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探索韩国老年人不同疼痛模式与抑郁症状之间的关系:使用潜在增长模型。

Exploring the Relationship Between Different Pain Patterns and Depressive Symptom Among Older Koreans: Using Latent Growth Model.

作者信息

Jeong Kyu-Hyoung, Son Hye-Gyeong, Kim Sunghee, Ryu Ju Hyun, Lee Seoyoon

机构信息

Department of Social Welfare, Jeonbuk National University, Jeonju, Republic of Korea.

College of Nursing, Kosin University, Busan, Republic of Korea.

出版信息

Psychiatry Investig. 2025 Apr;22(4):382-388. doi: 10.30773/pi.2024.0166. Epub 2025 Apr 11.

Abstract

OBJECTIVE

The purpose of this study is to identify the types of pain changes that affect older Koreans, as well as their effects on depressive symptom.

METHODS

We analyzed the Korean Longitudinal Study of Aging data collected from 2010 to 2018. A data of total of 1,359 participants, aged 65 or older were used to estimate the change in pain. A latent growth model and growth mixture modeling were performed to estimate the overall change in pain and to categorize the types of pain changes.

RESULTS

The pain changes of older adults were classified into two categories: low-stable and high increasing. The depressive symptom showed a stronger relationship among the high-increasing type of pain than the low-stable type. The high-increasing type had a higher percentage of females, lower income, relatively low educational attainment, and a higher percentage of rural residents than the low-stable type.

CONCLUSION

The significance of this study is that it reiterated the importance of early pain diagnosis and intervention by identifying the types of pain changes in older adults and analyzing their effects on depressive symptoms. Therefore, it is especially important to pay attention to interventions that are designed to help vulnerable groups with a high risk of pain obtain effective pain management.

摘要

目的

本研究旨在确定影响韩国老年人的疼痛变化类型及其对抑郁症状的影响。

方法

我们分析了2010年至2018年收集的韩国老年纵向研究数据。总共1359名65岁及以上参与者的数据用于估计疼痛变化。进行了潜在增长模型和增长混合模型分析,以估计疼痛的总体变化并对疼痛变化类型进行分类。

结果

老年人的疼痛变化分为两类:低稳定性和高增长性。与低稳定性类型相比,抑郁症状在高增长性疼痛类型中表现出更强的相关性。高增长性类型的女性比例更高、收入更低、教育程度相对较低,农村居民比例比低稳定性类型更高。

结论

本研究的意义在于,通过识别老年人疼痛变化的类型并分析其对抑郁症状的影响,重申了早期疼痛诊断和干预的重要性。因此,特别要注意旨在帮助疼痛高风险弱势群体获得有效疼痛管理的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02fe/12022785/ad55a3684174/pi-2024-0166f1.jpg

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