Pain quality descriptors in community-dwelling older adults with nonmalignant pain
| Autor: | Suzanne G. Leveille, Robert H. Shmerling, Jonathan F. Bean, Kushang V. Patel, Manu Thakral, Ling Shi, Janice B. Foust |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Aging medicine.medical_specialty Population Pain Osteoarthritis Article Cohort Studies 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Pain assessment medicine Humans 030212 general & internal medicine education Aged Pain Measurement Aged 80 and over education.field_of_study business.industry Chronic pain Pain Perception Cognition medicine.disease Anesthesiology and Pain Medicine Neurology McGill Pain Questionnaire Physical therapy Female Independent Living Neurology (clinical) business 030217 neurology & neurosurgery Independent living Cohort study |
| Zdroj: | Pain. 157:2834-2842 |
| ISSN: | 1872-6623 0304-3959 |
| Popis: | This study aimed to characterize the prevalence of various pain qualities in older adults with chronic nonmalignant pain and determine the association of pain quality to other pain characteristics namely: severity, interference, distribution, and pain-associated conditions. In the population-based MOBILIZE Boston Study, 560 participants aged ≥70 years reported chronic pain in the baseline assessment, which included a home interview and clinic exam. Pain quality was assessed using a modified version of the McGill Pain Questionnaire (MPQ) consisting of 20 descriptors from which 3 categories were derived: cognitive/affective, sensory, and neuropathic. Presence of ≥2 pain-associated conditions was significantly associated with 18 of the 20 pain quality descriptors. Sensory descriptors were endorsed by nearly all older adults with chronic pain (93%), followed by cognitive/affective (83.4%) and neuropathic descriptors (68.6%). Neuropathic descriptors were associated with the greatest number of pain-associated conditions including osteoarthritis of the hand and knee. More than half of participants (59%) endorsed descriptors in all 3 categories and had more severe pain and interference, and multisite or widespread pain than those endorsing 1 or 2 categories. Strong associations were observed between pain quality and measures of pain severity, interference, and distribution (P < 0.0001). Findings from this study indicate that older adults have multiple pain-associated conditions that likely reflect multiple physiological mechanisms for pain. Linking pain qualities with other associated pain characteristics serve to develop a multidimensional approach to geriatric pain assessment. Future research is needed to investigate the physiological mechanisms responsible for the variability in pain qualities endorsed by older adults. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|