Pain Intensity Moderates the Relationship Between Age and Pain Interference in Chronic Orofacial Pain Patients.
Pain Intensity Moderates the Relationship Between Age and Pain Interference in Chronic Orofacial Pain Patients.
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DOI：
10.1080/0361073x.2015.1053770
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发表时间：
2015
影响因子：
1.8
通讯作者：
Carlson CR
中科院分区：
文献类型：
--
作者：
Boggero IA;Geiger PJ;Segerstrom SC;Carlson CR
慢性疼痛与对日常功能的干扰增加有关，随着疼痛强度的增加，这种干扰变得更加明显。基于之前的研究表明，老年人在面对疼痛时保持幸福感，或者比年轻人更好，本研究在一个慢性口腔面部疼痛患者样本中考察了年龄和疼痛强度对干扰的交互作用。数据来自2008年至2012年接受初步评估的508名慢性口腔面部疼痛患者的记录。收集的数据包括年龄(范围：18-78岁)和自我报告的疼痛强度和疼痛干预措施。使用双变量相关和回归模型来评估统计交互作用。回归分析显示，疼痛强度对疼痛干扰有正向预测作用(R2=0.35，B=10.40，SE=0.62，t(507)=16.70，p<；.001)。一个显著的交互作用支持了最初的假设，即在高疼痛强度时，衰老与减少干扰有关(ΔR2=0.01，B=−1.31，SE=0.63，t(505)=−2.90，p=0.04)。在高水平的疼痛强度下，干扰随着年龄的增加而减少，尽管年龄受疼痛强度交互作用的影响很小。这一证据与衰老理论一致，包括社会情绪选择性理论，该理论认为，随着年龄的增长，人们变得更有动力最大化积极情绪，最大限度地减少负面情绪。这些结果突显了研究老年人成功应对疼痛的机制的重要性。
Chronic pain is associated with increased interference in daily functioning that becomes more pronounced as pain intensity increases. Based on previous research showing that older adults maintain well-being in the face of pain as well as or better than their younger counterparts, the current study examined the interaction of age and pain intensity on interference in a sample of chronic orofacial pain patients. Data were obtained from the records of 508 chronic orofacial pain patients being seen for an initial evaluation from 2008 to 2012. Collected data included age (range: 18–78) and self-reported measures of pain intensity and pain interference. Bivariate correlations and regression models were used to assess for statistical interactions. Regression analyses revealed that pain intensity positively predicted pain interference (R2 = .35, B = 10.40, SE = 0.62, t(507) = 16.70, p < .001). A significant interaction supported the primary hypothesis that aging was associated with reduced interference at high levels of pain intensity (ΔR2 = .01, B = −1.31, SE = 0.63, t(505) = −2.90, p = .04). At high levels of pain intensity, interference decreased with age, although the age by pain intensity interaction effect was small. This evidence converges with aging theories, including socioemotional selectivity theory, which posits that as people age, they become more motivated to maximize positive emotions and minimize negative ones. The results highlight the importance of studying the mechanisms older adults use to successfully cope with pain.