Understanding associations between chronic pain and health outcomes among detoxification patients may help improve treatment outcomes and abstinence rates. Exercise is a modifiable lifestyle factor that may reduce the effect of pain on outcomes in this population. The current study examined whether baseline pain, exercise, and their interaction were associated with psychiatric and medical severity, and abstinence self-efficacy, over six months following detoxification. Participants were veteran patients in alcohol or opioid detoxification treatment (N = 298) who were followed for six months (91.1%). Psychiatric severity and abstinence self-efficacy improved over the six months after detoxification; medical severity was stable. More intense pain at baseline was associated with poorer psychiatric and medical outcomes during the post-detoxification period. Regular exercise at baseline was associated with less psychiatric severity and more abstinence self-efficacy during the post-detoxification period. A significant pain by exercise interaction at baseline indicated that regular exercise was associated with more abstinence self-efficacy during the post-detoxification period only among participants with less intense pain. Pain by exercise interactions was not significant for the outcomes of psychiatric and medical severity. Among detoxification patients, exercise may be beneficial in improving outcomes among those with less intense pain.

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戒毒患者的健康结果：慢性疼痛的作用

了解戒毒患者的慢性疼痛与健康结果之间的关联可能有助于改善治疗结果和戒断率。锻炼是一种可改变的生活方式因素，可以减少疼痛对这一人群结果的影响。目前的研究检查了戒毒后六个月内的基线疼痛、运动及其相互作用是否与精神和医学严重程度以及戒酒自我效能感相关。参与者为接受酒精或阿片类药物戒毒治疗的退伍军人（N = 298) 谁被跟踪了六个月 (91.1%)。戒毒后 6 个月内，精神病严重程度和戒酒自我效能得到改善；医疗严重程度稳定。在戒毒后期间，基线时更剧烈的疼痛与较差的精神和医疗结果相关。在戒毒后期间，基线时经常锻炼与较少的精神病严重程度和较高的戒酒自我效能感相关。基线时运动互动产生的显着疼痛表明，只有在疼痛较轻的参与者中，规律运动才能在戒毒后期间获得更高的戒酒自我效能感。运动相互作用引起的疼痛对于精神和医学严重程度的结果并不显着。在排毒患者中，