美国成年慢性疲劳综合征/脑脊髓灰质炎患者用于缓解疼痛的补充和综合保健方法：2022 年全国健康访谈调查的结果

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2025-04-01 DOI:10.1016/j.eujim.2025.102443

Jenna L. Adamowicz , Zoe Sirotiak , Emily B.K. Thomas , Brian C. Lund , Katherine Hadlandsmyth , Mary A. Driscoll

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引用次数: 0

摘要

导言虽然大多数慢性疲劳综合征/肌痛性脑脊髓炎（CFS/ME）患者都会感到疼痛，但传统的疼痛治疗方法可能对这一人群有害或不利。治疗疼痛的补充和综合保健方法提供了一种潜在的重要选择。然而，有关 CFS/ME 患者使用哪些疼痛治疗方法的研究却很少。本研究调查了 CFS/ME 成年人使用与疼痛相关的补充和综合保健方法的情况，以及可能与使用情况相关的因素，如性别、焦虑和抑郁症状等。方法利用 2022 年美国全国健康访谈调查数据，研究了七种不同的补充和综合保健方法。结果共有 453 人（1.6%）表示目前患有 CFS/ME。约三分之一（32.3%）的 CFS/ME 样本报告使用补充和综合保健方法来控制疼痛。最常报告的治疗方法是冥想（15.1%）、脊椎按摩（14.5%）和按摩（10.7%）。女性 CFS/ME 患者使用与疼痛相关的补充和综合保健方法的比例明显高于男性患者（分别为 39.1% 对 24.3%；χ2 (1) = 5.90，p = 0.015）。总体而言，CFS/ME 患者使用与疼痛相关的补充和综合保健方法的比例似乎低于普通人群。虽然补充和综合保健方法的使用很普遍，但超过半数的样本没有使用这些方法，这就为更广泛地传播疼痛管理方法提供了机会。

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Complementary and integrative health approaches used for pain management by U.S. adults with chronic fatigue syndrome/myalgic encephalomyelitis: Findings from the 2022 National Health Interview Survey

Introduction

While most persons with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) experience pain, traditional pain treatments may be harmful or unfavorable to this population. Complementary and integrative health approaches for pain management offer a potentially important alternative. However, there is a paucity of research regarding which pain treatments patients with CFS/ME use. This study examined the prevalence of pain-related complementary and integrative health usage in CFS/ME adults and the factors that may be associated with usage, such as sex and anxious and depressive symptoms.

Methods

Using 2022 U.S. National Health Interview Survey data, seven different complementary and integrative health approaches were examined. Survey weights and variance estimation variables were utilized, and Rao-Scott chi-square test examined group-based differences.

Results

A total of 453 individuals (1.6 %) reported currently having CFS/ME. About one third (32.3 %) of the CFS/ME sample reported using complementary and integrative health approaches for pain management. The most commonly reported treatments were meditation (15.1 %), chiropractic care (14.5 %), and massage (10.7 %). Females with CFS/ME were significantly more likely to use pain-related complementary and integrative health approaches relative to their male counterparts (39.1 % vs. 24.3 %, respectively; χ² (1) = 5.90, p = 0.015). Usage of pain-related complementary and integrative health approaches did not differ significantly among those with or without clinically elevated anxious or depressive symptoms.

Conclusions

Overall, persons with CFS/ME appear to use pain-related complementary and integrative health modalities at a lower rate relative to the general population. Although complementary and integrative health use was common, over half of the sample were not using these modalities, highlighting an opportunity for broader dissemination for pain management purposes.

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来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.