Chronic Pain and Mood Disorders in Asian Americans.
Chronic Pain and Mood Disorders in Asian Americans.
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DOI：
10.31372/20200504.1115
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Park M
中科院分区：
文献类型：
--
作者：
Huang DL;Bardhan I;Shin J;Karp JF;Park M
目的：疼痛和情绪障碍经常共存。然而，对于亚裔美国人（AAs）来说，关于疼痛和情绪障碍的信息很少。我们的目的是比较(1)疼痛和情绪障碍的发生率，(2)疼痛和情绪障碍之间的关联程度，在aa和欧洲裔美国人之间，以及在不同的亚洲亚群之间。方法：分析数据来自精神病学合作流行病学研究（CPES），这是一个有代表性的美国社区成年人样本（n = 9,871）。采用自我报告评估疼痛发生率。情绪障碍，包括重度抑郁症和焦虑症，通过诊断性访谈进行评估。分析包括描述性统计和多元逻辑回归模型。所有的分析都经过加权以接近美国人口，并控制了社会人口统计学和移民特征。结果：与AAs相比，ea更大比例的患者认可终生疼痛（56.8%对35.8%）。生活疼痛障碍使生活情绪障碍的可能性增加了2倍以上（加权校正优势比（WAOR）： 2.12, 95% CI: 1.77, 2.55）。在过去的12个月中有疼痛障碍的aa患者在同一时期出现情绪障碍的可能性增加了3倍以上（WAOR: 3.29, 95% CI: 2.02, 5.37）。越南裔美国人的疼痛和精神疾病发病率之间的关联程度比其他aa和ea更大。讨论：传统观点认为，aa患者的疼痛和情绪障碍发生率高于ea患者，这一观点可能需要进一步研究。越南裔美国人可能特别容易经历共病性疼痛和情绪障碍。
Purpose: Pain and mood disorder frequently coexist. Yet, for Asian Americans (AAs), scant information about pain and mood disorder is available. Our aims were to compare (1) the rates of pain and mood disorders and (2) the magnitude of associations between pain and mood disorders between AAs and European Americans (EAs), and across different Asian subgroups. Methods: An analytical data was constructed from the Collaborative Psychiatric Epidemiology Studies (CPES), a representative sample of community-residing U.S. adults (n = 9,871). Pain morbidity was assessed by self-report. Mood disorders, including major depression and anxiety disorders, were assessed using the diagnostic interview. Analysis included descriptive statistics and multivariate logistic regression modeling. All analyses were weighted to approximate the U.S. populations, and controlled for sociodemographic and immigration characteristics. Results: Greater proportion of EAs, compared to AAs, endorsed lifetime pain (56.8% vs. 35.8%). Having life pain disorders elevated the likelihood of lifetime mood disorder by more than 2-folds (weight adjusted odds ratio (WAOR): 2.12, 95% CI: 1.77, 2.55). Having pain disorders over the past 12 months elevated the likelihood of mood disorder in the same time period by more than 3-folds (WAOR: 3.29, 95% CI: 2.02, 5.37) among AAs. The magnitude of the association between pain and psychiatric morbidity were greater in Vietnamese Americans compared to other AAs and EAs. Discussion: The conventional belief that rates of pain and mood disorders are greater in AAs than EAs may need to be further examined. Vietnamese Americans may be particularly vulnerable for experience of comorbid pain and mood disorders.