The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure

Christine Haedtke; Marianne Smith; John VanBuren; Dawn Klein; Carolyn Turvey

doi:10.1016/j.pmn.2017.05.005

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The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure

Journal article

Peer reviewed

The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure

Christine Haedtke, Marianne Smith, John VanBuren, Dawn Klein and Carolyn Turvey

Pain management nursing, Vol.18(6), pp.353-362

12/2017

DOI: 10.1016/j.pmn.2017.05.005

PMCID: PMC5705402

PMID: 28843637

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Abstract

Heart failure (HF) is a costly and growing health problem that is routinely complicated by chronic pain and depression. The purpose of this paper is to describe the characteristics of pain and pain management in depressed HF patients. In this descriptive cross-sectional study, we analyzed data from 62 participants with depression and class II-IV HF. Study variables of interest were collected from the Brief Pain Inventory, Beck Depression Inventory, and Rand-36. Almost all participants (98%) had some pain in the past month and most had pain in the last 24 hours (66%). The median pain score was 4 (0-10 scale) with the majority reporting moderate to severe pain. The median pain interference score was 4.42 (0-10 scale) with the majority reporting moderate to extreme interference. Medication to treat pain was used by all participants who reported pain, with only 5% also using nonpharmacologic treatment. The majority of participants reported moderate or severe pain while also having moderate to extreme pain interference. Nonpharmacologic pain treatments were severely underused. Women were more likely to have higher levels of pain intensity and more pain interference than men, suggesting that additional screening for the impact of pain is especially important in women. The wide variety of body areas affected, along with moderate to high intensity pain and considerable interference scores reported, indicate that pain was ineffectively treated. Nonpharmacologic treatments should be considered to decrease the impact of pain.

Analgesics - pharmacology

Analgesics - therapeutic use

Chronic Pain - diagnosis

Cross-Sectional Studies

Humans

Middle Aged

Psychometrics - instrumentation

Male

Chronic Pain - psychology

Heart Failure - therapy

Pain - psychology

Pain Measurement - methods

Psychometrics - methods

Depression - psychology

Female

Aged

Quality of Life - psychology

Depression - therapy

Heart Failure - psychology

Details

Title: Subtitle: The Characteristics of Pain in Patients Diagnosed with Depression and Heart Failure
Creators: Christine Haedtke - University of Kentucky, College of Nursing, Lexington, Kentucky. Electronic address: christine.haedtke@uky.edu
Marianne Smith - Hartford Center of Geriatric Nursing Excellence, University of Iowa College of Nursing, Iowa City, Iowa
John VanBuren - Division of Critical Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah
Dawn Klein - University of Iowa Psychiatry Research, Iowa City VA Health Care System, Iowa City, Iowa
Carolyn Turvey - University of Iowa Carver College of Medicine, Iowa City VA Health Care System, Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City, Iowa
Resource Type: Journal article
Publication Details: Pain management nursing, Vol.18(6), pp.353-362
DOI: 10.1016/j.pmn.2017.05.005
PMID: 28843637
PMCID: PMC5705402
NLM abbreviation: Pain Manag Nurs
ISSN: 1524-9042
eISSN: 1532-8635
Publisher: United States
Grant note: T32 HL091812 / NHLBI NIH HHS R01 MH086482 / NIMH NIH HHS
Language: English
Date published: 12/2017
Academic Unit: Psychiatry; Epidemiology; Nursing
Record Identifier: 9984064141002771

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