在疼痛的老年人中,心理社会现象型的转变
Ashleigh Holmes1, Yu-Ping Chang2
1Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, USA.
The journal of pain
|July 17, 2025
概括
患有疼痛的老年人表现出稳定的心理社会福祉,但随着时间的推移,他们倾向于更多的逆境. 认知和身体健康可以预测更好的结果,而睡眠和疼痛限制可以预测更糟糕的结果.
科学领域:
- 老年学是指老年学的学科.
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛在老年人中很常见,但对疼痛结果的多变量心理社会贡献者尚未完全理解.
- 识别心理社会现象型对于预测疼痛结果至关重要,需要进行纵向研究.
研究的目的:
- 探索心理社会现象型的纵向稳定性,在老年人疼痛.
- 识别随着时间的推移,心理社会现象型之间的过渡的预测因素.
主要方法:
- 利用2018-2022年国家健康和衰老趋势研究数据来自813名报告持续疼痛的老年人.
- 采用潜伏过渡分析来识别心理社会现象 (不利,中间,有利) 和跟踪过渡.
- 使用后勤回归来确定表型转变的基线预测因子 (疼痛,身体,认知,睡眠).
主要成果:
- 确定了三个稳定的心理社会现象型:不利的,中间的和有利的.
- 观察到表型成员的总体稳定性,随着时间的推移,心理社会逆境的增加趋势.
- 基线认知和身体表现预测过渡到不太不利的表型;睡眠,身体表现,疼痛限制和一般健康预测过渡到更不利的表型.
结论:
- 心理社会福祉在老年人中表现出纵向稳定性,有疼痛,尽管有压力因素,但具有弹性.
- 认知和身体健康影响过渡到更有利的心理社会现象型.
- 研究结果支持针对老年人的个性化干预和精确疼痛药.
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