骨关节炎抑郁对老年人的影响和可能的解决方案:2021-2022年综述

R. Marks
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引用次数: 0

摘要

骨关节炎是一种严重的关节疾病,据说在许多老年人中代表着健康和功能的普遍下降状态,已被证明在相当程度上受到各种消极信念和不作为的影响,而不仅仅是退化。目的本综述探讨抑郁症的情况下,这涉及到老年成人骨关节炎的一个或多个关节。具体而言,由于过去十年的护理改进并未显示出任何有影响的人口范围结果,因此寻求有关该主题的最新信息。方法回顾了相关的2021-2022年的研究和评论文章,特别是与目前研究人员所观察到的骨关节炎与抑郁症之间的联系有关,因为这些可能揭示了更深入的研究和基于实践的努力的机会。结果与60年的前期研究一致,不能排除抑郁症在某些骨关节炎病例中的临床重要作用。这进一步表明,如果及早发现和治疗,许多患有骨关节炎的老年人可能仍能过上有质量的生活,而不是陷入痛苦和过度受损的状态。那些需要手术治疗并伴有抑郁症状的老年骨关节炎患者,在缺乏治疗和识别这种与心理社会疾病相关的努力的情况下,可能处于不利地位。结论:我们鼓励医疗服务提供者和研究人员进行这方面的研究,并开始在精心挑选的骨关节炎亚群中,通过追踪认知模式、肌肉骨骼、特征和炎症反应以及有效的抑郁指标,绘制临床骨关节炎测量图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Osteoarthritis Depression Impacts and Possible Solutions Among Older Adults: Year 2021-2022 in Review
Background Osteoarthritis, a serious joint disease, said to represent a generally declining state of wellbeing and function among many older adults has been shown to be affected to a considerable degree by various negative beliefs and inactions rather than degradation alone. Aim This review examines the case of depression as this pertains to the older adult with osteoarthritis of one or more joints. Specifically, the most up to date information on this topic was sought, as care improvements over the past decade have not shown any impactful population wide results. Method Reviewed were relevant 2021-2022 research and review articles specifically pertaining to what is being observed currently by researchers as far as osteoarthritis-depression linkages goes, as these may reveal opportunities for more profound research, and practice-based endeavors. Results In line with 60 years of prior research, it appears a clinically important role for depression in some osteoarthritis cases cannot be ruled out. It further appears that if detected and addressed early on, many older adults suffering from osteoarthritis may yet be enabled to lead a quality life, rather than a distressing and excessively impaired state of being. Those older osteoarthritis cases requiring surgery who suffer from concomitant depressive symptoms are likely to be disadvantaged in the absence of efforts to treat and identify this psychosocial disease correlate. Conclusion Providers and researchers are encouraged to pursue this line of inquiry and begin to map clinical osteoarthritis measures with those that can track cognitive patterns, musculoskeletal, features and inflammatory reactions along with valid depression indicators among carefully selected osteoarthritis sub groups.
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