疼痛诱发的抑郁与疼痛老年人群对睡眠质量的高估有关。
Pain-induced depression is related to overestimation of sleep quality in a very elderly population with pain.
作者信息
Felix Ricardo Humberto, Almeida Carla Bezerra Lopes, Cremaschi Renata Carvalho, Coelho Fernando Morgadinho, Santos Fânia Cristina
机构信息
Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brasil.
Universidade Federal de São Paulo, Departamento de Psicobiologia, Ambulatório de Sonolência Excessiva Diurna, São Paulo SP, Brasil.
出版信息
Arq Neuropsiquiatr. 2017 Jan;75(1):25-29. doi: 10.1590/0004-282X20160186.
OBJECTIVE
: To study the quality of sleep in very elderly people with chronic pain.
METHODS
: We investigated 51 very elderly people without dementia and with chronic pain according to the Geriatric Pain Measure. Katz and Lawton questionnaires were used to evaluate functionality. The Geriatric Depression Scale and Geriatric Psychosocial Assessment of Pain-induced Depression were also used. Self-perceptions of sleep and quality of sleep were checked using the Pittsburgh Sleep Quality Index.
RESULTS
: Moderate pain was seen in 64.7% participants. The tracking of depression was positive for 41.2%. Poor quality of sleep was noted in 49% of them, but 82.3% perceived that they had a very good, or a good, sleep. The main factors associated with poor sleep quality were measurement of pain, self-perception of sleep, and pain-induced depression.
CONCLUSION
: Very elderly people with chronic pain, and without dementia, had a higher prevalence of poor sleep; however, they overestimated their sleep quality. Poor quality of sleep was associated with a poor self-perception of sleep and pain-induced depression.
目的
研究患有慢性疼痛的高龄老人的睡眠质量。
方法
我们依据老年疼痛量表对51名无痴呆且患有慢性疼痛的高龄老人进行了调查。使用Katz和Lawton问卷评估功能状况。还使用了老年抑郁量表和疼痛诱发抑郁的老年心理社会评估量表。通过匹兹堡睡眠质量指数检查睡眠的自我认知和睡眠质量。
结果
64.7%的参与者存在中度疼痛。41.2%的人抑郁追踪呈阳性。其中49%的人睡眠质量较差，但82.3%的人认为自己睡眠非常好或良好。与睡眠质量差相关的主要因素是疼痛程度、睡眠自我认知以及疼痛诱发的抑郁。
结论
无痴呆的患有慢性疼痛的高龄老人睡眠质量差的患病率较高；然而，他们高估了自己的睡眠质量。睡眠质量差与睡眠自我认知差和疼痛诱发的抑郁有关。
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