目的:探讨我国老年人抑郁症状合并躯体疼痛的患病情况及相关因素,为改善伴抑郁症状合并躯体疼痛老年人生活质量提供参考依据。方法:基于中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)的数据,选取其...目的:探讨我国老年人抑郁症状合并躯体疼痛的患病情况及相关因素,为改善伴抑郁症状合并躯体疼痛老年人生活质量提供参考依据。方法:基于中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)的数据,选取其中所有有抑郁症状[简版流调中心抑郁量表(CESD-10)得分>10分]的老年人(年龄≥60岁)2370例,其中有1335例合并躯体疼痛(DP组,主诉至少存在一个部位的躯体疼痛)、1035例未合并躯体疼痛(NDP组)。采用逐步logistic回归分析探讨抑郁症状合并躯体疼痛的相关因素。结果:2370例有抑郁症状的老年人中,合并躯体疼痛的检出率为56.33%。Logistic回归分析结果显示,女性(OR=1.45,95%CI:1.22~1.72)、农村户口(OR=2.32,95%CI:1.83~2.95)、患慢性疾病(OR=2.35,95%CI:1.84~2.99)、健康自评越差(健康自评一般OR值为2.09,95%CI:1.69~2.60;健康自评差OR值为3.33,95%CI:2.64~4.20)是老年人抑郁症状合并躯体疼痛的危险因素;年龄≥75岁(OR=0.72,95%CI:0.57~0.92)是老年人抑郁症状合并躯体疼痛的保护性因素。结论:抑郁症状合并躯体疼痛是我国老年人常见症状之一。女性、年龄大、农村人口、患有其他慢性疾病和健康自评状况较差是抑郁症状合并躯体疼痛的相关因素。展开更多
Mammography is carried out in a special position, i.e. “an image is taken while the breast is compressed, stretched and kept in a fixed position”. The purpose of this study was to demonstrate quantitatively and qual...Mammography is carried out in a special position, i.e. “an image is taken while the breast is compressed, stretched and kept in a fixed position”. The purpose of this study was to demonstrate quantitatively and qualitatively the physical and psychological burden due to positioning and breast compression during mammography. Muscle activity of each part of the body during positioning for the standard imaging method, to obtain craniocaudal (CC) view images, was measured in 15 adult females using surface EMG. The associated pain was analyzed using visual analogue scale (VAS) scores. During positioning for the CC view, muscle activity was highest in the biceps (24.44 iEMG/s) followed by the trapezius (17.78 iEMG/s) on the imaging side. Muscle activity of the biceps and the sternocleidomastoid on the imaging side showed significant differences compared with pre-imaging activity (biceps P < 0.031, sternocleidomastoid P < 0.005). The pain during mammography was rated as moderate to severe pain (VAS = 3.3 - 6.7) for CC views. As a result, the activities of not only the muscles directly involved in mammography positioning but also those indirectly involved were high as compared with the normal state. Measurement of muscle activity during mammography is expected to be used effectively, such as in the care to reduce pain for the subjects.展开更多
People often experience two types of pain:social pain and physical pain.The former is related to psychological distance from other people or social groups,whereas the latter is associated with actual or potential tiss...People often experience two types of pain:social pain and physical pain.The former is related to psychological distance from other people or social groups,whereas the latter is associated with actual or potential tissue damage.Social pain caused by interpersonal interactions causes negative feelings in individuals and has negative consequences to the same degree as physical pain.Various studies have shown an interaction between social pain and physical pain,not only in behavioral performance but also in activities within shared neural regions.Accordingly,the present paper reviews:(1)the interaction between social pain and physical pain in individuals’behavioral performances;and(2)the overlap in neural circuitry as regards the processing of social pain and physical pain.Understanding the relationship between social pain and physical pain might provide new insights into the nature of these two types of pain,and thus may further contribute to the treatment of illnesses associated with both types of painful experience.展开更多
文摘目的:探讨我国老年人抑郁症状合并躯体疼痛的患病情况及相关因素,为改善伴抑郁症状合并躯体疼痛老年人生活质量提供参考依据。方法:基于中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)的数据,选取其中所有有抑郁症状[简版流调中心抑郁量表(CESD-10)得分>10分]的老年人(年龄≥60岁)2370例,其中有1335例合并躯体疼痛(DP组,主诉至少存在一个部位的躯体疼痛)、1035例未合并躯体疼痛(NDP组)。采用逐步logistic回归分析探讨抑郁症状合并躯体疼痛的相关因素。结果:2370例有抑郁症状的老年人中,合并躯体疼痛的检出率为56.33%。Logistic回归分析结果显示,女性(OR=1.45,95%CI:1.22~1.72)、农村户口(OR=2.32,95%CI:1.83~2.95)、患慢性疾病(OR=2.35,95%CI:1.84~2.99)、健康自评越差(健康自评一般OR值为2.09,95%CI:1.69~2.60;健康自评差OR值为3.33,95%CI:2.64~4.20)是老年人抑郁症状合并躯体疼痛的危险因素;年龄≥75岁(OR=0.72,95%CI:0.57~0.92)是老年人抑郁症状合并躯体疼痛的保护性因素。结论:抑郁症状合并躯体疼痛是我国老年人常见症状之一。女性、年龄大、农村人口、患有其他慢性疾病和健康自评状况较差是抑郁症状合并躯体疼痛的相关因素。
文摘Mammography is carried out in a special position, i.e. “an image is taken while the breast is compressed, stretched and kept in a fixed position”. The purpose of this study was to demonstrate quantitatively and qualitatively the physical and psychological burden due to positioning and breast compression during mammography. Muscle activity of each part of the body during positioning for the standard imaging method, to obtain craniocaudal (CC) view images, was measured in 15 adult females using surface EMG. The associated pain was analyzed using visual analogue scale (VAS) scores. During positioning for the CC view, muscle activity was highest in the biceps (24.44 iEMG/s) followed by the trapezius (17.78 iEMG/s) on the imaging side. Muscle activity of the biceps and the sternocleidomastoid on the imaging side showed significant differences compared with pre-imaging activity (biceps P < 0.031, sternocleidomastoid P < 0.005). The pain during mammography was rated as moderate to severe pain (VAS = 3.3 - 6.7) for CC views. As a result, the activities of not only the muscles directly involved in mammography positioning but also those indirectly involved were high as compared with the normal state. Measurement of muscle activity during mammography is expected to be used effectively, such as in the care to reduce pain for the subjects.
基金jointly supported by the Scientific Foundation of Institute of Psychology,Chinese Academy of Sciences(No.Y9CX432005)the National Natural Science Foundation of China(No.81871436).
文摘People often experience two types of pain:social pain and physical pain.The former is related to psychological distance from other people or social groups,whereas the latter is associated with actual or potential tissue damage.Social pain caused by interpersonal interactions causes negative feelings in individuals and has negative consequences to the same degree as physical pain.Various studies have shown an interaction between social pain and physical pain,not only in behavioral performance but also in activities within shared neural regions.Accordingly,the present paper reviews:(1)the interaction between social pain and physical pain in individuals’behavioral performances;and(2)the overlap in neural circuitry as regards the processing of social pain and physical pain.Understanding the relationship between social pain and physical pain might provide new insights into the nature of these two types of pain,and thus may further contribute to the treatment of illnesses associated with both types of painful experience.
基金the National Natural Science Foundation of China(No.31970980 and 31920103009)Guangdong Key Project(No.2018B030335001)+1 种基金the Major Project of National Social Science Foundation(No.20&ZD153)Shenzhen-Hong Kong Institute of Brain Science(No.2021SHIBS0003)。
