<p>Factors Associated with Life Satisfaction in Older Adults with Chronic Pain (PainS65+)</p>

Abstract

Background: Chronic pain in later life is a worldwide problem. In younger patients, chronic pain affects life satisfaction negatively; however, it is unknown whether this outcome will extend into old age. Objective: This study examines which factors determine life satisfaction in older adults who suffer from chronic pain with respect to socio-demographics, lifestyle behaviors, pain, and comorbidities. Methods: This cross-sectional study recruited a random sample of people ≥65 years old living in southeastern Sweden (N= 6611). A postal survey addressed pain aspects and health experiences. Three domains from the Life Satisfaction Questionnaire (LiSat-11) were used to capture the individual's estimations of overall satisfaction (LiSat-life), somatic health (LiSatsomhealth), and psychological health (LiSat-psychhealth). Results: Respondents with chronic pain (2790, 76.2±7.4 years old) rated lower on life satisfaction than those without chronic pain, with medium effect size (ES) on LiSatsomhealth (r = 0.38, P < 0.001) and small ES on the other two domains (r < 0.3). Among the respondents with chronic pain, severe pain (OR 0.29-0.59) and pain spreading (OR 0.87-0.95) were inversely associated with all three domains of the LiSat-11. Current smoking, alcohol overconsumption, and obesity negatively affected one or more domains of the LiSat-11. Most comorbidities were negatively related to LiSat-somhealth, and some comorbidities affected the other two domains. For example, having tumour or cancer negatively affected both LiSat-life (OR 0.62, 95% CI 0.44-0.88) and LiSat-somhealth (OR 0.42, 95% CI 0.24-0.74). Anxiety or depression disorders had a negative relationship both for LiSat-life (OR 0.54, 95% CI 0.38-0.78) and LiSat-psychhealth (OR 0.10, 95% CI 0.06-0.14). Conclusion: Older adults with chronic pain reported lower life satisfaction but the difference from their peers without chronic pain was trivial, except for satisfaction with somatic health. Pain management in old age needs to consider comorbidities and severe pain to improve patients' life satisfaction.

Pain Catastrophizing in Older Adults with Chronic Pain: The Mediator Effect of Mood Using a Path Analysis Approach

“…The mean age was 76.2 years (SD: 7.4), 55.8% were married (Table 1), 8.1% smoked, and 5.9% had high alcohol consumption. Details of the demographic characteristics in this study sample (n = 2,790) are also described elsewhere [61,62]. Approximately 40% were overweight and over 20% were classified as obese.…”

Is Preexisting Mental Illness Associated with Lower Patient Satisfaction for Older Trauma Patients? A Cross-sectional Descriptive Study

“…There were several other characteristics associated with a history of smoking that may help explain this nding, including: they had had signi cantly more comorbidities, and signi cantly more had a history of alcoholism, compared to PMI-patients. Life satisfaction in older populations has been linked to activities that both temporarily alleviate and contribute to stress and pain, including smoking and alcohol consumption [15]. Thus, a history of smoking has been associated with lower life satisfaction [15], as well as lower patient satisfaction [10].…”

“…Life satisfaction in older populations has been linked to activities that both temporarily alleviate and contribute to stress and pain, including smoking and alcohol consumption [15]. Thus, a history of smoking has been associated with lower life satisfaction [15], as well as lower patient satisfaction [10].…”

“…At hospital 2, although no difference in patient satisfaction across groups (PMI + vs. PMI-) was identi ed, overall satisfaction was signi cantly lower than at hospital 1. This nding may be due to several reasons, one being the older patient population at hospital 2; older patients generally have less mobility, translating to lower overall life and thus patient satisfaction [15,16,21]. Second, patients at hospital 2 also tended to be managed on the oor, whereas at hospital 1 with a younger population, patients had a slighter higher injury severity and typically went to critical care.…”

Is Preexisting Mental Illness Associated with Lower Patient Satisfaction for Older Trauma Patients? A Cross-sectional Descriptive Study

“…At hospital 2, although no difference in patient satisfaction across groups (PMI+ vs. PMI-) was identi ed, overall satisfaction was signi cantly lower than at hospital 1. This nding may be due to several reasons, one being the older patient population at hospital 2; older patients generally have less mobility, translating to lower overall life and thus patient satisfaction [23,24,29]. Second, patients at hospital 2 also tended to be managed on the oor, whereas at hospital 1, which included a younger population, patients had a slightly higher injury severity and typically went to critical care.…”