Limitations in Activities of Daily Living in People With Chronic Pain: Identification of Groups Using Clusters Analysis

Dueñas, María; Salazar, Alejandro; Sola, Helena De; Failde, Inmaculada

doi:10.1111/papr.12842

Cited by 19 publications

(15 citation statements)

References 29 publications

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“…Documenting this high prevalence of often severe pain among mature adults in SSA LIC is of substantial public health relevance because pain is frequently accompanied by impaired ability to perform central activities of daily living. Pain can also result in disability and physical limitations among older individuals ( Andrews et al, 2013 ; Dueñas et al, 2020 ; Yiengprugsawan et al, 2017 ) and, therefore, sometimes pain can be interpreted as a sign of increasing frailty or accelerated aging.…”

Section: Discussionmentioning

confidence: 99%

Pain Is Widespread and Predicts Poor Mental Health Among Older Adults in Rural Malawi

Kohler

Ciancio

Kämpfen

et al. 2022

Innovation in Aging

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Background and Objectives Pain is common among older persons and has been documented as an important predictor of disability, health, and economic outcomes. Evidence about its prevalence and relationship to well-being is scarce in rural sub-Saharan Africa (SSA) where work is frequently physically demanding, and pain prevention or treatment options are limited. We investigate the prevalence of pain and its association with mental health and subjective well-being in a population-based study of older adults in rural Malawi. Research Design and Methods We estimate the prevalence, severity, and duration of pain along with its socio-demographic distribution in a sample of 1,577 individuals aged 45+ years. We assess the association of pain with clinically validated measures of mental health, including depression and anxiety, and subjective well-being. Results Pain is widespread in this mature population with an average age of 60 years: 62% of respondents report the experience of at least minor pain during the last year, and half of these cases report severe or disabling pain. Women are more likely to report pain than men. Pain is a strong predictor of mental health and subjective well-being for both genders. More severe or longer pain episodes are associated with worse mental states. Individuals reporting pain are more likely to suffer from depression or express suicidal thoughts. Discussion and Implications Our study identifies key sub-populations such as older women in a SSA low-income context who are particularly affected by the experience of pain in daily life and calls for interventions targeting pain and its consequences for mental health and subjective well-being.

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Section: Discussionmentioning

confidence: 99%

Pain Is Widespread and Predicts Poor Mental Health Among Older Adults in Rural Malawi

Kohler

Ciancio

Kämpfen

et al. 2022

Innovation in Aging

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show abstract

“…To address challenges with biological functions and related activities of daily living, providers should include assessment and treatment of sleep, communication, nutrition, or other aspects of self-care to optimize patients’ health and function despite their pain. 33 Patients may benefit from referrals including occupational therapy for modifications to activities of daily living, 34 speech language pathology for treatment of speech, communication, and swallowing function, and nutrition and dietetics to address patients’ nutritional needs in the setting of odynophagia. Additionally, patients who experience sensory triggers could benefit from counseling to identify their unique environmental triggers, develop predictive awareness to avoid them, and establish a toolkit of strategies to manage them.…”

Section: Discussionmentioning

confidence: 99%

“I Still Suffer Every Second of Every Day”: A Qualitative Analysis of the Challenges of Living with Chronic Orofacial Pain

Lovette¹,

Bannon²,

Spyropoulos³

et al. 2022

JPR

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Objective Chronic orofacial pain is prevalent and debilitating. Psychological and social factors place a heavy burden on this population but are often overlooked. Here, we offer the first comprehensive qualitative conceptualization of the challenges of living with chronic orofacial pain through a biopsychosocial perspective to inform multifaceted care for this population. Design We employed a qualitative thematic analysis of open text responses using a hybrid inductive-deductive approach and a biopsychosocial framework. Methods Two hundred and sixty participants with chronic orofacial pain responded to an open-ended question: “What is the biggest challenge you face in managing your condition?” by typing their responses into a text box as part of an online survey. We mapped responses onto biomedical, psychological, and social themes (deductive) and concurrently identified findings within each theme that emerged directly from the data (inductive). Results Subthemes within the biomedical theme included challenges with biomedical pain management, medication side effects, sensory triggers, physical symptoms of stress/tension, and biological functions and related activities of daily living. Subthemes within the psychological theme included anxiety, depression, emotional symptoms of stress, unpredictability/uncertainty of pain, and psychological and cognitive aspects of medication management. Subthemes within the social theme included social relational, experience with providers, socioeconomics and access to care, and roles and responsibilities. Conclusion Chronic orofacial pain is associated with multifaceted challenges. Consideration of individuals’ experiences of biomedical, psychological, and social challenges in the assessment, referral, and treatment of chronic orofacial pain holds the potential to promote more comprehensive, patient-centered care for this population.

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“…Although age alone may not be a risk factor, increased age and number of years in practice are inseparable. The risk of pain accompanied by limitations of activity does increase with age, and this may account for the risk of more severe symptoms after 10 years in practice (15).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Musculoskeletal Symptoms in Interventional Radiologists

Morrison

Jiao²,

Robinson

et al. 2020

Journal of Vascular and Interventional Radiology

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Purpose: To investigate the prevalence of musculoskeletal symptoms, defined as aches, pains, discomfort, or numbness, by using a validated assessment tool among interventional radiologists. Materials and Methods:A Web-based survey using the Nordic Musculoskeletal Questionnaire was disseminated to interventional radiologist members by email in November 2015. Musculoskeletal symptoms were evaluated in 9 body areas. Information regarding participant demographics, practice details, use of radio-protective equipment, and exercise routines was also gathered. Univariate and multivariate analyses were performed to determine risk factors associated with more severe symptoms.Results: Of 4,096 SIR members at the time of the survey, 640 completed the questionnaire in its entirety (16% response rate). Respondents consisted of 69 females (11%) and 571 males (89%), with a mean age of 47.5 ± 10.2 years old, a mean body mass index of 25.5 ± 3.9 kg/m 2 , and a mean practice length of 17.1 ± 9.8 years. Prevalence of musculoskeletal symptoms was 88% in the 12 months preceding the survey. For those reporting musculoskeletal issues, 58% attributed the symptoms to work-related activities. Lower back (61%), neck (56%), and shoulder complaints (46%) were the most common. Symptoms prevented 21.2% of respondents from being able to work over the same time period. Multivariate analysis identified female gender, above-normal body mass index, and a practice length of 10 years or more as factors associated with a higher risk of moderate-to-severe symptoms.Conclusions: Musculoskeletal symptoms are prevalent among interventional radiologists, the majority of which are attributed to work-related causes.

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Limitations in Activities of Daily Living in People With Chronic Pain: Identification of Groups Using Clusters Analysis

Cited by 19 publications

References 29 publications

Pain Is Widespread and Predicts Poor Mental Health Among Older Adults in Rural Malawi

Pain Is Widespread and Predicts Poor Mental Health Among Older Adults in Rural Malawi

“I Still Suffer Every Second of Every Day”: A Qualitative Analysis of the Challenges of Living with Chronic Orofacial Pain

Prevalence of Musculoskeletal Symptoms in Interventional Radiologists

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