Pain intensity, depressive symptoms, and functional limitations among older adults with serious mental illness

Brooks, Jessica; Polenick, Courtney A.; Bryson, William C.; Naslund, John A.; Renn, Brenna N.; Orzechowski, Nicole M.; Almeida, Margaret; Bartels, Stephen J.

doi:10.1080/13607863.2017.1423025

Cited by 17 publications

(18 citation statements)

References 30 publications

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“…Another key finding with clinical applications was that caregivers who reported more PWD pain interference cared for PWDs for whom they perceived had greater depression than caregivers who reported less interference. Associations between caregiver perception of PWD depression and pain interference are consistent with literature on the positive association between depression and symptom reports among PWDs (Wang et al, 2018), older adults in general (Molton & Terrill, 2014), and other vulnerable groups of older adults (e.g., those with serious mental illness (Brooks et al, 2019)). Pain interference may limit activity and lead PWDs to withdraw from social, physical, recreational, and otherwise enjoyable or meaningful activities.…”

Section: Discussionsupporting

confidence: 85%

Patient Versus Informal Caregiver Proxy Reports of Pain Interference in Persons With Dementia

et al. 2020

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Objectives: Pain assessment and treatment is challenging among persons with dementia (PWDs). To better understand reports of pain interference, we examined ratings made by PWDs, as well as corresponding ratings about PWDs, as reported by the caregiver. We aimed to assess alignment between and predictors of caregiver and PWD report of pain interference. Methods: The sample consisted of 203 veterans with pain and mild to moderately severe dementia and an informal caregiver. Results: Most PWDs and their caregivers reported at least some pain interference and similar levels of pain interference. PWDs with greater cognitive impairment reported less pain interference, whereas caregivers who perceived the PWD to have greater depression reported more pain interference. Conclusions: PWD and caregiver characteristics were differentially associated with PWD versus caregiver report of pain interference. Results suggest the importance of caregiver reports to inform assessment, as well as factors complicating assessment. Pain in Dementia As one ages, the risk of developing both dementia and pain increases substantially (Scherder et al., 2009). It is estimated that 30% to 50% of persons with dementia (PWDs) experience persistent pain, a complex multifactor problem (Corbett et al., 2014). Despite the high prevalence of pain among older adults with dementia, and major advances in pain management, pain often remains unrecognized or undertreated (Hodgson et al., 2014).

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Section: Discussionsupporting

confidence: 85%

Patient Versus Informal Caregiver Proxy Reports of Pain Interference in Persons With Dementia

et al. 2020

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“…However, this difference could be due to pain or other comorbidities. In 2018 Brooks et al demonstrate that pain and depressive symptoms may be linked to functional limitations [71], also Freynhagen et al confirmed that depression and anxiety appear to be more common in patients with neuropathic pain compared to those without [72]. Based on the second wave of Healthcare for Communities (HCC2), Brennan Braden et al discovered that chronic pain leads to more use of mental wellbeing services and higher distress in healthcare settings among older adults [73].…”

Section: Discussionmentioning

confidence: 99%

Neuropathic Pain Prevalence of Older Adults in an Urban Area of Iran: A Population-Based Study

Roghani

Delbari

Asadi‐Lari

et al. 2019

Pain Research and Treatment

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Background Pain prevalence would increase as the population grows older, but the exact prevalence rate is not apparent in Iran. Objectives This study, therefore, set out to reveal the prevalence of pain, especially neuropathic type and explore its associated comorbidities among Iranian older adults in a large urban population-based survey. Methods 5326 older people, aged ≥ 60 years, were randomly chosen by a multistage, cluster sampling method. The selected people then were interviewed by using the following instruments: a standard questionnaire about pain, questions of interview part of Douleur Neuropathique 4 Questions (DN4) and its comorbidities, GHQ-28, and a sociodemographic checklist. Descriptive statistics and multiple regression analysis were conducted to analyze the gathered data. Results The average of the participants' age was 68.92 ± 7.02 years. Of 5326 participants, 2529 (47.5%) of participants were male. About one-third of this population had chronic pain. Chronic neuropathic pain prevalence was 13.7% and nociceptive in 30%. Knee pain (20.6%) and feet dysesthesia (7.8%) were the most common sites of nociceptive and neuropathic pain, respectively. Results of multiple regression analysis revealed that the major comorbidities of chronic pain were osteoporosis, disability, diabetes mellitus, and stroke. Neuropathic pain experiences were significantly associated with GHQ-28 scores (t=-11.42, P<0.001). Conclusions In addition to neuropathic pain, other subtypes of pain prevalence and the comorbidities are determined in the community-dwelling elder adults. This study highlights the importance of neuropathic pain and its adverse consequences and can be used to manage this populations' needs in Iran effectively.

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“…Pain intensity was assessed using the self-report, single pain chart item from the Dartmouth-Northern New England Primary Care Cooperative Information Project (COOP) Functional Assessment Charts (Nelson et al 1987). Although pain intensity is based on a self-report and single-item Likert-type scale, it is the standard pain measurement used in clinics and community-based health services (Brooks et al 2018a). Respondents rate their pain during the past 2 weeks on a 5-point Likert-type scale ranging from 1 (no pain) to 5 (severe pain) according to illustrations depicting corresponding pain levels.…”

Section: Predictor Variablementioning

confidence: 99%

“…Moderate-to-severe levels of intense pain significantly affects 35% of adults with schizophrenia (Stubbs et al 2014), which is consistent with rates in the general population (Murray et al 2013). Remarkably though, little is known about intense pain and its impact in schizophrenia research (Brooks et al 2018a). Given that late-life pain interferes with agingrelated adjustment and is associated with depressive symptoms in U.S. older adults without serious mental illnesses (Reid et al 2015), describing the physical and mental health characteristics of pain is critical among high-risk older adults experiencing serious mental illnesses (Almeida et al 2014;Bartels 2004).…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Pain Intensity and Depressive Symptoms Among Community-Dwelling Older Adults with Schizophrenia Spectrum Disorders

Brooks

Blake

Sánchez

et al. 2019

Community Ment Health J

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Older adults with schizophrenia have some of the highest rates of both medical and psychiatric comorbidities. Despite this, little is known about comorbid pain and depressive symptoms in schizophrenia research. This study aimed to examine the associations between levels of pain intensity and depressive symptoms among community-dwelling adults aged 50 years and older with schizophrenia spectrum disorders. Recruited from U.S. community mental health centers, participants reported on pain and depressive symptoms at the onset of the Helping Older People Experience Success (HOPES) study. Unadjusted and adjusted regression analyses were conducted. Higher pain intensity was associated with elevated depressive symptoms in all analyses, which is consistent with other studies in the general population. Given the widespread efforts to manage pain and related mental health complications in older adults without serious mental illnesses, it is likewise important that community-based mental health professionals monitor and address intense pain and related depressive symptoms among older adults with schizophrenia.

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Pain intensity, depressive symptoms, and functional limitations among older adults with serious mental illness

Cited by 17 publications

References 30 publications

Patient Versus Informal Caregiver Proxy Reports of Pain Interference in Persons With Dementia

Patient Versus Informal Caregiver Proxy Reports of Pain Interference in Persons With Dementia

Neuropathic Pain Prevalence of Older Adults in an Urban Area of Iran: A Population-Based Study

Self-Reported Pain Intensity and Depressive Symptoms Among Community-Dwelling Older Adults with Schizophrenia Spectrum Disorders

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