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疼痛控制不良会增加抑郁症的风险:一个横截面研究
Junjian Zeng1,2, Zhiqiang Liao1,2, Aiqing Lin1,2
1Department of Anesthesiology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Frontiers in psychiatry
|January 22, 2025
概括
长时间的疼痛显著增加患抑郁症的风险. 疼痛持续时间较长与经历抑郁症状的可能性更高有关,这突显了有效疼痛管理的必要性.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 不充分的疼痛管理导致身体不适和心理问题,如焦虑和抑郁.
- 慢性疼痛可能会对社会功能和工作表现产生负面影响.
- 了解疼痛持续时间和抑郁症之间的联系对于患者护理至关重要.
研究的目的:
- 研究疼痛持续时间与抑郁症风险之间的关系.
- 分析延长的疼痛如何影响发展抑郁症状的可能性.
- 为了确定影响疼痛与抑郁症相关性的潜在因素.
主要方法:
- 利用了2011-2014年国家健康和营养检查调查 (NHANES) 的数据.
- 根据健康问卷得分的定义抑郁症状≥10.
- 采用加权单变量,多变量逻辑回归,灵敏度和限制立方线 (RCS) 分析.
主要成果:
- 在疼痛持续时间和抑郁症之间发现了显著的关联.
- 疼痛持续时间最高四分之一的个体患抑郁症的可能性高出154% (OR = 3.375,P < 0.001).
- RCS分析显示了疼痛持续时间和抑郁症之间的线性关系 (P为非线性 = 0.427).
结论:
- 延长疼痛持续时间,由于疼痛控制不足,增加了抑郁症的风险.
- 有效的疼痛管理对于减轻患者心理负担至关重要.
- 这项研究强调了在心理健康评估中解决疼痛持续时间的重要性.
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