中老年人和老年人的疼痛负担和抑郁症状之间的纵向双向关系:一个交叉滞后的面板模型
1School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand.
International journal of psychiatry in medicine
|March 16, 2026
概括
中年和老年人的慢性疼痛负担预测了未来的抑郁症状. 然而,抑郁症状并不能显著预测未来的疼痛负担,这表明存在单向关系.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 疼痛和抑郁症状在老年人中很常见,并且经常同时发生.
- 疼痛和抑郁症之间的时间关系缺乏一致的证据.
- 了解这种关系对于对老龄人口进行有效干预至关重要.
研究的目的:
- 为了研究疼痛负担和抑郁症状之间的纵向,双向关系.
- 为了检查这些条件的时间顺序和方向性在中国中年和老年人中.
主要方法:
- 利用了中国健康与退休长度研究 (CHARLS) 的五个波 (2011-2020) 的数据.
- 根据体内疼痛部位的数量 (0-15) 评估疼痛负担.
- 使用10项的流行病学研究中心抑郁症尺度 (CESD-10; 0-30) 测量抑郁症状.
- 采用交叉延伸面板模型 (CLPM),对共变量进行调整.
主要成果:
- 包括7288名参与者.
- 疼痛负担显示稳定性,并且在随后的波浪中始终预测了更高的抑郁症状.
- 抑郁症状并不能显著预测随着时间的推移后续的疼痛负担.
- 这种关系主要是单向的:疼痛负担导致抑郁症状.
结论:
- 累积的疼痛负担是老年人患抑郁症状的重要危险因素.
- 强调需要将疼痛评估纳入心理健康查的必要性.
- 建议将疼痛管理纳入老龄化人口的慢性疾病策略.
相关概念视频
Depressive Disorders: MDD and Dysthymia
1.0K
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
1.0K
Depressive Disorders: Etiology
834
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
834
Stress and Mental Health
1.1K
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
1.1K
Long-term Depression
33.6K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
33.6K
Long-term Depression
3.5K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
3.5K
Self-Discrepancy and Its Effects
410
Self-discrepancy theory explains how people compare their actual self to their ideal and ought selves and how mismatches between these self-guides can lead to emotional distress. Developed by E. Tory Higgins, the theory distinguishes among three components of self-concept: the actual self, the ideal self, and the ought self. These refer respectively to how individuals perceive themselves, how they aspire to be, and how they believe they are obligated to be. Emotional well-being, self-esteem,...
410


