Age Differences in the Correlates of Physical Functioning in Patients With Chronic Pain

Edwards, Robert R.

doi:10.1177/0898264305280976

Cited by 44 publications

(40 citation statements)

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“…Pain is an important factor contributing to poor overall physical health states in older people (Cooper & Kohlmann, 2001; also see Edwards, 2006). Similar to the perceived stress literature in older adults, something of a paradox exists in studies describing chronic pain in this population.…”

mentioning

confidence: 89%

“…Pain is an important factor contributing to poor overall physical health states in older people (Cooper & Kohlmann, 2001; also see Edwards, 2006).…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

“…Larger population-based studies have described rates around 40% to 50%, a twofold increase over younger adults (Catala et al, 2002). Although the prevalence of certain pain conditions decreases with age (e.g., headache pain; Lipton, Pfeffer, Newman, & Soloman, 1993), the high prevalence of pain in older adults likely reflects an increased risk of painful conditions, such as osteoarthritis and peripheral vascular disease (Centers for Disease Control and Prevention, 2005;Srikanth et al, 2005).Pain can significantly interfere with quality of life in older people through associations with sleep disturbance (Ferrell et al, 1990;Magni, Marchetti, Moreschi, Merskey, & Luchini, 1993), decreased social functioning (Bookwala, Harralson, & Parmelee, 2003), increased health care utilization and cost (Gallagher, Merna, & Mossey, 2000), disability or functional Mejía-Arango, & Gutiérrez-Robledo, 2007;Edwards, 2006), and increased negative affect (e.g., Davidson, Feldman, & Crawford, 1994;Radloff & Teri, 1986;Thomas, Peat, Harris, Wilkie, & Croft, 2004). Pain is an important factor contributing to poor overall physical health states in older people (Cooper & Kohlmann, 2001; also see Edwards, 2006).…”

mentioning

confidence: 99%

“…Pain can significantly interfere with quality of life in older people through associations with sleep disturbance (Ferrell et al, 1990;Magni, Marchetti, Moreschi, Merskey, & Luchini, 1993), decreased social functioning (Bookwala, Harralson, & Parmelee, 2003), increased health care utilization and cost (Gallagher, Merna, & Mossey, 2000), disability or functional dependence (Dorantes-Mendoza, Avila-Funes, Mejía-Arango, & Gutiérrez-Robledo, 2007;Edwards, 2006), and increased negative affect (e.g., Davidson, Feldman, & Crawford, 1994;Radloff & Teri, 1986;Thomas, Peat, Harris, Wilkie, & Croft, 2004). Pain is an important factor contributing to poor overall physical health states in older people (Cooper & Kohlmann, 2001; also see Edwards, 2006).…”

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confidence: 99%

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Coping With Chronic Pain Among Younger, Middle-Aged, and Older Adults Living With Neurological Injury and Disease

et al. 2008

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Objective-This article compares use of pain coping strategies among older, middle-aged, and younger adults living with chronic pain and seeks to determine whether the relationship between pain severity and coping is moderated by age.Method-Participants were 464 adults reporting chronic pain secondary to multiple sclerosis, spinal cord injury, or neuromuscular disease. Participants completed a survey including measures of pain severity and the Chronic Pain Coping Inventory.Results-After controlling for clinical and demographic variables, older adults (older than 60) reported a wider range of frequently used strategies and significantly more frequent engagement in activity pacing, seeking social support, and use of coping self-statements than did younger or middleaged adults. Moderation analyses suggest that, for younger adults, efforts at coping generally increased with greater pain severity, whereas this relationship did not exist for older adults.Discussion-These data suggest differences in the quantity and quality of pain coping among age groups. Keywords chronic pain; older adults; SCI; MS; neuromuscular diseaseAging is associated with a number of uncontrollable stressors, including retirement, financial strain, bereavement, changes in social support, and health decline (Aldwin, 1990;Krause, Jay, & Liang, 1991;Murrell, Norris, & Hutchins, 1984). Despite this, most research has demonstrated a decline in perceived stress and increase in well-being with increasing age (e.g., NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript Aldwin, 1991;Paykel, 1983;Silverman, Eichler, & Williams, 1987). Consistent with this observation, research during the past several decades has examined the ways that older adults cope with stressors and has noted differences in both the process and the content of coping as compared to younger adults. In general, these differences have favored older adults, suggesting more effective coping in later life. For example, from the psychodynamic or developmental perspective, Vaillant (1977) reported that middle-aged men used fewer neurotic and immature defense mechanisms as compared to their younger selves. More recently, Diehl, Coyle, and Labouvie-Vief (1996) reported that a group of older adults reported a combination of coping strategies indicative of "greater impulse control" and positive appraisal of conflict situations as compared to younger adults and adolescents. Studies of standardized measures of coping have also supported these findings, suggesting that older adults generally use less escapism and avoidant coping (Aldwin & Revenson, 1985, cited in Aldwin, 1991 Irion & BlanchardFields, 1987). However, findings of more effective or positive coping in older adults have not been consistent across stressors or populations. Folkman, Lazarus, Pimley, and Novacek (1987) found that older people used relatively more escape avoidance, although this effect could not be replicated by Aldwin (1991). Furthermore, very small (Aldwin, Sutton, Chiara, & Spiro, 1996) or n...

