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Updated: Jan 14, 2026

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抑郁症作为事件疼痛的独立预测者:从查尔斯的纵向证据
Wenwen Song1,2, Shenghan Wang1,2, Zhijian Cao1,2
1Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, People's Republic of China.
Journal of pain research
|October 23, 2025
概括
抑郁症独立地预测了老年人的新疼痛. 早期查抑郁症和功能衰退可以帮助减少疼痛残疾并改善老年人群的生活质量.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 调查抑郁症作为中年和老年人疼痛发病率的独立风险因素.
- 旨在提供早期干预策略的证据,以减轻与疼痛相关的残疾.
- 专注于改善老龄化人口的生活质量.
研究的目的:
- 为了确定抑郁症是否是疼痛发作的独立风险因素.
- 检查老年人抑郁症状与疼痛发生率之间的关系.
- 为老年人群的疼痛管理提供早期干预策略的信息.
主要方法:
- 长度研究使用中国健康与退休长度研究 (CHARLS) 2011年波的数据.
- 包括4,966名年龄≥45岁且没有基线疼痛的参与者,并于2013年,2015年和2018年进行了随访.
- 通过自我报告评估使用CESD-10尺度和疼痛发生的抑郁症状;采用多变量考克斯回归分析.
主要成果:
- 抑郁症状显著增加了疼痛发生率 (HR = 1.35).
- 其他预测因素包括女性性别,关节炎,ADL/IADL功能障碍和慢性疾病.
- 观察到ADL/IADL功能障碍和疼痛之间存在显著的相互作用.
结论:
- 抑郁症是中国中年和老年人疼痛发作的独立预测因素.
- 功能衰退使抑郁症与疼痛的关系复杂化.
- 早期查抑郁症和功能衰退可能会减少老年人的疼痛障碍.
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