Pain severity, interference, and prescription analgesic use among depressed, low-income homebound older adults

Choi, Namkee G.; Snow, A. Lynn; Kunik, Mark E.

doi:10.1080/13607863.2015.1037244

Cited by 9 publications

(6 citation statements)

References 64 publications

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“…We found that pain interference was positively associated with depression, which is consistent with previous studies of hemodialysis patients (56). It was recently reported that pain interference was more significantly associated with depression than pain intensity in cohorts with various pain issues (57,58), implying that with the appropriate assessment tool, pain interference can provide more useful information for healthcare workers. More specifically, patient-reported outcome measures of pain interference can help healthcare workers design personalized illness or symptom management programs (59).…”

Section: Discussionsupporting

confidence: 91%

Depression and Associated Factors in Chinese Patients With Chronic Kidney Disease Without Dialysis: A Cross-Sectional Study

Duan

Yang

Zhang

et al. 2021

Front. Public Health

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Background: Chronic kidney disease (CKD) has been a globally public health problem over the past decades. The maintenance of physical and mental health is of importance for patients nowadays. Notably, depression is prevalent and associated with various adverse events in CKD patients without dialysis. Prior studies have reported that pain, negative illness perception, pain, and low self-esteem are potential risk factors of depression, while few studies have comprehensively investigated the mechanisms among these factors and depression among this population.Purpose: This study aims to investigate the prevalence of depression and further explore the factors associated with depression among CKD patients without dialysis in China.Design and Methods: We conducted a cross-sectional study in patients with diagnosed CKD to investigate the prevalence of depression was by the Beck Depression Inventory-II (BDI-II). The data on pain interference, illness perception, and self-esteem were also collected via self-administered questionnaires. A structural equation model (SEM) was used to examine the factors associated with depression.Main Findings: From June to October 2019, we successfully interviewed 334 CKD patients at the outpatient clinics. Their mean age was 45.6 years (ranging from 19 to 74 years), and 48.5% were male. Most respondents were at early CKD stages (77.5% stage 1–3) and the prevalence of depression was 22.2%. We found a moderate association between illness perception and depression, which was modified by self-esteem. Similar but weaker association was found between pain interference and depression.Conclusion and Recommendations: Negative illness perception, low self-esteem and severe pain interference were associated with depression among Chinese CKD patients without dialysis. Future studies are warranted to investigate the underlying mechanism and formulate the intervention strategies for this high-risk population.

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Section: Discussionsupporting

confidence: 91%

Depression and Associated Factors in Chinese Patients With Chronic Kidney Disease Without Dialysis: A Cross-Sectional Study

Duan

Yang

Zhang

et al. 2021

Front. Public Health

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“…21) Pain intensity and frequency have been repeatedly reported to be significantly associated with depression and this was also shown to be true in older adults. 22) The results show that the prevalence of signs and symptoms of TMD decrease with age. There were more patients with high disability in the 30-year-old age group.…”

Section: Discussionmentioning

confidence: 90%

Age Differences in Signs and Symptoms of Patients with Temporomandibular Disorders

Jo¹,

Park²,

Kim³

et al. 2015

Journal of Oral Medicine and Pain

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The aims of this study were to evaluate the differences in subjective symptoms, clinical characteristics, distribution according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) subgroup, psychological profile of TMD patients, and to identify the prevalence and trend according to age. Methods: A total of 1,052 patients (261 men and 791 women; mean age, 34.40±15.73 years) who visited the Orofacial Pain Clinic of the Department of Oral Medicine, Seoul National University Dental Hospital complaining of TMD symptoms of were evaluated. All patients were questioned for medical history, clinical symptoms and contributing factors. Clinical examination and patient grouping based on RDC/TMD was conducted. Radiographies were taken. The Korean version of RDC/TMD axis II and Symptom Checklist-90-Revision (SCL-90-R) were administered to evaluate pain-related disability level and psychological status of the patients.Results: Prevalence peaked in the 20-year-old age group. There were more women than men in all groups. The highest T-score among SCL-90-R dimensions was somatization in each group, except for teenagers who showed the highest T-score in interpersonal sensitivity. The 30-yearold age group showed the highest distribution of high disability based on the graded chronic pain scale. Age was positively associated with pain intensity (r=0.100), number of positive muscles on palpation (r=0.137) and negatively associated with maximum mouth opening (r=-0.168). Conclusions:Subjective symptoms and clinical characteristics of TMD patients show distinct tendencies according to different age groups. Treatment should be customized and personalized according to age for efficient symptom resolution and patient satisfaction.

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“…Of those studies that used a framework ( n = 39, 58.2%), examples include Black feminist thought and critical arts-based inquiry, 35 participatory action research, 55 Gadamerian philosophical hermeneutics, 36 two nested hierarchical models (Bronfenbrenner’s bioecological model and social ecological model), 16 the National Institute on Aging Health Disparities Research Framework, 31 Newman’s theory, 48 the sociology of illness experience, 60 Rhodes’ risk environment framework, 61 Bronfenbrenner’s process–person–context–time model, 46 Neuman’s systems model, 62 the life course perspective, 45 and the biopsychosocial model. 28 , 30 , 32 , 43 , 63 , 64 We noted that studies that drew on theory offered more fulsome understandings of and approaches to marginalization, which sheds light on the structures underpinning aspects of chronic pain experiences among marginalized groups. For example, through the lens of Black feminist thought, Anthym 35 (p18) powerfully illuminates “the interlocking oppressions of race, gender, and class experienced by Black women” while “center[ing] alternative sources of knowledge, as well as alternative methods of knowledge validation.” Nevertheless, only a minority of studies clearly offered a theoretical view of the processes of marginalization.…”

Section: Resultsmentioning

confidence: 99%

Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

Connoy,

Solomon,

Longo

et al. 2024

Canadian Journal of Pain

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Background There has been a recent and, for many within the chronic pain space, long-overdue increase in literature that focuses on equity, diversity, inclusion, and decolonization (EDI-D) to understand chronic pain among people who are historically and structurally marginalized. Aims In light of this growing attention in chronic pain research, we undertook a scoping review of studies that focus on people living with chronic pain and marginalization to map how these studies were carried out, how marginalization was conceptualized and operationalized by researchers, and identify suggestions for moving forward with marginalization and EDI-D in mind to better support people living with chronic pain. Methods We conducted this scoping review using critical analysis in a manner that aligns with dominant scoping review frameworks and recent developments made to scoping review methodology as well as reporting guidelines. Results Drawing on 67 studies, we begin with a descriptive review of the literature followed by a critical review that aims to identify fissures within the field through the following themes: (1) varying considerations of sociopolitical and socioeconomic contexts, (2) conceptual conflations between sex and gender, and (3) differing approaches to how people living with chronic pain and marginalization are described. Conclusion By identifying strengths and limitations in the research literature, we aim to highlight opportunities for researchers to contribute to a more comprehensive understanding of marginalization in chronic pain experiences.

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Pain severity, interference, and prescription analgesic use among depressed, low-income homebound older adults

Abstract: The findings underscore the significant pain-related problems in these vulnerable individuals and the need for recognizing and treating both pain and depression more effectively using both pharmacologic and nonpharmacologic interventions.

Cited by 9 publications

References 64 publications

Depression and Associated Factors in Chinese Patients With Chronic Kidney Disease Without Dialysis: A Cross-Sectional Study

Depression and Associated Factors in Chinese Patients With Chronic Kidney Disease Without Dialysis: A Cross-Sectional Study

Age Differences in Signs and Symptoms of Patients with Temporomandibular Disorders

Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

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