社区老年人慢性疼痛、抑郁症状和功能障碍之间的关系:虚弱的中介作用。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2023-12-15 eCollection Date: 2023-01-01 DOI:10.31744/einstein_journal/2023AO0284
Flávia Silva Arbex Borim, Daniela de Assumpção, Mônica Sanches Yassuda, Henrique Trajano de Moraes Costa, Samila Sathler Tavares Batistoni, Anita Liberalesso Neri, Richard C Oude Voshaar, Ivan Aprahamian
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引用次数: 0

摘要

背景Borim 等人的研究表明,患有慢性疼痛的老年人表现出更多的抑郁症状和虚弱成分。抑郁症状与更多的虚弱成分相关,而抑郁症状和虚弱成分较多的老年人在 IADL 能力方面面临更大的限制。虚弱似乎是慢性疼痛导致功能障碍的中介因素 慢性疼痛与抑郁症状和虚弱直接相关。慢性疼痛与功能障碍没有直接关系。抑郁和虚弱都与功能障碍直接相关。虚弱介导了慢性疼痛与功能障碍之间的关联。抑郁;残疾评估;虚弱;体弱老人:通过路径分析方法,评估慢性疼痛、抑郁症状、虚弱成分和功能障碍对社区老年人样本的直接和间接影响:对 419 名参与者的数据进行横截面评估,以了解他们是否存在抑郁症状(老年抑郁量表 [15 项])、身体虚弱成分(表型标准)、慢性疼痛以及日常生活工具性活动的限制(劳顿和布罗迪的功能性残疾量表)。通过路径分析建立结构方程模型来探讨这四个变量之间的直接和间接影响。统计显著性以 p 为标准:在所有参与者中,69.8% 为女性,59.3% 受过高等教育(1-4 年),平均年龄为 80.3±4.6 岁。慢性疼痛和抑郁症状与虚弱直接相关。虚弱成分的数量和抑郁症状与功能性残疾直接相关。虚弱对慢性疼痛、抑郁症状和功能障碍之间的关联有间接影响:结论:从慢性疼痛和抑郁症状到功能性残疾的路径可能受虚弱成分数量的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty.

Background: Borim et al. showed that older adults with chronic pain exhibited more depressive symptoms and frailty components. Depressive symptoms were associated with more frailty components, and those with more depressive symptoms and frailty faced greater limitations in IADL performance. Frailty appears to mediate the pathway from chronic pain to functional impairment Chronic pain is directly associated with depressive symptoms and frailty. Chronic pain is not directly associated with functional disability. Depression and frailty are both directly associated with functional disabilities. Frailty mediates the association between chronic pain and functional disability. Depression; Disability evaluation; Frailty; Frail elderly.

Objective: To evaluate the direct and indirect effects of chronic pain, depressive symptoms, frailty components, and functional disability through a pathway analysis approach in a sample of community-dwelling older adults.

Methods: Data of 419 participants were cross-sectionally evaluated for the presence of depressive symptoms (Geriatric Depression Scale [15 items]), physical frailty components (phenotype criteria), chronic pain, and limitations in performing instrumental activities of daily living (functional disability scale by Lawton and Brody). Structural equation modeling via path analysis was used to explore the direct and indirect effects among these four variables. Statistical significance was set at p<0.05.

Results: Of the total participants, 69.8% were women and 59.3% had low education (1-4 years); the mean age was 80.3±4.6 years. Chronic pain and depressive symptoms were directly related and were associated to frailty. The number of frailty components and depressive symptoms were directly associated with functional disability. Frailty had an indirect effect on the association between chronic pain, depressive symptoms, and functional disabilities.

Conclusion: The pathway from chronic pain and depressive symptoms to functional disability is potentially mediated by the number of frailty components.

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Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
210
审稿时长
38 weeks
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