Huang Deborah L, Bardhan Indraneil, Shin Joohyun, Karp Jordan F, Park Mijung
University of Washington, Seattle, Washington, United States.
University of California, San Francisco, San Francisco, California, United States.
Asian Pac Isl Nurs J. 2021;5(4):217-226. doi: 10.31372/20200504.1115.
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. An analytical data was constructed from the Collaborative Psychiatric Epidemiology Studies (CPES), a representative sample of community-residing U.S. adults ( = 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. 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. 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.
疼痛和情绪障碍常常同时存在。然而，关于亚裔美国人（AA）的疼痛和情绪障碍，可获取的信息却很少。我们的目的是比较：（1）疼痛和情绪障碍的发生率；（2）亚裔美国人和欧裔美国人（EA）之间以及不同亚洲亚组之间疼痛与情绪障碍的关联程度。分析数据来自协作精神病流行病学研究（CPES），这是一个居住在美国社区的成年人代表性样本（n = 9871）。疼痛发病率通过自我报告进行评估。情绪障碍，包括重度抑郁症和焦虑症，使用诊断访谈进行评估。分析包括描述性统计和多变量逻辑回归建模。所有分析都进行了加权以近似美国人口，并控制了社会人口学和移民特征。与亚裔美国人相比，欧裔美国人中有更高比例的人认可终生疼痛（56.8%对35.8%）。患有终生疼痛障碍使终生情绪障碍的可能性增加了两倍多（加权调整优势比（WAOR）：2.12，95%置信区间：1.77，2.55）。在过去12个月患有疼痛障碍使同期亚裔美国人情绪障碍的可能性增加了三倍多（WAOR：3.29，95%置信区间：2.02，5.37）。与其他亚裔美国人和欧裔美国人相比，越南裔美国人中疼痛与精神疾病发病率之间的关联程度更大。传统观点认为亚裔美国人中疼痛和情绪障碍的发生率高于欧裔美国人，这可能需要进一步研究。越南裔美国人可能特别容易经历疼痛和情绪障碍的共病情况。
