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Angel Garcia De La Garza1, Carol A Derby1, Cuiling Wang1

  • 1Albert Einstein College of Medicine, Bronx, NY, USA.

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PubMed
Resumen
Este resumen es generado por máquina.

El dolor diario afecta significativamente las preocupaciones cognitivas subjetivas de los adultos mayores. El manejo eficaz del dolor es crucial para mantener la salud cognitiva y el funcionamiento diario en esta población.

Palabras clave:
dolor diarioadultos mayoresfunción cognitivamanejo del dolorsalud cognitiva

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Área de la Ciencia:

  • Gerontología; Ciencias Cognitivas; Investigación sobre el Dolor

Sus antecedentes:

  • El dolor es prevalente en los adultos mayores y se asocia con problemas cognitivos; El impacto diario del dolor en la función cognitiva subjetiva no se comprende bien; Las evaluaciones momentáneas ecológicas (EMA) basadas en teléfonos inteligentes ofrecen datos en tiempo real para estudiar estas relaciones dinámicas.

Objetivo del estudio:

  • Examinar la asociación entre el dolor diario autoinformado y las preocupaciones cognitivas subjetivas (SCC) en adultos mayores que viven en la comunidad; Comprender cómo las fluctuaciones transitorias del dolor influyen en las autopercepciones cognitivas y el funcionamiento diario; Explorar posibles factores moderadores en la relación dolor-cognición.

Principales métodos:

  • 310 adultos mayores que viven en la comunidad completaron 14 días de EMA, con 6 encuestas diarias; Se registraron los niveles de dolor diario, la interferencia del dolor con las actividades y la concentración; Los modelos lineales mixtos analizaron la asociación entre el dolor y las SCC, ajustando por covariables y explorando interacciones.

Principales resultados:

  • Niveles más altos de dolor diario e interferencia con las actividades/concentración se vincularon con un aumento de las SCC; Se encontraron interacciones significativas entre el dolor y el género/depresión; Las mujeres mostraron asociaciones más débiles entre la interferencia del dolor y las SCC; puntuaciones más altas de depresión amplificaron el efecto del dolor en las SCC.

Conclusiones:

  • Las experiencias de dolor diario afectan significativamente la función cognitiva autopercibida en los adultos mayores; El manejo del dolor es un factor crítico para preservar la salud cognitiva; Las intervenciones dirigidas al dolor pueden mejorar el bienestar cognitivo en las poblaciones de envejecimiento.