晚年多病症模式和心理健康:对纵向研究的系统审查
Francesco Palmese1,2,3, Francesca Remelli1,4, Serhiy Dekhtyar1
1Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Tomtebodavägen 18 A, 171 65, Solna, Stockholm, Sweden.
European geriatric medicine
|December 5, 2025
概括
慢性疾病组合或多重疾病模式与老年人的心理健康状况恶化有关. 识别这些模式对于有针对性的护理策略来改善心理健康至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 多发病 (MM) 模式与不良的心理健康结果有关.
- 了解MM与晚年生活中的心理健康之间的纵向关系至关重要.
研究的目的:
- 系统地审查对老年人MM模式和心理健康状况的纵向研究.
- 综合有关MM模式的抑郁,焦虑,自杀,认知衰退和痴呆症的证据.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括45岁以上的个体的纵向研究,检查基线MM模式和心理健康结果.
- 搜索 MEDLINE 和 Web of Science;使用修改后的纽卡斯尔-太华尺度评估质量.
主要成果:
- 包括17项研究 (1209-447,888名参与者);14项是基于人口的,随访时间为2-16年.
- 心脏代谢性MM模式增加了抑郁,焦虑,认知衰退和痴呆的风险.
- 肌肉骨,胃肠道和与疼痛相关的MM模式与抑郁和焦虑有关;更大的MM负担与增加的自杀念头有关.
结论:
- 复杂的多病态模式与老年人的心理健康轨迹较差有关.
- 验证MM模式对于识别需要针对性护理干预的个体至关重要.
- 这项研究强调了对患有多种慢性疾病的老年人综合护理方法的需要.
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