炎症性关节炎患者疼痛和抑郁症之间的长度关系:叙述性综述
Natasha Cox1, Saeed Farooq2, Helen Twohig2
1Primary Care Centre Versus Arthritis at Keele University, Keele, Haywood Academic Rheumatology Centre, Haywood Hospital, Midlands Partnership University National Health Service Foundation Trust, Staffordshire, United Kingdom.
Arthritis care & research
|April 1, 2025
概括
慢性疼痛和抑郁症与炎症性关节炎 (IA) 有关. 纵向研究表明这种疼痛-抑郁关系是双向的,尽管IA因果因素的研究有限.
科学领域:
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
背景情况:
- 慢性疼痛和并发性抑郁症在炎症性关节炎 (IA) 中很常见.
- 现有证据表明IA中的疼痛-抑郁关系主要是横截面的,需要进行纵向研究.
- 了解疼痛和抑郁之间的因果关系对于IA患者的有效治疗至关重要.
研究的目的:
- 审查IA中疼痛和抑郁之间的关系的纵向观察研究.
- 总结关于疼痛和抑郁症的因果途径的证据,一般和IA人群.
- 评估当前的指导方针建议,以评估IA中的疼痛和抑郁.
主要方法:
- 在IA中对14项纵向观察性研究的叙述性综述.
- 包括有关一般人群因果途径的文献.
- 对IA疼痛/抑郁评估的指导方针建议和系统审查的分析.
主要成果:
- 纵向IA研究表明疼痛和抑郁症之间存在双向关联,效果大小小小至适度,通常侧重于疼痛强度.
- 关于IA特定因果途径的证据稀少;一般人群研究表明大脑变化,感官处理变化和睡眠障碍.
- 许多患者报告的结果措施缺乏强大的心理测量验证,IA指南提供有限的评估建议.
结论:
- 在炎症性关节炎中,疼痛和抑郁之间存在双向关系.
- 需要进一步的研究来阐明IA中的因果关系路径,并验证评估工具.
- 建议在IA咨询中常规使用单项疼痛强度得分与适当的抑郁查.
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