痛苦的现实检查？通过疼痛干扰和抑郁状态检测主观生存概率的准确性。

IF 2.2 3区医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-12-19 DOI:10.1177/08982643241307454

Gillian Fennell, Theresa Andrasfay, Hanna Grol-Prokopczyk, Jennifer Ailshire

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引用次数: 0

摘要

目的：疼痛和抑郁与较高的死亡风险和较低的主观生存概率（ssp）有关。我们检查患有疼痛和抑郁的个体的ssp是否与他们的实际寿命相符。方法：利用2000年对12745名年龄在57岁至89岁之间的健康与退休研究受访者的数据，并随访至2018年，我们评估了受访者的ssp相对于他们的寿命是“正确”、“低估”还是“高估”。调整多项逻辑回归预测基于疼痛干扰、抑郁及其相互作用的SSP准确性。结果：严重或干扰性疼痛（即高冲击性疼痛）与低估ssp的风险增加25%相关（RRR = 1.25, p = 0.04），抑郁使低估ssp的风险增加49% （RRR = 1.49, p < 0.001）。高冲击疼痛和抑郁也与较低的平均ssp和较高的死亡风险相对应。结论：高冲击性疼痛和抑郁增加了低估寿命的风险。未来的研究应该探索对老年人健康和财务决策的影响。

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A Painful Reality Check? Examining the Accuracy of Subjective Survival Probabilities by Pain Interference and Depression Status.

Purpose: Pain and depression are linked to higher mortality risk and lower subjective survival probabilities (SSPs). We examine if SSPs for individuals with pain and depression match their actual lifespans.

Methods: Using data on 12,745 Health and Retirement Study respondents aged 57-89 in 2000 with follow-up through 2018, we assessed whether respondents' SSPs were "correct," "underestimated," or "overestimated" relative to their lifespans. Adjusted multinomial logistic regressions predicted SSP accuracy based on pain interference, depression, and their interaction.

Results: Severe or interfering pain (i.e., high impact pain) was associated with a 25% higher risk of underestimating SSPs (RRR = 1.25, p = .04), and depression increased the risk by 49% (RRR = 1.49, p < .001). High impact pain and depression also corresponded with lower average SSPs and higher mortality risk.

Conclusion: High impact pain and depression increase the risk of underestimating longevity. Future research should explore the impact on health and financial decisions in older adults.

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.