Investigating associations between pain and complicated grief symptoms in bereaved Japanese older adults
Investigating associations between pain and complicated grief symptoms in bereaved Japanese older adults
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研究失去亲人的日本老年人的疼痛与复杂悲伤症状之间的关联
DOI：
10.1080/13607863.2019.1594166
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发表时间：
2019
影响因子：
3.4
通讯作者：
Miyashita Mitsunori
中科院分区：
文献类型：
--
作者：
Ghesquiere Angela;Bagaajav Ariunsanaa;Ito Masaya;Sakaguchi Yukihiro;Miyashita Mitsunori
目的：在临终关怀或姑息治疗中失去亲人的人中，约有10%的人会经历以严重的、长期的悲痛反应为特征的心理健康状况。这种情况的标准已经演变；我们将这种情况称为复杂悲伤(CG)，因为它是较常见的名称之一。虽然有一些迹象表明CG与身体健康状况不佳有关，但关于CG与疼痛之间的联系的探索有限。这项研究的主要目的是使用大量基于人群的日本老年人样本来探索患有CG的人的疼痛水平是否比没有CG的人更高。方法：该研究分析了日本临终关怀和缓和护理评估(J-HOPE)研究的数据，该研究于2008年进行，通过自我报告调查考察了日本各地在姑息部门或临终关怀环境中失去亲人的成年人的经历和结果。结果：高疼痛组的家庭成员的CG症状显著高于低疼痛组(M= 66.95vs.M= 52.05)，在控制人口统计和损失相关因素后，这种关联仍然存在。结论：我们发现了CG症状和疼痛之间存在关联的初步证据，应在更多的样本中进行探索。如果这一发现被重复，这种联系的机制可以被探索，治疗可能同时针对CG和疼痛。
Objectives:About 10% of those who lose a loved one in hospice or palliative care settings will experience a mental health condition characterized by severe, prolonged grief responses. Criteria for this condition have evolved; we refer to this condition as Complicated Grief (CG) because it is one of the more common names. While there are some indications of associations between CG and poor physical health, explorations of the association between CG and pain is limited. The main objective of this study was to explore whether pain levels are higher in those with CG than those without, using a large population-based samples of Japanese older adults.Method:The study analyzed data from the Japan HOspice and Palliative care Evaluation (J-HOPE) study, a cross sectional study conducted in 2008 that examined the experiences and outcomes among adults throughout Japan who had lost a loved one within a palliative department or hospice setting, via self-report survey. We examined a subsample sample of 324 individuals aged 50 and above who completed a measure of CG.Results:Family members with high pain group had statistically significantly higher CG symptoms than those with low pain group (M= 66.95 vs.M= 52.05), an association which remained when controlling for demographic and loss-related factors.Conclusion:We found preliminary evidence of an association between CG symptoms and pain, which should be explored in additional samples. Should this finding be replicated, the mechanism of this association could be explored and treatment could potentially address both CG and pain.