Age differences in cognitive-affective processes in adults with chronic pain.
Age differences in cognitive-affective processes in adults with chronic pain.
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DOI：
10.1002/ejp.1725
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Palermo TM
中科院分区：
文献类型：
--
作者：
Murray CB;Patel KV;Twiddy H;Sturgeon JA;Palermo TM
慢性疼痛与成年人一生中显著的生理和心理损伤有关。然而，在预测疼痛相关功能的个体差异方面存在相对的知识差距。目前的研究强调了个体差异的一个重要来源：年龄。我们使用了来自英国三级疼痛中心的2,905名寻求治疗的成年人（M年龄= 46.6[13.1]；71.8%为女性）的横断面数据，以确定认知情感过程（灾难化、接受、自我效能）的年龄差异，包括它们的差异模式和对残疾和抑郁的影响。与中年人（40-64岁）和年轻人（18-39岁）相比，老年人（65-75岁）的疼痛接受度和疼痛自我效能感更高。与中年人相比，老年人也经历了较低水平的灾难。通过年龄的调节，我们发现疼痛自我效能感、接受度与抑郁的关系以及疼痛自我效能感与残疾的关系在老年人中最弱，在年轻人中最强。同样，与老年人相比，疼痛灾难和抑郁之间的关系在年轻人和中年人中相对更强。影响疼痛相关功能的心理机制的年龄相关差异为科学家和临床医生提供了独特的挑战和机遇，以提高我们对整个生命周期疼痛的理解和治疗。我们还需要做更多的工作来完善我们对慢性疼痛在认知情感、生物心理社会方面的年龄相关差异的认识，并开发和测试针对年龄的干预措施的效果。我们对2905名到英国三级保健中心就诊的慢性疼痛寻求治疗的成年人的横断面分析显示，与残疾和抑郁相关的认知情感方面存在明显的年龄差异。本研究有助于对慢性疼痛调整心理机制中年龄相关变异的有限认识。未来有希望的研究途径包括完善我们对慢性疼痛的认知-情感，生物-心理-社会维度的年龄相关差异的理解，并阐明不同年龄组中最突出的治疗目标。
Chronic pain is associated with significant physical and psychological impairments across the adult lifespan. However, there is a relative gap in knowledge on individual differences that predict pain-related functioning. The current study highlights one important source of individual variation: age. We used cross-sectional data from a large treatment-seeking cohort of 2,905 adults (M age = 46.6 [13.1]; 71.8% women) presenting to a tertiary pain centre in the United Kingdom to determine age differences in cognitive-affective processes (catastrophizing, acceptance, self-efficacy), including their differential patterns and effects on disability and depression. Older adults (ages 65–75) were found to experience higher pain acceptance and pain self-efficacy compared to both middle-aged (ages 40–64) and young adult (ages 18–39) age groups. Older adults also experienced lower levels of catasophizing compared to middle-age adults. Testing age as a moderator, we found that the relationships of pain self-efficacy and acceptance with depression as well as the relationship between pain self-efficacy and disability were comparatively weakest among older adults and strongest among young adults. Similarly, the relationship between pain catastrophizing and depression was relatively stronger for young and middle-aged adults compared to older adults. Age-related differences in psychological mechanisms that influence pain-related functioning present unique challenges and opportunities for scientists and clinicians to improve our understanding and treatment of pain across the lifespan. Additional work is needed to refine our knowledge of age-related differences in cognitive-affective, biopsychosocial dimensions of chronic pain and to develop and test the efficacy of age-tailored interventions. Our cross-sectional analysis of 2,905 treatment-seeking adults with chronic pain presenting to a tertiary care center in the United Kingdom revealed distinct age differences in cognitive-affective linked to disability and depression. This study contributes to the limited knowledge on age-related variance in psychological mechanisms underlying adjustment to chronic pain. Promising avenues for future research include refining our understanding of age-related differences in cognitive-affective, biopsychosocial dimensions of chronic pain and elucidating the most salient treatment targets among different age groups.
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影响因子：
16.4
作者：
Mehta, Clare M.;Arnett, Jeffrey Jensen;Nelson, Larry J.
通讯作者：
Nelson, Larry J.
影响因子：
3.6
作者：
Nicholas, Michael K.
通讯作者：
Nicholas, Michael K.
影响因子：
3.7
作者：
Kessler, Eva-Marie;Staudinger, Ursula M.
通讯作者：
Staudinger, Ursula M.
DOI：
10.1037/h0087250
发表时间：
2005-04-01
影响因子：
2.5
作者：
Lachapelle, DL;Hadjistavropoulos, T
通讯作者：
Hadjistavropoulos, T
影响因子：
4
作者：
Buenaver, Luis F.;Edwards, Robert R.;Haythornthwaite, Jennifer A.
通讯作者：
Haythornthwaite, Jennifer A.