Division of Geriatrics, Gerontology, and Palliative Care, Department of Medicine, University of California, San Diego, USA.
Herbert Wertheim School of Public Health & Human Longevity Science, University of California, San Diego, USA.
Int J Aging Hum Dev. 2024 Dec;99(4):494-504. doi: 10.1177/00914150241260825. Epub 2024 Jul 25.
Measures of life outlook in older adults have been investigated in connection to pain, as both pain management and outlook are important factors of successful aging. We hypothesized that higher pain is associated with lower optimism among community-dwelling older adults. We utilized data from the UC San Diego Successful Aging Evaluation (SAGE), a prospective longitudinal cohort study initiated in 2010, to evaluate the relationship between pain and optimism in 378 community-dwelling adults aged ≥50 years. We used the revised Life Orientation Test (LOT-R) to measure optimism and three pain subscales-PROMIS Pain Interference, PROMIS Pain Intensity, and MOS 36-Item Short-Form Health Survey (SF-36)-as pain measures. Regression analyses reveal negative relationships between pain and optimism for all three pain scales, with regression coefficients of -0.277 ( < .0001), -0.246 ( < .0001), and 0.269 ( < .0001) respectively. This indicates value in considering physical and psychological elements in future intervention research to promote healthy aging.
老年人的生活展望指标与疼痛有关，因为疼痛管理和展望都是成功老龄化的重要因素。我们假设，社区居住的老年人的疼痛程度越高，其乐观程度越低。我们利用了 2010 年启动的加州大学圣地亚哥成功老龄化评估（SAGE）的前瞻性纵向队列研究的数据，评估了 378 名年龄在 50 岁及以上的社区居住成年人中疼痛与乐观之间的关系。我们使用修订后的生活取向测试（LOT-R）来衡量乐观程度，以及三个疼痛子量表——PROMIS 疼痛干扰、PROMIS 疼痛强度和 MOS 36 项简短健康调查（SF-36）——来衡量疼痛程度。回归分析显示，所有三个疼痛量表的疼痛与乐观之间均存在负相关关系，回归系数分别为-0.277（ < .0001）、-0.246（ < .0001）和 0.269（ < .0001）。这表明，在未来的干预研究中考虑身体和心理因素对于促进健康老龄化具有重要意义。
