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Pain grade and sleep disturbance in older adults: evaluation the role of pain, and stress for depressed and non-depressed individuals.
- Source :
- International Journal of Geriatric Psychiatry; May2016, Vol. 31 Issue 5, p450-457, 8p
- Publication Year :
- 2016
-
Abstract
- <bold>Objective: </bold>The aim of this paper was to assess the relationship between pain and sleep in older adults taking depression, stress, and medical comorbidities into account.<bold>Methods: </bold>A cross-sectional analysis was performed using Einstein Aging Study, a community-based cohort study of adults aged 70 years and older. Ratings of pain intensity and interference from the Medical Outcomes Study (MOS) Short-Form 36 were used to assign individuals to low-pain versus high-pain severity. Sleep disturbance was assessed using the nine-item sleep problems index from the Medical Outcomes Study Sleep Scale. Other measures included the Geriatric Depression Scale and Perceived Stress Scale (PSS). Linear regression models were used to assess the association between pain grade and sleep disturbance adjusted for demographics, PSS, Geriatric Depression Scale, and other comorbidities.<bold>Results: </bold>Five hundred sixty-two eligible participants with a mean age of 78.22 years (standard deviation = 5.43) were included; 64% were women. Pain grade [β = 5.40, 95% confidence interval (CI) 2.56-8.21, p < 0.001] was associated with sleep disturbance after adjusting for demographic variables. In models including pain grade (β = 3.08, 95% CI 0.32-5.85, p = 0.03) and PSS (β = 0.57, 95% CI 0.39-0.75, p < 0.001), both were associated with sleep disturbance, although the PSS attenuated the relationship between pain and sleep by 34%. Depression, when added to previous model, was also associated with sleep (β = 2.17, 95% CI 1.48-2.85, p < 0.001) and attenuated the relationship between pain (β = 2.41, 95% CI -0.25 to 5.08, p = 0.07) and sleep by 22%. Stratified for depression, we found that pain, stress, and other medical comorbidities were significantly associated with sleep disturbance in non-depressed individuals but not individuals with depression.<bold>Conclusions: </bold>Pain, stress, and medical comorbidities are associated with sleep disturbance, especially in non-depressed older adults. [ABSTRACT FROM AUTHOR]
- Subjects :
- SLEEP disorders
HEALTH of older people
PERCEIVED Stress Scale
CROSS-sectional method
COMORBIDITY
PAIN
PATIENTS
PAIN & psychology
COMPARATIVE studies
MENTAL depression
HEALTH status indicators
HEALTH surveys
LONGITUDINAL method
RESEARCH methodology
MEDICAL cooperation
QUALITY of life
QUESTIONNAIRES
RESEARCH
RESEARCH funding
PSYCHOLOGICAL stress
EVALUATION research
SEVERITY of illness index
GERIATRIC Depression Scale
PSYCHOLOGICAL factors
Subjects
Details
- Language :
- English
- ISSN :
- 08856230
- Volume :
- 31
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- International Journal of Geriatric Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 114190215
- Full Text :
- https://doi.org/10.1002/gps.4349