A Biopsychosocial Approach to Managing HIV-Related Pain and Associated Substance Abuse in Older Adults: a Review

被引：0
作者：
Theodore R. Miller
Perry N. Halkitis
Ramani Durvasula
机构：
[1] Yale University West Campus,Primary Care Division, Yale School of Nursing
[2] School of Public Health,Department of Biostatistics
[3] Rutgers University,Departments of Urban
[4] Rutgers University,Global Public Health, School of Public Health
[5] Rutgers University,Center for Health, Identity, Behavior & Prevention Studies, School of Public Health
[6] California State University,Department of Psychology
[7] University of Johannesburg,Department of Educational Psychology
来源：
Ageing International | 2019年 / 44卷
关键词：
Chronic pain; Pain; Pain management; HIV; AIDS; Pain assessment; Biopsychosocial; Ageing; Substance abuse; Psychiatric illness; HIV-neuropathy; Neuropathy; HIV-sensory neuropathy;
D O I：
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中图分类号：
学科分类号：
摘要：
The advent and uptake of effective antiviral therapies has transformed HIV/AIDS into a chronic manageable illness. The majority of Americans living with HIV are now ages 50 and older. Given the confluence of aging and HIV, chronic pain among older persons living with HIV/AIDS (PLWHA) has emerged as an area of clinical importance. Treatment of pain among this population is complex due to the prevalence of substance abuse and psychiatric illness in the population as well as the challenges of disentangling how inflammation associated with aging and HIV interact to predispose pain. Through a review of the extant literature we examine the complex associations between substance use, mental health, psychosocial issues, and chronic pain using a biopsychosocial framework in order to provide a means of addressing the aging-chronic pain link in older PLWHA. Using this frame, we then consider treatment implications for the population.
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页码：74 / 116
页数：42
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