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慢性疼痛和中年和老年人的抑郁症状之间的双向关系
André O Werneck1, Brendon Stubbs2
1Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; Center for Epidemiological Research in Nutrition and Health, Department of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
在老年人中,慢性疼痛和抑郁症状之间存在温和的联系,每一种情况都会随着时间的推移影响另一种情况. 这种双向关系凸显了在老龄化人口中解决疼痛和情绪的重要性.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 慢性疼痛和抑郁症状在老年人中很普遍.
- 了解这些条件之间的关系对于有效的干预至关重要.
研究的目的:
- 为了调查慢性疼痛和抑郁症状之间的双向关联.
- 用纵向数据分析中年和老年人的这种关系.
主要方法:
- 使用了来自英国长度老龄化研究 (ELSA) 和健康与退休研究 (HRS) 的前性数据.
- 随访期为12年,数据来自7个波段 (2006-2018/2019).
- 随机截断交叉滞后面板模型评估了疼痛和抑郁症状之间的双向联系,控制了混因素.
主要成果:
- 慢性疼痛对抑郁症状的适度交叉延迟影响被观察到 (ELSA:β:0.038;HRS:β:0.044).
- 抑郁症状对慢性疼痛的适度交叉延迟影响也被发现 (ELSA:β:0.010;HRS:β:0.011).
- 对于慢性疼痛和抑郁症状,在两个队列中都发现了显著的自回归效应.
结论:
- 在中年和老年人中,慢性疼痛和抑郁症状之间存在适度的双向关联.
- 这些发现强调了老龄人口中疼痛和情绪的相互联系.
- 这项研究利用了两个大型的前性队列,提高了研究结果的概括性.
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