Physical and Psychosocial Factors in the Prevention of Chronic Pain in Older Age

Fancourt, Daisy; Steptoe, Andrew

doi:10.1016/j.jpain.2018.06.001

Cited by 53 publications

(59 citation statements)

References 36 publications

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“…21 No study to date has assessed the association between resilience and sleep in older adults. [21][22][23][24] Meanwhile, several studies have examined correlates of sleep complaints among older adults, but these efforts have not captured the full picture of physical and mental illness, medication use, and psychosocial factors. Thus, the primary objectives of this cross-sectional study were to (1) investigate the prevalence of poor sleep quality and short/long sleep duration among older adults with chronic musculoskeletal pain, and (2) estimate the effects of negative risk factors, medications, and positive psychosocial factors on these sleep outcomes.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain

Zaidel

Karl

Kraemer³

et al. 2021

Population Health Management

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Sleep complaints are common among older adults with chronic pain. Because of the risk of significant side effects, sleep medications are not recommended as first-line treatments. Little is known about the association between positive psychosocial factors and sleep, but further awareness could support non-drug strategies to minimize poor sleep. The purpose of this study was to (1) determine the prevalence of self-reported poor sleep quality and short/long sleep duration in a population of older adults with chronic pain, and (2) examine the associations of negative risk factors, sleep-inducing medications, and positive psychosocial characteristics on sleep outcomes in this population. This study analyzed survey responses from 4201 adults ages ‡65 years with diagnosed back pain, osteoarthritis, and/or rheumatoid arthritis, and at least 1 year of continuous medical and drug plan enrollment. The most commonly reported sleep outcome was short sleep duration (39%), followed by poor sleep quality (22%), and long sleep duration (9%). Based on pharmaceutical claims, prescriptions for opioids (59%) or benzodiazepines (22%) were common. Perceived stress, depression, and pain or sleep prescription medications were independently associated with poor sleep quality and short or long sleep durations. The positive psychosocial factors of higher resilience and more diverse social networks were independently associated with good sleep quality and optimal sleep duration. These results underscore the importance of social and coping factors to sleep, which may provide new opportunities to improve sleep and well-being in older adults with chronic pain.

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Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain

Zaidel

Karl

Kraemer³

et al. 2021

Population Health Management

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“…In the analysis of the objectives and methodological designs, it was found that the publications were conducted exclusively with an older population (n=5) or groups of adults and older adults (n=7). In this case, five studies included people older than 45 years [5][6][7]12,15 and two considered younger people 4,10 . In articles with adult and older adult participants, age did not interfere with the results achieved.…”

Section: Figure 2 Infographic Of Terms Used In Articlesmentioning

confidence: 99%

“…Regarding the goals of the studies, the authors were concerned with investigating which cultural facilities the older adults chose 6,10 , assessing the perceptions of individuals when participating in cultural activities 9,[11][12][13][14]16 , and evaluating the relationship between cultural engagement and body functions [5][6][7]15 or changes.…”

Section: Figure 2 Infographic Of Terms Used In Articlesmentioning

confidence: 99%

“…By analyzing the relationship between cultural engagement and bodily diseases/functions, scientific studies have shown that participation in cultural activities is associated with lower decline in cognitive functions 6 , chronic pain 7 , incidence of dementia 15 and depression 5 , as well as a lower recurrence of episodes of violence 4 . These studies stated that the frequency of engagement was directly related to increased benefits [4][5][6][7]15 .…”

Section: Figure 2 Infographic Of Terms Used In Articlesmentioning

confidence: 99%

“…Several researchers have attempted to understand the involvement and participation of a social group in cultural activities by investigating the engagement and access to different facilities such as museums, theaters or monuments, as well as maintaining the cultural traditions that are passed from generation to generation [4][5][6][7] . However, when considering the older age group, the guiding question of such research arises: What is the nature of the engagement of older adults with cultural facilities be described?…”

Section: Introductionmentioning

confidence: 99%

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The role of cultural engagement for older adults: an integrative review of scientific literature

Bernardo

Carvalho

2020

Rev. bras. geriatr. gerontol.

