评估睡眠和疼痛关系中的种族/种族差异,使用美国原住民的强度纵向建模
Jamie L Rhudy1,2, Parker A Kell1,3, Joanna O Shadlow4
1TSET Health Promotion Research Center, The University of Oklahoma Health Sciences, Tulsa, OK, United States.
Sleep
|July 25, 2025
概括
睡眠质量差与疼痛增加有关,特别是在美洲原住民 (NA) 中. 虽然睡眠对疼痛的影响比相反更大,但它可能不能完全解释NA疼痛差异.
科学领域:
- 睡眠科学 睡眠科学
- 疼痛研究 疼痛研究
- 在健康方面存在差异.
背景情况:
- 美国原住民 (NA) 的慢性疼痛率更高.
- 睡眠问题在NA中很普遍,可能导致疼痛差异.
- 睡眠和疼痛之间存在双向关系,睡眠对疼痛的影响更大.
研究的目的:
- 调查跨种族/种族群体的睡眠和疼痛之间的纵向,时间关系.
- 评估与其他群体相比,美国原住民的睡眠疼痛时间动态是否不同.
- 检查睡眠在美洲原住民疼痛差异中的作用.
主要方法:
- 一个移动健康干预临床试验的二次分析.
- 6个月的睡眠质量,持续时间和疼痛强度的生态瞬间评估 (EMA).
- 动态结构方程建模以分析交叉滞后,时间关系,控制混.
主要成果:
- 证实了睡眠与疼痛的相互关系:睡眠质量差会增加第二天早上的疼痛,而更高的疼痛会降低第二天的睡眠质量.
- 睡眠对疼痛的影响力强于疼痛对睡眠的影响力.
- 与黑人参与者相比,在美洲原住民中观察到睡眠质量和疼痛之间存在更强的联系.
结论:
- 睡眠与疼痛的关系存在于美洲原住民和其他少数群体中.
- 睡眠质量差是这些人群中与疼痛相关的重要因素.
- 睡眠不足本身并不能完全解释观察到的美洲原住民疼痛差异.
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