疼痛与痴呆之间的关系:中国老年人中抑郁症的调解效应
Wenrong Duan1, Jian Huang2, Qiuling Huang2
1National Clinical Research Center of Geriatrics, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China; Department of Geriatrics, No.2 People's Hospital, 644000 Yibin, Sichuan, China.
Actas espanolas de psiquiatria
|April 15, 2024
概括
老年人的慢性疼痛与认知能力下降和痴呆症有关. 抑郁症显著调解了这种关系,突出了综合疼痛和心理健康护理的需要.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 慢性疼痛是老年人中普遍存在的问题.
- 疼痛可能会对老年人的认知功能产生负面影响.
- 疼痛,抑郁和痴呆之间的关系需要进一步调查.
研究的目的:
- 调查社区居住的老年人疼痛严重程度和认知功能之间的横截面关联.
- 检查抑郁症在疼痛和痴呆症之间的关系中扮演的调解角色.
主要方法:
- 利用了2018年中国健康与衰老纵向研究 (CHARLS) 的数据.
- 包括4559名65岁及以上的社区居民.
- 采用了千平方,二进制逻辑回归和逐步回归分析.
主要成果:
- 在中国老年人的认知障碍,慢性疼痛和抑郁症状之间发现了显著的关联.
- 经常报告疼痛增加了痴呆症的可能性 (OR = 1.72,p < 0.001).
- 抑郁症状介于疼痛和痴呆之间的关系的65.25%.
结论:
- 慢性疼痛直接和间接地 (通过抑郁症) 损害了老年人的认知功能.
- 综合性疼痛管理和心理治疗对于患有抑郁症状的老年人至关重要.
相关概念视频
Dementia
113
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
113
Depressive Disorders: Etiology
78
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...
78
Long-term Depression
2.5K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.5K
Depression: Overview
242
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,...
242
Depressive Disorders: MDD and Dysthymia
112
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...
112


