老年男性的生活压力事件和腰部疼痛:使用MrOS研究数据进行横截面和前性分析
David T McNaughton1, Eric J Roseen2, Aron Downie3
1School of Psychological Sciences, Macquarie University, Sydney, Australia.
European journal of pain (London, England)
|August 26, 2023
概括
经历过压力生活事件的老年男性更有可能报告腰部疼痛. 这种关联在当前和第二年都被观察到,突出了生活压力和疼痛之间的联系.
科学领域:
- 老年学是一门学科.
- 疼痛研究 疼痛研究
- 心理社会医学 心理社会医学
背景情况:
- 在老年人中,生活中的压力事件越来越常见.
- 这些事件可以显著影响一个人的疼痛经历,特别是在晚年.
- 了解这种关系对于对老年人疼痛管理的综合方法至关重要.
研究的目的:
- 调查压力生活事件与腰部疼痛报告之间的关联.
- 检查老年男性的横截面和前性关系.
- 探索这种关联的潜在调节因素,例如生活状况.
主要方法:
- 这项研究分析了5149名65岁及以上男性的骨质疏松性骨折男性研究数据.
- 参与者报告说,在过去的12个月中,他们经历了压力较大的生活事件和腰部疼痛.
- 多变量逻辑回归模型在一年的随访期间评估了压力较大的生活事件与过去/未来的腰部疼痛之间的关联.
主要成果:
- 超过一半 (57%) 的参与者报告至少有一次压力生活事件.
- 压力较大的生活事件与报告当前腰部疼痛 (OR=1.42) 和活动限制腰部疼痛 (OR=1.74) 的更高概率显著相关.
- 这些事件还预测了未来的腰部疼痛,包括任何腰部疼痛 (OR=1.56) 和频繁的腰部疼痛 (OR=1.80).
结论:
- 压力生活事件的存在始终与老年男性报告腰部疼痛的可能性增加有关.
- 这种关联对于过去和未来的疼痛报告都是如此.
- 这些发现支持一种生物心理社会疼痛模型,强调心理,社会和生物因素在疼痛体验中的相互作用.
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