多次元の慢性疼痛と主観的認知機能低下の関係におけるうつ病および不安の媒介効果
Jianli Wu1, Staja Q Booker1, Michael Marsiske1
1College of Nursing, University of Florida, Gainesville, FL, USA.
まとめ
慢性疼痛の次元は認知機能低下に大きく影響します。うつ病と不安は主要な媒介因子として機能し、疼痛が高齢者の記憶と思考に影響を与える仕組みを説明しています。
科学分野:
- 老年医学
- 神経科学
- 精神医学
背景:
- 慢性疼痛と認知機能低下の関係は完全には理解されていません。
- この関係におけるうつ病および不安の媒介的役割は不明です。
研究 の 目的:
- うつ病および不安を、多次元の慢性疼痛と主観的認知機能低下の間の媒介因子として検討すること。
- 慢性疼痛の経験と認知の変化を結びつける経路を明らかにすること。
主な方法:
- 2020年国民健康調査のデータ(高齢者10,095人)を利用しました。
- 媒介効果を分析するために、ブートストラップを用いた並列媒介モデルを採用しました。
- 慢性疼痛の次元(頻度、強度、干渉)を評価しました。
主要な成果:
- 疼痛の頻度と強度は、主観的認知機能低下に直接的な影響を与えました。疼痛のすべての次元(頻度、強度、干渉)は、うつ病または不安を介して認知機能低下に間接的に影響しました。うつ病と不安は、慢性疼痛と認知機能低下の関係を著しく媒介しました。
結論:
- うつ病および不安は、慢性疼痛から主観的認知機能低下への経路における重要な媒介因子です。
- これらの媒介的役割を理解することは、慢性疼痛患者の認知健康を対象とした介入にとって重要です。
関連する概念動画
Stress and Mental Health
536
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
536
Depressive Disorders: Etiology
408
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
408
The Influence of Cognition on Affect
170
Cognition plays a pivotal role in shaping emotional experiences, as demonstrated by Schachter and Singer’s two-factor theory of emotion. According to this model, emotion arises from a combination of physiological arousal and cognitive interpretation. The body’s physiological response to stimuli is ambiguous and only gains emotional significance through cognitive labeling. For instance, an increased heart rate and adrenaline surge while standing near an attractive person may be...
170
Depressive Disorders: MDD and Dysthymia
564
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
564
Negative and Cognitive Symptoms of Schizophrenia
394
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
394
Depression: Overview
741
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
741


