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引用次数: 0
摘要
我们需要全面了解患有疼痛的老年人的社会心理特征模式。我们的目标是:(1)识别患有疼痛的老年人的社会心理表型(包括抑郁、焦虑、情感、自我实现、复原力和社会参与);(2)比较已识别表型中的疼痛特征、身体健康和认知。利用全国健康与老龄化趋势研究(National Health and Aging Trends Study)的 2021 年横截面数据,我们进行了潜类分析,以确定患有疼痛的老年人的四种社会心理表型(N = 1903):有利型(最佳社会心理特征,67.7%)、不利型(最差社会心理特征,4.9%)、中间型(社会心理变量得分中等,12.6%)和补偿型(得分中等,自我实现和恢复能力相对较高,14.9%)。社会心理逆境较少的表型一般临床结果较好。未来的研究应根据老年人的社会心理表型、表型的纵向轨迹以及基于技术的疼痛管理护理点临床见解,探索精准的疼痛管理干预措施。
Psychosocial Phenotypes of Older Adults With Pain and Their Associated Clinical Outcomes.
A comprehensive understanding of the patterns of psychosocial characteristics in older adults with pain is needed. Our objectives were to (1) identify psychosocial phenotypes (comprising depression, anxiety, affect, self-realization, resilience, and social participation) among older adults with pain and (2) compare pain characteristics, physical health, and cognition among the identified phenotypes. Using cross-sectional 2021 data from the National Health and Aging Trends Study, we performed latent class analysis to identify four psychosocial phenotypes of older adults with pain (N = 1903): Favorable (best psychosocial characteristics, 67.7%), Adverse (worst psychosocial characteristics, 4.9%), Intermediate (moderate scores on psychosocial variables, 12.6%), and Compensated (moderate scores with relatively high self-realization and resilience, 14.9%). Phenotypes with less psychosocial adversity had generally better clinical outcomes. Future research should explore precision pain management interventions in older adults based on their psychosocial phenotypes, longitudinal trajectories of phenotypes, and technology-based, point-of-care clinical insights for pain management.
期刊介绍:
The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.