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Objective: to understand the role of cultural engagement in the lives of older adults. Method: an integrative literature review of publications from 2014 and 2019 in English, Portuguese, and Spanish was conducted. The Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycNET®, LILACS, SciELO Citation Index and Science Direct databases were used as sources of information. The descriptors “aged” and the related term “cultural engagement” in the three idioms were used in the search, together with the Boolean operators “AND” or “ OR”. A total of 12 articles that met the inclusion criteria were found. These were categorized based on the theme. No Brazilian studies were found. Results: the panorama found revealed that older adults are more interested in receptive cultural activities, such as going to museums, exhibitions and the theater, as these enrich and add greater social value to their lives. Cultural engagement was associated with a reduction in the incidence of neuropsychiatric disorders (dementia and depression), as well as reducing the incidence of episodes of violence. Participation in cultural activities also constituted a protective factor for cognitive abilities and for the reduction of chronic pain. There is also evidence that associates cultural engagement with a better perception of quality of life and greater well-being, happiness and positive affect, as well as the reduction of negative affect. Conclusion: engaging in cultural activities is a way of understanding and respecting cultural diversity, salvaging social identities, and enjoying and providing experiences of great social value, with beneficial impacts in the lives of older adults.

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Associations of Social, Cultural, and Community Engagement With Health Care Utilization in the US Health and Retirement Study

Gao

Bone

et al. 2023

JAMA Netw Open

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ImportanceThere is growing evidence for the health benefits associated with social, cultural, and community engagement (SCCE), including for supporting healthy behaviors. However, health care utilization is an important health behavior that has not been investigated in association with SCCE.ObjectiveTo examine the associations between SCCE and health care utilization.Design, Setting, and ParticipantsThis population-based cohort study used data from the 2008 to 2016 waves of the Health and Retirement Study (HRS), a longitudinal panel study using a nationally representative sample of the US population aged 50 years and older. Participants were eligible if they reported SCCE and health care utilization in the relevant HRS waves. Data were analyzed from July to September 2022.ExposuresSCCE was measured with a 15-item Social Engagement scale (including community, cognitive, creative, or physical activities) at baseline (frequency) and longitudinally over 4 years (no, consistent, increased, or decreased engagement).Main Outcomes and MeasuresHealth care utilization was assessed in association with SCCE within 4 overarching categories: inpatient care (ie, hospital stays, hospital readmissions, length of hospital stays), outpatient care (ie, outpatient surgery, physician visits, number of physician visits), dental care (including dentures), and community health care (ie, home health care, nursing home stays, nights in a nursing home).ResultsA total of 12 412 older adults (mean [SE] age, 65.0 [0.1] years; 6740 [54.3%] women) were included in short-term analyses with 2 years of follow-up. Independent of confounders, more SCCE was associated with shorter hospital stays (incidence rate ratio [IRR], 0.75; 95% CI, 0.58-0.98), greater odds of outpatient surgery (odds ratio [OR], 1.34; 95% CI, 1.12-1.60) and dental care (OR, 1.73; 95% CI, 1.46-2.05), and lower odds of home health care (OR, 0.75; 95% CI, 0.57-0.99) and nursing home stays (OR, 0.46; 95% CI, 0.29-0.71). Longitudinal analysis included 8635 older adults (mean [SE] age, 63.7 [0.1] years; 4784 [55.4%] women) with data on health care utilization 6 years after baseline. Compared with consistent SCCE, reduced SCCE or consistent nonparticipation in SCCE was associated with more inpatient care utilization, such as hospital stays (decreased SCCE: IRR, 1.29; 95% CI, 1.00-1.67; consistent nonparticipation: IRR, 1.32; 95% CI, 1.04-1.68) but lower levels of subsequent outpatient care, such as physician visits (decreased SCCE: OR, 0.68; 95% CI, 0.50-0.93; consistent nonparticipation: OR, 0.62; 95% CI, 0.46-0.82) and dental care utilization (decreased SCCE: OR, 0.68; 95% CI, 0.57-0.81; consistent nonparticipation: OR, 0.51; 95% CI, 0.44-0.60).Conclusions and RelevanceThese findings suggest that more SCCE was associated with more dental and outpatient care utilization and reduced inpatient and community health care utilization. SCCE might be associated with shaping beneficial early and preventive health-seeking behaviors, facilitating health care decentralization and alleviating financial burden by optimizing health care utilization.

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Physical and Psychosocial Factors in the Prevention of Chronic Pain in Older Age

Cited by 53 publications

References 36 publications

Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain

Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain

The role of cultural engagement for older adults: an integrative review of scientific literature

Associations of Social, Cultural, and Community Engagement With Health Care Utilization in the US Health and Retirement Study

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