Rashedi Vahid, Asadi-Lari Mohsen, Foroughan Mahshid, Delbari Ahmad, Fadayevatan Reza
Iranian Research Center on Aging, Department of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Epidemiology, School of Public Health, Oncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Community Ment Health J. 2017 Aug;53(6):719-724. doi: 10.1007/s10597-017-0082-2. Epub 2017 Jan 25.
Pain is an important component of disability problems, and plays a key role in mental health of older adults. This study aims to investigate the relationship between mental health and pain in older adults of Tehran, Iran. This was a cross-sectional study using data on 5326 older adults aged ≥60 years old from a large population-based survey (Urban HEART-2). A multistage cluster random sampling method was used to select the participants in Tehran, Iran, in 2011. General Health Questionnaire (GHQ-28), pain questionnaire, and socioeconomic questionnaires were used to collect the data. A total of 5326 older adults, 3811 (71.6%) married and 2797 (52.5%) female, were included into the study. The mean age of the participants was 68.92 ± 7.02 years. Mean of GHQ-28 scores in the sample was 51.08 ± 10.94, which indicates of a good level of mental health. The majority of the older adults had knee and back pain (more than 50%). Regardless of the chronicity, time, and the mode of reaction to it, knee and back pain were the highly reported pains among the participants. There was a statistically significant difference between two groups of older adults, with and without pain, in terms of GHQ-28 scores. Multiple regression analysis revealed that there was a relationship between mental health and the following factors: pain in head, shoulder, teeth, upper and lower limbs, education, gender, age, and marital status. Whatever the explanation, the relation of lowered health status to pain in all body parts among older people is considerable. This renders this matter as a top priority in health policy making.
疼痛是残疾问题的一个重要组成部分，并且在老年人的心理健康中起着关键作用。本研究旨在调查伊朗德黑兰老年人心理健康与疼痛之间的关系。这是一项横断面研究，使用了来自一项基于大规模人群的调查（城市心脏研究-2）中5326名年龄≥60岁老年人的数据。2011年，在伊朗德黑兰采用多阶段整群随机抽样方法选取参与者。使用一般健康问卷（GHQ-28）、疼痛问卷和社会经济问卷收集数据。共有5326名老年人纳入研究，其中3811名（71.6%）已婚，2797名（52.5%）为女性。参与者的平均年龄为68.92±7.02岁。样本中GHQ-28得分的平均值为51.08±10.94，这表明心理健康水平良好。大多数老年人患有膝盖和背部疼痛（超过50%）。无论疼痛的慢性程度、时间以及对其的反应方式如何，膝盖和背部疼痛是参与者中报告最多的疼痛。在GHQ-28得分方面，有疼痛和无疼痛的两组老年人之间存在统计学上的显著差异。多元回归分析显示，心理健康与以下因素之间存在关联：头部、肩部、牙齿、上肢和下肢疼痛、教育程度、性别、年龄和婚姻状况。无论作何解释，老年人健康状况下降与身体各部位疼痛之间的关系都相当大。这使得该问题成为卫生政策制定中的首要优先事项。
