Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain.

Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain.
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良好的睡眠质量可以改善慢性疼痛患者的疼痛和抑郁之间的关系。

DOI:
10.3389/fpsyg.2021.668930
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发表时间:
2021
影响因子:
3.8
通讯作者:
Dimitriou D
Dimitriou D
中科院分区:
心理学3区
文献类型:
--
作者:
Zambelli Z;Halstead EJ;Fidalgo AR;Dimitriou D

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患有慢性疼痛的人通常会经历共存的睡眠问题和抑郁相关状态。慢性疼痛、睡眠问题和抑郁是相互关联的,并且相互加剧,对生活质量产生负面影响。本研究探讨慢性疼痛患者的疼痛严重程度、疼痛干扰、睡眠质量和抑郁之间的关系。其次,我们测试了睡眠质量是否可以缓和疼痛和抑郁之间的关系。对1059名患有非恶性慢性疼痛的成年人(年龄43岁,88%为女性)进行了横断面调查,并收集了与疼痛严重程度、疼痛干扰、睡眠质量和抑郁相关的测量数据。多元回归分析发现,疼痛严重程度、疼痛干扰和睡眠质量都与抑郁症有显著关联。其次,调节回归分析显示,睡眠质量调节了慢性疼痛个体疼痛干扰与抑郁的关系,良好的睡眠质量减弱了疼痛干扰对抑郁的影响,而较差的睡眠质量放大了疼痛干扰对抑郁的影响。这些发现表明,睡眠质量可能是慢性疼痛和并存抑郁症患者的相关治疗目标。
Individuals with chronic pain often experience co-existing sleep problems and depression-related states. Chronic pain, sleep problems, and depression interrelate, and have been shown to exacerbate one another, which negatively impacts quality of life. This study explored the relationships between pain severity, pain interference, sleep quality, and depression among individuals with chronic pain. Secondly, we tested whether sleep quality may moderate the relationship between pain and depression. A cross-sectional survey was completed by 1,059 adults with non-malignant chronic pain conditions (Mage 43 years, 88% identified as women) and collected measures related to pain severity, pain interference, sleep quality, and depression. Multiple regression analyses found that pain severity, pain interference, and sleep quality are all significantly associated with depression. Secondly, moderated regression analyses revealed that sleep quality moderates the relationship between pain interference and depression among individuals with chronic pain such that good sleep quality attenuates the effect of pain interference on depression, and poor sleep quality amplifies the effect of pain interference on depression. These findings suggest that sleep quality may be a relevant therapeutic target for individuals with chronic pain and co-existing depression.
DOI: 10.1093/sleep/zsx108
发表时间: 2017-08-01
期刊: SLEEP
影响因子: 5.6
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期刊: Pain medicine (Malden, Mass.)
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