
背景:慢性疼痛和危险饮酒经常同时发生在美国退伍军人中。对疼痛干扰和饮酒之间关系的研究得出了不同的结果,一些研究认为疼痛干扰越大,饮酒水平越低,而另一些研究则认为疼痛干扰越大,酒精依赖的几率越大。然而,对退伍军人之间这些关系的研究一直很缺乏。本研究的新颖之处是检验战斗部署状态是否调节慢性疼痛退伍军人疼痛干扰与审计总分之间的关系。方法:数据来自质量小组对美国430家医院的调查患有慢性疼痛的退伍军人在过去的一个月里喝酒。参与者的平均年龄为56.7岁(SD = 14.81), 76.3%为男性。结果:疼痛干扰越大,审计总分越高。观察到显著的相互作用,例如这种关联在战斗退伍军人中更为明显,特别是在那些报告严重疼痛干扰的人中。结论:在患有慢性疼痛的退伍军人中,更大的疼痛干扰与更高的审计总分相关,这种关系在战斗退伍军人中尤为明显。针对退伍军人中的疼痛干扰和危险饮酒的量身定制的干预措施可能是必要的,并注意与战斗相关的经历。
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来源期刊
Substance Use & Misuse
Substance Use & Misuse 医学-精神病学
CiteScore
3.20
自引率
5.00%
发文量
200
审稿时长
3 months
期刊介绍: For over 50 years, Substance Use & Misuse (formerly The International Journal of the Addictions) has provided a unique international multidisciplinary venue for the exchange of original research, theories, policy analyses, and unresolved issues concerning substance use and misuse (licit and illicit drugs, alcohol, nicotine, and eating disorders). Guest editors for special issues devoted to single topics of current concern are invited. Topics covered include: Clinical trials and clinical research (treatment and prevention of substance misuse and related infectious diseases) Epidemiology of substance misuse and related infectious diseases Social pharmacology Meta-analyses and systematic reviews Translation of scientific findings to real world clinical and other settings Adolescent and student-focused research State of the art quantitative and qualitative research Policy analyses Negative results and intervention failures that are instructive Validity studies of instruments, scales, and tests that are generalizable Critiques and essays on unresolved issues Authors can choose to publish gold open access in this journal.
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