Chronic pain in older adults: prevalence, incidence, and risk factors

Larsson, Caroline; Hansson, EE; Sundquist, Kristina; Jakobsson, Ulf

doi:10.1080/03009742.2016.1218543

Cited by 166 publications

(122 citation statements)

References 21 publications

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“…Larsson et al demonstrated a correlation between old age and persistent pain, which is similar to our study (42). However, their report showed that PD was more correlated with older females than senior men.…”

Section: Discussionsupporting

confidence: 92%

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Predicting Factors of Pain Duration in Patients with Chronic Pain: A Large Population-based Study

et al. 2020

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Background: Chronic pain is the third main problem of global health and the most common cause of long-term disabilities. The duration that patients suffer from chronic pain is directly proportional to the extent of the suffering and to the amount of health care resources allocated to this problem. There is no research that has studied the risk factors associated with the long pain duration in chronic pain patients. Methods: We investigated the potential risk factors associated with long pain duration in a population with diverse pain conditions in a cross-sectional study. We used a questionnaire that included a number of potential risk factors including sex, age, marital status, household condition, number of children, employment, education, body mass index (BMI), pain intensity, and the level of anxiety/depression. The data were analyzed by univariable and multivariable linear regression models. Results: We recruited 780 patients. The analyses showed that age and abnormal BMI had a positive correlation with pain duration. Conclusions: The risk factors that might be associated with longer pain duration include older age and abnormal BMI.

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Section: Discussionsupporting

confidence: 92%

“…The results of this study are in line with our study that showed patients with older age appeared to be at excess risk of chronic pain. Also, the prevalence of chronic or disabling chronic pain was higher in females in both studies (41,42).…”

Section: Discussionmentioning

confidence: 75%

Predicting Factors of Pain Duration in Patients with Chronic Pain: A Large Population-based Study

et al. 2020

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“…This bias may have influenced participants' responses. Thirdly, the level of fidelity of the aging-simulation suit is questionable because this suit did not simulate pain [13,20] and dementia [21,22] whose prevalence increases with aging. Nevertheless, this question regarding fidelity [27] of pedagogical simulation exists whatever the field concerned (e.g.…”

Section: Discussionmentioning

confidence: 99%

Aging-simulation experience: impact on health professionals’ social representations

et al. 2020

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Background: Health professionals working with older persons are not sufficiently aware of the sensory and functional difficulties experienced by older patients. Innovative educational activities, such as the aging-simulation experience, can facilitate this awareness. This study describes the effects of an aging-simulation experience on health professionals' representations towards age-related limitations. Methods: 306 health professionals, enrolled in university training in geriatrics/gerontology in the 2015-2016 and 2016-2017 academic years, experienced an aging-simulation session wearing a special suit according to a predefined scenario. Before and after the aging-simulation experience, participants completed free association tests, with the inductive words vision, hearing, movement, fine dexterity and balance. Semantic categories were created from participants' free evocations using a correspondence table manually produced in Excel 2013 for Windows (Microsoft Corporation, Redmond, Washington). Moreover, participants' opinions on difficulties experienced by older people in relation to age-related limitations were studied using Likert scale questions. Results: In total, 3060 free evocations were collected, and ten semantic categories were created. These categories were composed of participants' geriatric knowledge, about age-related limitations, and participants' feelings, about the experience of these limitations. These two aspects were impacted by the aging-simulation experience. Moreover, changes observed resulted in a better consideration of difficulties associated with age-related limitations. Conclusions: The aging-simulation experience is an effective educational tool to raise awareness among health professionals of age-related difficulties. This sensory activity allows health professionals to put themselves in the shoes of older patients and to feel age-related difficulties.

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“…This mixed evidence and current scarcity of previous work highlights the need for additional research to determine under which conditions and for whom intranasal OT may be effective. This combined with evidence that older women are more likely to report experiencing chronic pain (Larsson et al, 2017) calls for future comprehensive investigations of age-by-sex variations in treatment response to intranasal OT administration and its impact on pain management.…”

Section: Age-by-sex Differencesmentioning

confidence: 99%

Musculoskeletal Pain and Brain Morphology: Oxytocin’s Potential as a Treatment for Chronic Pain in Aging

Lussier

Cruz-Almeida

Ebner

2019

Front. Aging Neurosci.

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Chronic pain disproportionately affects older adults, severely impacting quality of life and independent living, with musculoskeletal pain most prevalent. Chronic musculoskeletal pain is associated with specific structural alterations in the brain and interindividual variability in brain structure is likely an important contributor to susceptibility for the development of chronic pain. However, understanding of age-related structural changes in the brain and their associations with chronic musculoskeletal pain is currently limited. Oxytocin (OT), a neuropeptide present in the periphery and central nervous system, has been implicated in pain attenuation. Variation of the endogenous OT system (e.g., OT receptor genotype, blood, saliva, and cerebrospinal fluid OT levels) is associated with morphology in brain regions involved in pain processing and modulation. Intranasal OT administration has been shown to attenuate pain. Yet, studies investigating the efficacy of OT for management of chronic musculoskeletal pain are lacking, including among older individuals who are particularly susceptible to the development of chronic musculoskeletal pain. The goal of this focused narrative review was to synthesize previously parallel lines of work on the relationships between chronic pain, brain morphology, and OT in the context of aging. Based on the existing evidence, we propose that research on the use of intranasal OT administration as an intervention for chronic pain in older adults is needed and constitutes a promising future direction for this field. The paper concludes with suggestions for future research in the emerging field, guided by our proposed Model of Oxytocin's Anagelsic and Brain Structural Effects in Aging.

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Chronic pain in older adults: prevalence, incidence, and risk factors

Cited by 166 publications

References 21 publications

Predicting Factors of Pain Duration in Patients with Chronic Pain: A Large Population-based Study

Predicting Factors of Pain Duration in Patients with Chronic Pain: A Large Population-based Study

Aging-simulation experience: impact on health professionals’ social representations

Musculoskeletal Pain and Brain Morphology: Oxytocin’s Potential as a Treatment for Chronic Pain in Aging

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