Stephanie T Judge, Kaitlyn J Meyr, Suzanne C Segerstrom
{"title":"老年人的自觉性与疼痛干扰","authors":"Stephanie T Judge, Kaitlyn J Meyr, Suzanne C Segerstrom","doi":"10.1093/geronb/gbae024","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Conscientiousness is associated with positive health behaviors and outcomes and has been shown to increase as individuals age. Both age and Conscientiousness affect pain, a highly prevalent correlate of aging. This study investigated the effect of Conscientiousness on the relationship between pain and pain interference and vice versa among older adults, who experience pain and functional limitations disproportionately compared with younger adults.</p><p><strong>Methods: </strong>A total of 196 community-dwelling older adults (Mage = 73) provided pain and interference ratings semiannually for up to 10 years. Conscientiousness was assessed at the first visit and, on average, 7.6 years later. Multilevel models tested the effect of Conscientiousness on the relationship between pain and interference. Hierarchical regression modeled changes in Conscientiousness.</p><p><strong>Results: </strong>Across all pain levels, higher Conscientiousness was associated with less pain interference (γ02 = -0.126, SE = 0.048, p < .01, 95% confidence intervals (95% CI) [-0.22, -0.03]). This effect was more pronounced at higher levels of pain and older age. Conscientiousness increased slightly over time, but older baseline age (b = -0.01, 95% CI [-0.03, -0.001], R2 = 0.02) and more mean pain interference over the study period (b = -0.17, 95% CI [-0.30, -0.03], R2 = 0.03) were associated with less increase in Conscientiousness at follow-up.</p><p><strong>Discussion: </strong>Higher pain and older age are associated with more pain interference, and Conscientiousness provided the most protection for these same individuals-those with higher pain and older age. Conscientiousness facilitated reduced interference, which may feed forward into higher Conscientiousness, potentially shaping a cycle between personality and health that extends through older adulthood.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":null,"pages":null},"PeriodicalIF":4.8000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10998340/pdf/","citationCount":"0","resultStr":"{\"title\":\"Conscientiousness and Pain Interference in Older Age.\",\"authors\":\"Stephanie T Judge, Kaitlyn J Meyr, Suzanne C Segerstrom\",\"doi\":\"10.1093/geronb/gbae024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Conscientiousness is associated with positive health behaviors and outcomes and has been shown to increase as individuals age. 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This effect was more pronounced at higher levels of pain and older age. Conscientiousness increased slightly over time, but older baseline age (b = -0.01, 95% CI [-0.03, -0.001], R2 = 0.02) and more mean pain interference over the study period (b = -0.17, 95% CI [-0.30, -0.03], R2 = 0.03) were associated with less increase in Conscientiousness at follow-up.</p><p><strong>Discussion: </strong>Higher pain and older age are associated with more pain interference, and Conscientiousness provided the most protection for these same individuals-those with higher pain and older age. 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引用次数: 0
摘要
目的慎重与积极的健康行为和结果相关,并已被证明会随着年龄的增长而增加。年龄和 "自觉性 "都会对疼痛产生影响,而疼痛是与衰老密切相关的因素。本研究调查了 "自觉性 "对老年人疼痛和疼痛干扰之间关系的影响,以及 "自觉性 "对老年人疼痛和疼痛干扰之间关系的影响。在首次就诊时和平均 7.6 年后对自觉性进行评估。多层次模型检验了 "自觉性 "对疼痛和干扰之间关系的影响。分层回归模拟了慎重度的变化:在所有疼痛水平中,较高的慎重度与较低的疼痛干扰相关(γ02= -0.126,SE= 0.048,p< .01,95% CI [-0.22,-0.03])。这种效应在疼痛程度较高和年龄较大时更为明显。随着时间的推移,自觉性略有增加,但基线年龄较大(b= -0.01,95% CI [-0.03,-0.001],R2= 0.02)和研究期间平均疼痛干扰较多(b= -0.17,95% CI [-0.30,-.03],R2= 0.03)与随访时自觉性增加较少有关:讨论:疼痛较重和年龄较大与疼痛干扰较多有关,而 "自觉性 "对这些人--疼痛较重和年龄较大的人--的保护作用最大。自觉性有助于减少干扰,而这种干扰可能会转化为更高的自觉性,从而形成人格与健康之间的循环,并一直延续到老年期。
Conscientiousness and Pain Interference in Older Age.
Objectives: Conscientiousness is associated with positive health behaviors and outcomes and has been shown to increase as individuals age. Both age and Conscientiousness affect pain, a highly prevalent correlate of aging. This study investigated the effect of Conscientiousness on the relationship between pain and pain interference and vice versa among older adults, who experience pain and functional limitations disproportionately compared with younger adults.
Methods: A total of 196 community-dwelling older adults (Mage = 73) provided pain and interference ratings semiannually for up to 10 years. Conscientiousness was assessed at the first visit and, on average, 7.6 years later. Multilevel models tested the effect of Conscientiousness on the relationship between pain and interference. Hierarchical regression modeled changes in Conscientiousness.
Results: Across all pain levels, higher Conscientiousness was associated with less pain interference (γ02 = -0.126, SE = 0.048, p < .01, 95% confidence intervals (95% CI) [-0.22, -0.03]). This effect was more pronounced at higher levels of pain and older age. Conscientiousness increased slightly over time, but older baseline age (b = -0.01, 95% CI [-0.03, -0.001], R2 = 0.02) and more mean pain interference over the study period (b = -0.17, 95% CI [-0.30, -0.03], R2 = 0.03) were associated with less increase in Conscientiousness at follow-up.
Discussion: Higher pain and older age are associated with more pain interference, and Conscientiousness provided the most protection for these same individuals-those with higher pain and older age. Conscientiousness facilitated reduced interference, which may feed forward into higher Conscientiousness, potentially shaping a cycle between personality and health that extends through older adulthood.
期刊介绍:
The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.