Pain and its relation to cognitive function and depressive symptoms:: A Swedish population study of 70-year-old men and women

Pain and its relation to cognitive function and depressive symptoms:: A Swedish population study of 70-year-old men and women
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DOI:
10.1016/s0885-3924(03)00329-4
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发表时间:
2003-10-01
影响因子:
4.7
通讯作者:
Steen, B
Steen, B
中科院分区:
医学2区
文献类型:
--
作者:
Bergh, I;Steen, G;Steen, B

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本研究的目的是调查疼痛的患病率及其特征,并检查疼痛与认知功能和抑郁症状的相关性,在70岁男性和女性的代表性样本中。在瑞典哥德堡(H-70)的老年学和老年人口研究中收集数据。社区中的124名男性和117名女性参与了这项研究。采用问卷调查,其中包括四个不同方面的疼痛经验:患病率,频率发作的疼痛,持续时间和数量的位置。与此密切相关,使用流行病学研究中心抑郁量表评估抑郁症状。术后14天疼痛发生率女性(79%; n = 91)高于男性(53%; n = 05)(P <0.001)。女性(68%; n = 78)也报告疼痛持续时间> 6个月,程度高于男性(38%; n = 46)(P <0.001)。女性疼痛发作的频率也更高,64%(n = 74)报告每天疼痛或疼痛几天(在最后14天),而37%的男性(n = 45)这样做(P <0.001)。女性(33%,n = 38)也比男性(11%,n = 13)更常报告来自大于或等于3个位置的疼痛经历(P <0.001)。另一方面,抑郁症状和疼痛体验之间的关联在男性中比女性更明显。女性服用抗抑郁药的人数明显多于男性(P <0.03)。结果显示,疼痛在70岁以上的人中很常见,尤其是女性。然而,抑郁症状和疼痛体验的四个方面之间的关联在男性中更为明显。疼痛症状管理杂志2003; 26:903 - 912. (C)2003年美国癌症疼痛缓解委员会。爱思唯尔公司出版All rights reserved.
The aim of this study, was to investigate the Prevalence of pain and its characteristics, and to examine the association of pain with cognitive function and depressive symptoms, in a representative sample of 70-year-old men and women. Data were collected within the gerontological and geriatric population studies in Goteborg, Sweden (H-70). A sample of 124 men and 117 women living in the community took part in the study. A questionnaire was applied which included four different aspects of pain experience: prevalence, frequency of episodes of pain, duration and number of locations. In close connection to this, depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale. The Prevalence of pain during the last 14 days was higher in women (79%; n = 91) than in men (53%; n = 05) (P < 0.001). Women (68%; n = 78) also reported pain that had lasted for > 6 months to a greater extent than men (38%; n = 46) (P < 0.001). The frequency of episodes of pain was also higher among women, 64% (n = 74) reporting daily pain or pain several days (luring the last 14 days while 37% of the men (n = 45) did so (P < 0.001). Women (33%, n = 38) also reported pain experience from greater than or equal to3 locations more often than men (11%; n = 13) (P < 0.001). On the other hand, the association between depressive symptoms and pain experience was more evident in men than in women. Women were taking significantly more antidepressants compared to men (P < 0.03). The results show that pain is common in 70-year-old people and especially in women. However, associations between depressive symptoms and the four aspects of Pain experience were more pronounced among men. J Pain Symptom Manage 2003;26:903-912. (C) 2003 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.