Pain-induced depression is related to overestimation of sleep quality in a very elderly population with pain

Abstract

ARTICLE Pain-induced depression is related to overestimation of sleep quality in a very elderly population with painDepressão-dor induzida está relacionada à superestimação da qualidade do sono em longevos com dor . Although the prevalence of sleep disorders in patients with chronic pain ranges between 50% and 88%, the perception of this issue is poor ABSTRACT Objective:To study the quality of sleep in very elderly people with chronic pain. Methods: We investigated 51 very elderly people without dementia and with chronic pain according to the Geriatric Pain Measure. Katz and Lawton questionnaires were used to evaluate functionality. The Geriatric Depression Scale and Geriatric Psychosocial Assessment of Pain-induced Depression were also used. Self-perceptions of sleep and quality of sleep were checked using the Pittsburgh Sleep Quality Index. Results: Moderate pain was seen in 64.7% participants. The tracking of depression was positive for 41.2%. Poor quality of sleep was noted in 49% of them, but 82.3% perceived that they had a very good, or a good, sleep. The main factors associated with poor sleep quality were measurement of pain, self-perception of sleep, and pain-induced depression. Conclusion: Very elderly people with chronic pain, and without dementia, had a higher prevalence of poor sleep; however, they overestimated their sleep quality. Poor quality of sleep was associated with a poor self-perception of sleep and pain-induced depression.Keywords: chronic pain; sleep; aging; aged. RESUMOObjetivo: Estudar a qualidade do sono em longevos com dor crônica. Métodos: Foram investigados 51 longevos sem demência e com dor crônica de acordo com o Geriatric Pain Measure. Os questionários de Katz e Lawton foram utilizados para avaliar a funcionalidade. Para o rastreio de depressão foram usados o Geriatric Depression Scale e Geriatric Psychosocial Assessment of Pain-induced Depression. Auto-percepção e qualidade do sono, de acordo com o Pittsburgh Sleep Quality Index, também foram verificados. Resultados: Dor moderada foi observada em 64,7% dos participantes. O rastreamento de depressão foi positivo para 41,2% da amostra. Má qualidade do sono foi observada em 49% deles, entretanto 82,3% dos participantes tiveram uma muito boa ou boa auto-percepção do sono. Os principais fatores associados à má qualidade do sono foram mensuração da dor, auto-percepção ruim do sono e depressão induzida por dor. Conclusão: Os longevos com dor crônica e sem demência apresentam maior prevalência de sono de má qualidade, entretanto com superestimação desta. A má qualidade do sono foi associada com auto-percepção do sono ruim e depressão induzida por dor.Palavras-chave: dor crônica; sono; envelhecimento; idoso.

Depressão e intensidade de dor crônica em idosos

“…Além de elevada, a prevalência de depressão entre os idosos do presente estudo foi maior do que a apresentada por idosos da comunidade (Terassi, Rossetti, Luchesi, Say-Gramani, Hortense, & Pavarini, 2020;Oladeji et al, 2011;MacCarthy, Bigal, Katz, Derby, & Lipton, 2009;Felix, Almeida, Cremaschi, Coelho, & Santo, 2016;Mossey & Gallagher, 2004). No entanto, o valor encontrado se aproximou das taxas descritas em estudos que investigaram a prevalência de depressão em pessoas que aguardavam atendimento em clínicas de dor (60,8 e 86,0%) (Pinheiro, Uchida, Mathias, Perez, & Cordeiro, 2014;Poole, White, DClinPsych, DClinPsych, Murphy, & Bramwell, 2009).…”

Relevant factors of depression in dementia modifiable by non‐pharmacotherapy: a systematic review

“…suggested that analgesics may increase the total symptom burden due to adverse effects or interactions with other drugs, thus causing depression . Finally, pain can cause sleep disturbances, which strongly influence depression . Therefore, pain appears to both directly and indirectly affect depression.…”

Pharmacological treatment of chronic non-malignant pain among elderly persons: an integrative review

“…When caring for the elderly, mental health is an essential factor to be evaluated. The rate of depression, which is high in this age group, contributes to the precipitation and perpetuation of chronic pain 8,46 . Degrees of independence and cognitive function should also be considered as they can affect how complaints of pain are manifested, as well as the therapeutic approach to be established and adherence to treatment 47 .…”

“…According to the International Association for the Study of Pain (IASP), pain is an unpleasant sensation or emotional experience associated with actual or potential tissue damage, and may be acute (lasting less than 12 weeks) or chronic (lasting longer than 12 weeks), as well as presenting several pathophysiological mechanisms 7 . Its consequences are multidimensional, altering the physiological, psychological, functional and social variables of the individual 8 .…”