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confidence: 89%

“…Pain is an important factor contributing to poor overall physical health states in older people (Cooper & Kohlmann, 2001; also see Edwards, 2006).…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Coping With Chronic Pain Among Younger, Middle-Aged, and Older Adults Living With Neurological Injury and Disease

et al. 2008

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“…Pain can lead to decreased mobility and appetite, altered sleep and rest patterns, and decreased social interaction. All of these effects can contribute to a loss of function, impaired cognition and reduced quality of life [3][4][5][6]. Therefore, unrelieved pain in this population represents a serious health issue affecting frail older adults.…”

Section: Introductionmentioning

confidence: 99%

Developing recommendations for implementing the Australian Pain Society's pain management strategies in residential aged care

et al. 2008

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Age differences in cognitive–affective processes in adults with chronic pain

Murray

Patel

Twiddy

et al. 2021

European Journal of Pain

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Background: Chronic pain is associated with significant physical and psychological impairments across the adult lifespan. However, there is a relative gap in knowledge on individual differences that predict pain-related functioning. The current study highlights one important source of individual variation: age. Methods: We used cross-sectional data from a large treatment-seeking cohort of 2,905 adults (M age = 46.6 [13.1]; 71.8% women) presenting to a tertiary pain centre in the United Kingdom to determine age differences in cognitive-affective processes (catastrophizing, acceptance, self-efficacy), including their differential patterns and effects on disability and depression. Results: Older adults (ages 65-75) were found to experience higher pain acceptance and pain self-efficacy compared to both middle-aged (ages 40-64) and young adult (ages 18-39) age groups. Older adults also experienced lower levels of catasophizing compared to middle-age adults. Testing age as a moderator, we found that the relationships of pain self-efficacy and acceptance with depression as well as the relationship between pain self-efficacy and disability were comparatively weakest among older adults and strongest among young adults. Similarly, the relationship between pain catastrophizing and depression was relatively stronger for young and middleaged adults compared to older adults. Conclusions: Age-related differences in psychological mechanisms that influence pain-related functioning present unique challenges and opportunities for scientists and clinicians to improve our understanding and treatment of pain across the lifespan. Additional work is needed to refine our knowledge of age-related differences in cognitive-affective, biopsychosocial dimensions of chronic pain and to develop and test the efficacy of age-tailored interventions. Significance: Our cross-sectional analysis of 2,905 treatment-seeking adults with chronic pain presenting to a tertiary care center in the United Kingdom revealed distinct age differences in cognitive-affective linked to disability and depression.This study contributes to the limited knowledge on age-related variance in psychological mechanisms underlying adjustment to chronic pain. Promising avenues for future research include refining our understanding of age-related differences in How to cite this article: Murray CB, Patel KV, Twiddy H, Sturgeon JA, Palermo TM. Age differences in cognitive-affective processes in adults with chronic pain.

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Age Differences in the Correlates of Physical Functioning in Patients With Chronic Pain

Abstract: These data suggest that the determinants of functioning may vary across the life span, implying a potential for pain management programs tailored to a patient's age.

Cited by 44 publications

References 33 publications

Coping With Chronic Pain Among Younger, Middle-Aged, and Older Adults Living With Neurological Injury and Disease

Coping With Chronic Pain Among Younger, Middle-Aged, and Older Adults Living With Neurological Injury and Disease

Developing recommendations for implementing the Australian Pain Society's pain management strategies in residential aged care

Age differences in cognitive–affective processes in adults with chronic pain

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