History of abuse is associated with thoughts of harm among patients with pain after accounting for depressive symptoms
Authors' conclusion
Our results highlight the importance of abuse history in assessing thoughts of harm.
Study context
- Population
- Patients presenting to a tertiary-care outpatient pain clinic, with moderate to severe or low to mild depressive symptoms
- Participants
- 7,510 patients
- Exposure
- History of abuse vs no abuse history
- Outcome
- Thoughts of harm
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Thoughts of harm by abuse history, stratified by depressive symptoms
- Abuse history significantly associated with increased odds of thoughts of harm in patients with moderate to severe depressive symptoms
- Abuse history significantly associated with increased odds of thoughts of harm in patients with low to mild depressive symptoms
Observational data: associations, not effects.
Further findings
Effect modification by abuse of pain characteristics–thoughts of harm association
- Abuse did not modify the association between any pain characteristic and thoughts of harm
Original publication
History of abuse is associated with thoughts of harm among patients with pain after accounting for depressive symptoms. Reg Anesth Pain Med. Published 17 November 2022. doi:10. 1136/ rapm-2022-103647
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