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亚裔美国人受癌症影响的疼痛差异:抑郁症状的作用
William E Rosa1, Ju-Chen Hu2, Kate Mao3
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Journal of palliative medicine
|December 26, 2025
概括
亚裔美国癌症患者的疼痛干扰和抑郁症状比白人患者更大. 抑郁症的严重程度部分解释了这种差异,强调了在瘤学中需要综合心理健康护理的需要.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 健康差异 在健康上的差异
背景情况:
- 癌症疼痛的种族和民族差异是众所周知的,但亚裔美国人在研究中代表性不足.
- 亚裔美国人的抑郁症对癌症疼痛的患病率和影响仍然不太清楚.
研究的目的:
- 为了比较亚裔美国人和白人癌症患者之间的癌症疼痛干扰和抑郁症状.
- 研究抑郁症状在种族与癌症之间关系中的作用.
主要方法:
- 来自两项随机临床试验的综合疗法,用于慢性肌肉骨癌疼痛的数据分析.
- 使用双变量分析和线性回归模型来检查与种族相关的疼痛干扰,控制抑郁症状.
主要成果:
- 与白人患者相比,亚裔美国患者报告疼痛干扰 (5.5比4.7) 和抑郁症状 (7.1比5.9) 显著增加.
- 最初,亚洲种族与更大的疼痛干扰有关,但考虑到抑郁症状后,这种关联减少了.
结论:
- 在亚裔美国人癌症患者中,抑郁症的严重程度更高,这有助于他们报告的疼痛干扰更高.
- 研究结果强调了这一群体的严重心理健康负担,并建议将抑郁症治疗与癌症疼痛管理相结合.
- 患有癌症的亚裔美国人可能面临不充分管理疼痛和抑郁症的风险增加.
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