Journal article
Sociodemographic characteristics, health conditions, and functional impairment among older adults with serious mental illness reporting moderate-to-severe pain
Psychiatric rehabilitation journal, Vol.41(3), pp.224-233
09/2018
DOI: 10.1037/prj0000316
PMCID: PMC6123826
PMID: 30160508
Abstract
To compare adults aged ≥50 years with serious mental illness reporting moderate-to-severe pain to older adults with serious mental illness without pain with respect to sociodemographic characteristics, health conditions, and functional impairment.
Secondary data analyses were conducted using baseline assessments of 183 participants recruited for the Helping Older People Experience Success (HOPES) study from three community mental health centers. The primary outcome was self-reported, nonexperimentally induced, moderate-to-severe pain (referent = no-to-mild pain). Predictor variables consisted of sociodemographic characteristics, health conditions, and functional impairment. We conducted univariable and multivariable logistic regression analyses to examine the associations between these variables.
Sixty-one participants (33.3%) from our sample reported pain. Pain was associated with all of the sociodemographic and health-related factors in univariable analyses. In the multivariable model, only older age, pain-related activity interference, and physical and emotional health-related social limitations were significantly associated with pain.
The presence of moderate-to-severe pain in older adults with serious mental illness is associated with pain-attributable impairment of activities and social problems above and beyond the substantial functional limitations routinely experienced by this high-risk, high-need group. Given the high rates of preexisting conditions and persistent social impairment among these older adults, our findings suggest that pain may contribute to worse overall functional outcomes. Future research and clinical interventions focused on improving outcomes should include an evaluation of pain as a contributor to decreased functioning and assess the need for early intervention, nonpharmacological pain management, or other health promotion services in psychiatric rehabilitation. (PsycINFO Database Record
Details
- Title: Subtitle
- Sociodemographic characteristics, health conditions, and functional impairment among older adults with serious mental illness reporting moderate-to-severe pain
- Creators
- Jessica M Brooks - Department of Psychiatry, Geisel School of Medicine and Centers for Health and Aging, Dartmouth CollegeEmre Umucu - Department of Rehabilitation Sciences, University of Texas at El PasoGarrett E Huck - Department of Rehabilitation and Human Services, Penn State HazletonKaren Fortuna - Department of Psychiatry, Geisel School of Medicine and Centers for Health and Aging, Dartmouth CollegeJennifer Sánchez - Department of Rehabilitation and Counselor Education, The University of IowaChungyi Chiu - Department of Kinesiology and Community Health, University of Illinois at Urbana ChampaignStephen J Bartels - Department of Psychiatry, Geisel School of Medicine and Centers for Health and Aging, Dartmouth College
- Resource Type
- Journal article
- Publication Details
- Psychiatric rehabilitation journal, Vol.41(3), pp.224-233
- Publisher
- United States
- DOI
- 10.1037/prj0000316
- PMID
- 30160508
- PMCID
- PMC6123826
- ISSN
- 1095-158X
- eISSN
- 1559-3126
- Grant note
- T32 MH073553 / NIMH NIH HHS Dartmouth Health Promotion and Disease Prevention Research Center L30 MH114357 / NIMH NIH HHS U48DP005018 / ACL HHS NIMH NIH HHS
- Language
- English
- Date published
- 09/2018
- Academic Unit
- Counselor Education
- Record Identifier
- 9983993495402771
Metrics
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