Translational behavioral pain management: new directions and new opportunities

Keefe, Francis J.

doi:10.1007/s13142-012-0117-8

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…For example, cognitive behavioral therapy for pain improves function and reduces distress by teaching self-management skills. 11 Although few older adults with chronic pain currently receive such non-pharmacologic treatments, 11,22 access may be expanded via new delivery modes (e.g., internet) and greater reimbursement by insurers. Ultimately, such changes may help curb widespread opioid misuse and overuse.…”

Section: Discussionmentioning

confidence: 99%

Racial and Socioeconomic Disparities in Disabling Chronic Pain: Findings From the Health and Retirement Study

Janevic

McLaughlin

Heapy

et al. 2017

The Journal of Pain

189

117

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The U.S. National Pain Strategy calls for increased population research on “high impact chronic pain,” i.e., longstanding pain that substantially limits participation in daily activities. Using data from the nationally-representative Health and Retirement Study (HRS), we investigated the prevalence of high-impact chronic pain in U.S. adults over age 50 overall and within population subgroups. We also explored sociodemographic variation in pain-related disability within specific activity domains. Data are from a subsample of HRS respondents (n=1,925) who were randomly selected for a supplementary pain module in 2010. Our outcome was operationalized as pain duration of ≥7 months and a disability rating of ≥7 (0 to 10 scale) in at least one domain: family/home, leisure, social activities, work, or basic activities. Overall, 8.2% (95% C.I. = 6.7 to 10.1%) of adults over age 50 met criteria for high-impact chronic pain. This proportion rose to 17.1% (95% C.I. = 12.3 to 23.4%) among individuals in the lowest wealth quartile. Prevalence differences by education, race/ethnicity and age were not significant. Arthritis and depression were significantly associated with high-impact pain in multivariable analysis. Among adults with any chronic pain, African Americans and individuals in the lowest wealth quartile reported more pain-related disability across activity domains.

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Section: Discussionmentioning

confidence: 99%