Osteoarthritis and Depression Update: 2023-Can the Stress and Coping Model Help?

Ray Marks
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Abstract

Background Osteoarthritis and depression are both key barriers to healthy aging and greatly heighten the risk for many negative health issues that seriously impact life quality. When combined what are the implications? Aim This mini review examines 2023 data pertaining to osteoarthritis and depression and older adults and a possible theoretical framework of stress that may direct our approaches in the future. Methods and procedures Articles published between January 1 and August 15 2023 that addressed the current topic of interest and that were extracted from PUBMED, PubMed Central, Science Direct, and Google Scholar were carefully read and their key points arepresented in narrative form. Results As in the past, very few tangible theory-based prospective analyses that employ valid measures of depression and examine any association of any form of osteoarthritis longitudinally and in a consistent manner prevail. Several reports use the same or similar large cohort to draw upon, and find various degrees of clinical implications, but this may not embrace the need for more inclusivity, sampling strategies, control and diversity issues, as well as embracing the role of cognitions positive and negative. Conclusion Without efforts to develop sound research designs of diverse and carefully differentiated osteoarthritis substantive samples it is impossible to delineate the origin or implications of the osteoarthritis-depression linkage reported currently or arrive at a deep understanding of its relevance, to life quality and public health costs. What is needed to protect against or minimize either or both these clinically related disabling correlates in the aged population warrants timely study.
骨关节炎和抑郁症更新:2023-压力和应对模式有帮助吗?
背景骨关节炎和抑郁症都是健康老龄化的主要障碍,并且大大增加了许多严重影响生活质量的负面健康问题的风险。当两者结合在一起时,意味着什么?这篇小型综述分析了2023年有关骨关节炎、抑郁症和老年人的数据,并提出了一个可能指导我们未来治疗方法的理论框架。方法和程序仔细阅读从PUBMED、PUBMED Central、Science Direct和Google Scholar中摘录的2023年1月1日至8月15日期间发表的涉及当前感兴趣主题的文章,并以叙述形式呈现其要点。结果:与过去一样,很少有切实的基于理论的前瞻性分析,采用有效的抑郁测量方法,并以一致的方式纵向检查任何形式的骨关节炎的任何关联。一些报告使用相同或类似的大队列来借鉴,并发现不同程度的临床意义,但这可能不包括更多的包容性,抽样策略,控制和多样性问题,以及积极和消极认知的作用。结论:如果不努力开发多样化和仔细区分骨关节炎实质性样本的合理研究设计,就不可能描述目前报道的骨关节炎与抑郁联系的起源或影响,也不可能深入了解其与生活质量和公共卫生成本的相关性。在老年人群中,预防或减少这些临床相关致残相关因素所需要的是什么,值得及时研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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