Chronic pain as perceived by older people: a qualitative study

Sofaer, Beatrice; Moore, Ann; Holloway, Immy; Lamberty, John; Thorp, Tom; O'Dwyer, Joseph

doi:10.1093/ageing/afi139

Cited by 61 publications

(57 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The respondents were continuously on guard to detect changes in body sensations, and often managed through their own actions to reverse symptoms and maintain normalcy when stiffness and tiredness became worse. In contrast, during episodes of inexplicable and unmanageable pain, the sensations could not be reversed by their own actions and both their bodies and their everyday lives went out of control (9,25). One could say that their life's normalcy fell to pieces.…”

Section: Discussionmentioning

confidence: 99%

Living with a fluctuating illness of ankylosing spondylitis: A qualitative study

Mengshoel¹

2008

Arthritis & Rheumatism

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Living with a fluctuating illness of ankylosing spondylitis: A qualitative study

Mengshoel¹

2008

Arthritis & Rheumatism

View full text Add to dashboard Cite

“…The greater PASS thresholds for PROs with increasing age and disease duration are also consistent with the increasing irreversibility of disease. In addition, qualitative research has shown an increasing age-related adaptation to chronic pain focused around increasing personal and societal acceptance, resourcefulness in seeking distraction, pacing, and viewing others as worse off (18). The increased likelihood of attaining PASS in men has not been reported, and it is unclear why sex should impact attainment of the PASS but not the other response outcomes.…”

Section: Discussionmentioning

confidence: 99%

Thresholds of patient‐reported outcomes that define the patient acceptable symptom state in ankylosing spondylitis vary over time and by treatment and patient characteristics

Maksymowych

Gooch

Dougados

et al. 2010

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. The patient acceptable symptom state (PASS) is a single-question outcome tool to assess the level of symptoms at which patients with rheumatic diseases consider themselves well. We evaluated whether ankylosing spondylitis (AS) patient characteristics were associated with attaining the PASS and whether these characteristics influenced PASS thresholds for patient-reported outcome (PRO) tools. Methods. The Adalimumab Trial Evaluating Long-term Efficacy and Safety for Ankylosing Spondylitis was a randomized, placebo-controlled study that evaluated the efficacy and safety of adalimumab in treating AS. The PASS and PROs were assessed over 24 weeks. PASS thresholds for PROs were set as either the 25th or 75th percentiles of the PRO response score. Logistic regression analyses were conducted to determine the associations of particular patient characteristics with the PASS and other response outcomes at 12 weeks (ASessment in Ankylosing Spondylitis International Working Group criteria for 20% improvement [ASAS20], ASAS40, ASAS5/6, ASAS partial remission, and Bath Ankylosing Spondylitis Disease Activity Index 50% improvement). Results. Age >40 years, disease duration >10 years, female sex, placebo treatment, and English-speaking site were consistently associated with greater PASS thresholds for PROs. Age, male sex, disease duration, and treatment were each independently associated with attainment of the PASS at 12 weeks. Only age and treatment were independently associated with other response outcomes. PASS thresholds also decreased over 24 weeks. Conclusion. PASS thresholds for PROs changed over time. These thresholds, as well as the attainment of the PASS, were affected by covariates unrelated to treatment. If confirmed in other studies, these results cast doubt on using the PASS to assess absolute health status in clinical research.

show abstract

“…The method of questionnaire administration varied somewhat and was not always explicitly stated. At least two were undertaken by mail (Dezutter et al, 2010;Meisenhelder & Chandler, 2000), seven in person (Dunn & Horgas 2004;Greene Bush et al, 1999;Rifkin et al, 1999;Rippentrop et al, 2005;Rosenstiel & Keefe 1983;Sofaer et al, 2005;Yates et al, 1981), two by phone (Dessio et al, 2004;McCaffrey et al, 2004) and one on-line (Andersson, 2008). One study assessed intervention (prayer) (Matthews et al, 2000) and one used secondary data from a larger cognitive behavioral therapy intervention study (Andersson, 2008).…”

Section: Methodsmentioning

confidence: 99%

Religious Identity and the Experience and Expression of Chronic Pain: A Review

Closs

Edwards

Swift

et al. 2013

Journal of Religion, Disability & Health

View full text Add to dashboard Cite

Chronic pain as perceived by older people: a qualitative study

Abstract: understanding chronic pain sufferers from their own perspective may have important clinical implications. The interview data informed the development of a booklet designed to meet the needs of older patients with chronic pain.

Cited by 61 publications

References 15 publications

Living with a fluctuating illness of ankylosing spondylitis: A qualitative study

Living with a fluctuating illness of ankylosing spondylitis: A qualitative study

Thresholds of patient‐reported outcomes that define the patient acceptable symptom state in ankylosing spondylitis vary over time and by treatment and patient characteristics

Religious Identity and the Experience and Expression of Chronic Pain: A Review

Contact Info

Product

Resources

About