Coexistence of Chronic Musculoskeletal Pain and Depressive Symptoms and Their Combined and Individual Effects on Onset of Disability in Older Adults: A Cohort Study.
Coexistence of Chronic Musculoskeletal Pain and Depressive Symptoms and Their Combined and Individual Effects on Onset of Disability in Older Adults: A Cohort Study.
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慢性肌肉骨骼疼痛和抑郁症状的共存及其对老年人残疾发作的综合和个体影响：一项队列研究。
DOI：
10.1016/j.jamda.2019.04.013
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Otani K.
中科院分区：
文献类型：
--
作者：
Murata S;Ono R;Omata J;Endo T;Otani K.
慢性肌肉骨骼疼痛和抑郁症状并存是很常见的，它们对不良事件的联合影响值得研究。这项研究的目的是调查慢性肌肉骨骼疼痛和抑郁症状对老年人残疾发作的个体和联合影响。设计一项为期一年的队列研究。设置和参与1251名社区居住的老年人。测量慢性肌肉骨骼疼痛部位的数量使用自我报告问卷进行测量。抑郁症状使用老年抑郁量表-15进行评估。残疾被自我报告为日常生活基本活动中的任何困难。残疾发生率被定义为在后续评估中执行一项或多项任务的任何困难，这在基线上是缺失的。结果具有更多慢性肌肉骨骼疼痛部位的老年人在基线时倾向于有抑郁症状(P为趋势。与没有慢性多部位肌肉骨骼疼痛和抑郁症状的老年人相比，既有慢性多部位肌肉骨骼疼痛又有抑郁症状的老年人发生残疾的风险更高(调整后的优势比：6.84，95%可信区间：3.72~12.58)，其次是患有慢性多部位肌肉骨骼疼痛的老年人和没有抑郁症状的老年人(调整后的优势比：2.13，95%可信区间：1.35~3.37)。结论/含义同时评估慢性肌肉骨骼疼痛和抑郁症状可能有助于准确预测老年人的预后，预防残疾的发生。
ObjectivesCoexistence of chronic musculoskeletal pain and depressive symptoms is common, and their combined effect on adverse events warrants investigation. The purpose of this study was to investigate the individual and combined effect of chronic musculoskeletal pain and depressive symptoms on the onset of disability, which is a crucial outcome in older adults.DesignA 1-year cohort study.Setting and participants1251 community-dwelling older adults.MeasurementsThe number of chronic musculoskeletal pain sites was measured using a self-reported questionnaire. Depressive symptoms were assessed using the Geriatric Depression Scale–15. Disability was self-reported as any difficulty in basic activities of daily living. Incidence of disability was defined as any difficulty in performing 1 or more tasks at the follow-up assessment, that was absent at baseline.ResultsOlder adults with more chronic musculoskeletal pain sites tend to have depressive symptoms at baseline (Pfor trend < .001). Compared to older adults without both chronic musculoskeletal pain and depressive symptoms, older adults with both chronic multisite musculoskeletal pain and depressive symptoms have the higher risk for development of disability (adjusted odds ratio: 6.84, 95% confidence interval: 3.72 to 12.58), followed by older adults with chronic multisite musculoskeletal pain and without depressive symptoms (adjusted odds ratio: 2.13, 95% confidence interval: 1.35 to 3.37).Conclusions/ImplicationsSimultaneous assessment of both chronic musculoskeletal pain and depressive symptoms may be useful for accurate prognosis and preventing disability in older adults.
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影响因子：
120.7
作者：
Pahor, Marco;Guralnik, Jack M.;Ambrosius, Walter T.;Blair, Steven;Bonds, Denise E.;Church, Timothy S.;Espeland, Mark A.;Fielding, Roger A.;Gill, Thomas M.;Groessl, Erik J.;King, Abby C.;Kritchevsky, Stephen B.;Manini, Todd M.;McDermott, Mary M.;Miller, Michael E.;Newman, Anne B.;Rejeski, W. Jack;Sink, Kaycee M.;Williamson, Jeff D.
通讯作者：
Williamson, Jeff D.
DOI：
10.1093/rheumatology/keu240
发表时间：
2014-11
期刊：
Rheumatology (Oxford, England)
影响因子：
--
作者：
Lacey RJ;Belcher J;Rathod T;Wilkie R;Thomas E;McBeth J
通讯作者：
McBeth J
欧洲家庭护理老年人的非恶性日常疼痛和残疾风险
影响因子：
7.4
作者：
M. Soldato;R. Liperoti;F. Landi;Harriet Finne;I. Carpenter;D. Fialová;R. Bernabei;G. Onder
通讯作者：
G. Onder
影响因子：
2.7
作者：
Gobbens RJ
通讯作者：
Gobbens RJ
影响因子：
120.7
作者：
Penninx, BWJH;Guralnik, JM;Wallace, RB
通讯作者：
Wallace, RB