{"title":"残疾老年人的慢性疼痛与认知障碍有关--一项前瞻性队列研究。","authors":"Hiroya Honda, Ryota Ashizawa, Yuto Kameyama, Yoshinobu Yoshimoto","doi":"10.1111/psyg.13210","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chronic pain may be an important factor influencing cognitive impairment; however, there is limited research on that link in older adults with disabilities. We aimed to determine the association between chronic pain and cognitive impairment in older adults with disabilities.</p><p><strong>Methods: </strong>This 24-month prospective cohort study involved 143 Japanese older adults (≥65 years of age) with long-term care insurance. Chronic pain was defined as pain persisting for ≥3 months, and cognitive impairment was defined as a Mini-Mental State Examination score ≤ 23. We employed logistic regression analysis with chronic pain as the independent variable and cognitive impairment as the dependent variable after propensity score matching (PSM).</p><p><strong>Results: </strong>Sixty-six participants were selected using PSM, and logistic regression analysis showed that chronic pain was significantly associated with cognitive impairment (odds ratio: 4.103, 95% confidence interval: 1.455-11.567, P = 0.008).</p><p><strong>Conclusion: </strong>To prevent cognitive impairment in older adults with disabilities, the management of chronic pain should be considered, as they are related.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13210"},"PeriodicalIF":1.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Chronic pain in older adults with disabilities is associated with cognitive impairment-a prospective cohort study.\",\"authors\":\"Hiroya Honda, Ryota Ashizawa, Yuto Kameyama, Yoshinobu Yoshimoto\",\"doi\":\"10.1111/psyg.13210\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Chronic pain may be an important factor influencing cognitive impairment; however, there is limited research on that link in older adults with disabilities. We aimed to determine the association between chronic pain and cognitive impairment in older adults with disabilities.</p><p><strong>Methods: </strong>This 24-month prospective cohort study involved 143 Japanese older adults (≥65 years of age) with long-term care insurance. Chronic pain was defined as pain persisting for ≥3 months, and cognitive impairment was defined as a Mini-Mental State Examination score ≤ 23. We employed logistic regression analysis with chronic pain as the independent variable and cognitive impairment as the dependent variable after propensity score matching (PSM).</p><p><strong>Results: </strong>Sixty-six participants were selected using PSM, and logistic regression analysis showed that chronic pain was significantly associated with cognitive impairment (odds ratio: 4.103, 95% confidence interval: 1.455-11.567, P = 0.008).</p><p><strong>Conclusion: </strong>To prevent cognitive impairment in older adults with disabilities, the management of chronic pain should be considered, as they are related.</p>\",\"PeriodicalId\":74597,\"journal\":{\"name\":\"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society\",\"volume\":\" \",\"pages\":\"e13210\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1111/psyg.13210\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/6 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1111/psyg.13210","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/6 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Chronic pain in older adults with disabilities is associated with cognitive impairment-a prospective cohort study.
Background: Chronic pain may be an important factor influencing cognitive impairment; however, there is limited research on that link in older adults with disabilities. We aimed to determine the association between chronic pain and cognitive impairment in older adults with disabilities.
Methods: This 24-month prospective cohort study involved 143 Japanese older adults (≥65 years of age) with long-term care insurance. Chronic pain was defined as pain persisting for ≥3 months, and cognitive impairment was defined as a Mini-Mental State Examination score ≤ 23. We employed logistic regression analysis with chronic pain as the independent variable and cognitive impairment as the dependent variable after propensity score matching (PSM).
Results: Sixty-six participants were selected using PSM, and logistic regression analysis showed that chronic pain was significantly associated with cognitive impairment (odds ratio: 4.103, 95% confidence interval: 1.455-11.567, P = 0.008).
Conclusion: To prevent cognitive impairment in older adults with disabilities, the management of chronic pain should be considered, as they are related.
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