Mavandadi Shahrzad, Sorkin Dara H, Rook Karen S, Newsom Jason T
University of Pennsylvania, Section of Geriatric Psychiatry, 3535 Market St., #3005, Philadelphia, PA 19104, USA.
J Aging Health. 2007 Oct;19(5):813-30. doi: 10.1177/0898264307305179. Epub 2007 Aug 9.
Pain in older adulthood is correlated with both depressive symptomatology and positive and negative social exchanges, but the direction of these relationships remains unclear. This study investigated whether (a) pain is associated with increases in negative exchanges and decreases in positive exchanges and (b) negative exchanges play a greater role than positive exchanges in accounting for the association between pain and depressive symptomatology.
Data were derived from the Later Life Study of Social Exchanges, a longitudinal survey of noninstitutionalized older adults. Interviews assessed participants' sociodemographic and biopsychosocial characteristics, as well as their interactions with network members.
Pain was significantly associated with negative exchanges, and both pain and negative exchanges predicted greater depressive symptomatology over time. Positive social exchanges, however, were not related to either pain or depression.
The findings underscore the value of examining older adults' social exchanges in efforts to understand pain-induced depressive symptomatology.
老年期疼痛与抑郁症状以及积极和消极的社会交往均相关，但这些关系的方向尚不清楚。本研究调查了：（a）疼痛是否与消极交往的增加和积极交往的减少有关；（b）在解释疼痛与抑郁症状之间的关联时，消极交往是否比积极交往起更大作用。
数据来源于社会交往后期生活研究，这是一项对非机构化老年人的纵向调查。访谈评估了参与者的社会人口学和生物心理社会特征，以及他们与网络成员的互动情况。
疼痛与消极交往显著相关，随着时间的推移，疼痛和消极交往都预示着更严重的抑郁症状。然而，积极的社会交往与疼痛或抑郁均无关。
这些发现强调了在努力理解疼痛诱发的抑郁症状时，审视老年人社会交往的价值。
