Anxiety, pain catastrophizing, and pain outcomes among older adults with chronic orofacial pain.

Autor: LaRowe LR; Division of Palliative Care and Geriatric Medicine, Mongan Institute Center for Aging and Serious Illness, Massachusetts General Hospital, Boston, MA, USA.; Department of Medicine, Harvard Medical School, Boston, MA, USA., Bakhshaie J; Department of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, One Bowdoin Square, 1st Floor, Suite 106, Boston, MA, 02114, USA.; Department of Psychiatry, Harvard Medical School, Boston, MA, USA., Vranceanu AM; Department of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, One Bowdoin Square, 1st Floor, Suite 106, Boston, MA, 02114, USA.; Department of Psychiatry, Harvard Medical School, Boston, MA, USA., Greenberg J; Department of Psychiatry, Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, One Bowdoin Square, 1st Floor, Suite 106, Boston, MA, 02114, USA. jgreenberg5@mgh.harvard.edu.; Department of Psychiatry, Harvard Medical School, Boston, MA, USA. jgreenberg5@mgh.harvard.edu.
Jazyk: angličtina
Zdroj: Journal of behavioral medicine [J Behav Med] 2024 Jun; Vol. 47 (3), pp. 537-543. Date of Electronic Publication: 2024 Feb 21.
DOI: 10.1007/s10865-024-00473-7
Abstrakt: Although chronic orofacial pain (COFP) is common among older adults, the role of psychological factors in pain outcomes among this population has received limited attention. This study examined the role of anxiety and pain catastrophizing, two corelates of pain in other populations, in pain intensity and interference among 166 older adults with COFP (79% female, M age  = 68.84, SD = 5.56). Participants completed an online survey including measures of anxiety, pain catastrophizing, and pain intensity/interference. We applied mediation analyses to test indirect associations between anxiety and pain outcomes via pain catastrophizing. Results indicated that anxiety was positively associated with pain intensity and pain interference (bs = .70-1.12, ps < .05). There was also an indirect association between anxiety and pain interference through pain catastrophizing (b = .35, 95% CI [.0383, .7954]), indicating pain catastrophizing partially accounts for this relationship. Assessing and addressing anxiety and pain catastrophizing has the potential to improve treatment outcomes in this population.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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