临床表现 临床表现
Angel Garcia De La Garza1, Carol A Derby1, Cuiling Wang1
1Albert Einstein College of Medicine, Bronx, NY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
每日疼痛与老年人主观认知问题增加有关. 管理疼痛可能对保持认知健康和日常功能至关重要.
科学领域:
- 老年学是一门学科.
- 认知科学 认知科学
- 疼痛管理 疼痛管理
背景情况:
- 疼痛是老年人常见的问题,通常与认知问题有关.
- 疼痛对主观认知功能的日常影响尚不清楚.
- 基于智能手机的生态瞬间评估 (EMA) 可以捕获有关疼痛和认知的实时数据,减少回忆偏差.
研究的目的:
- 研究生活在社区的老年人日常疼痛和主观认知问题 (SCC) 之间的关联.
- 了解短暂的疼痛波动如何影响认知自我感知和日常功能.
- 探索疼痛认知关系中的潜在缓解因素.
主要方法:
- 在14天内,利用了310名社区老年人的EMA.
- 评估每日疼痛水平,疼痛干扰活动和注意力,以及SCC.
- 采用线性混合效应模型来分析关联,调整共变量并探索相互作用.
主要成果:
- 较高的每日疼痛水平和疼痛干扰与增加的SCC显著相关.
- 在疼痛和性别/抑郁之间发现了相互作用;女性显示较弱的关联,而更高的抑郁症放大了疼痛对SCC的影响.
- 对于认知状态,年龄或种族,没有观察到显著的相互作用.
结论:
- 每天的疼痛经历与老年人自我认知的认知功能有关.
- 疼痛管理策略对于保持这一群体的认知健康至关重要.
- 欧洲药物管理局提供了关于疼痛和认知之间的动态关系的宝贵见解.
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