负面的,但不是积极的,预期预测了老年人疼痛后果的10年变化
Mackenzie L Shanahan1, Brandon T Shanahan2, Adam T Hirsh3
1Center for Innovations in Quality Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; Menninger Department of Psychiatry and Behavioral Medicine, Baylor College of Medicine, Houston, TX, USA.
The journal of pain
|January 11, 2026
概括
负面的期望,而不是积极的期望,独特地预测了疼痛严重程度的恶化,干扰,功能限制和抑郁症状在疼痛的老年人中超过10年. 针对负面期望可能会改善长期疼痛的结果.
科学领域:
- 老年学是指老年学的学科.
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 以前的研究将积极的期望与适应性疼痛结果联系起来,负面的期望与慢性疼痛的不适应性结果联系起来.
- 关于这些预期是否能独特地预测疼痛结果和长期变化,存在不确定性.
研究的目的:
- 检查积极和消极期望的共同和独特方面如何差异地预测疼痛的10年变化和老年人疼痛的相关结果.
- 在十年内调查期望对疼痛严重程度,干扰,功能限制和抑郁症状的独特预测能力.
主要方法:
- 利用一个具有全国代表性的纵向数据集 (健康和退休研究) 来研究患有疼痛的老年人 (N = 5,829).
- 采用确认因子分析 (CFA) 来根据价值 (正/负) 来建模预期变量 (乐观,绝望).
- 应用混合潜伏和测量变量路径分析,以评估预期和疼痛结果的10年变化之间的独特关系.
主要成果:
- 确认因素分析支持将乐观和绝望分别作为积极和消极的预期.
- 在10年内,负面预期显著预测了疼痛严重程度的恶化 (ß = .15),疼痛干扰 (ß = .14),功能限制 (ß = .09) 和抑郁症状 (ß = .13).
- 积极预期没有显示出与这些与疼痛相关的结果变化的显著独特关联.
结论:
- 负面期望独特地预测了老年人的疼痛严重程度,干扰,功能限制和抑郁症状在10年内恶化.
- 积极的预期并不仅仅预测这些结果的长期变化.
- 针对负面预期可能是一个最佳的临床策略,以缓解恶化的疼痛轨迹,并改善老年人长期疼痛的结果.
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