The need to improve detection and treatment of physical pain of homeless people with schizophrenia and bipolar disorders. Results from the French Housing First Study

Fond, Guillaume; Tinland, Aurélie; Girard, Vincent; Loubière, Sandrine; Boyer, Laurent; Auquier, Pascal

doi:10.1016/j.pnpbp.2018.07.021

Cited by 9 publications

(9 citation statements)

References 37 publications

(43 reference statements)

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“…Higher levels of pain were significantly related to psychotropic medication use. Similar studies support this finding with users of psychotropic drugs reporting poor pain control [ 42 , 43 ]. Helstrom and colleagues (2018) found that chronic pain was identified in 14% of 250 older adults who were recently prescribed a psychotropic medication, who also reported pain interference with daily activities [ 44 ].…”

Section: Discussionsupporting

confidence: 71%

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

et al. 2020

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African-American older adults, particularly those who live in economically deprived areas, are less likely to receive pain and psychotropic medications, compared to Whites. This study explored the link between social, behavioral, and health correlates of pain and psychotropic medication use in a sample of economically disadvantaged African-American older adults. This community-based study recruited 740 African-American older adults who were 55+ yeas-old in economically disadvantaged areas of South Los Angeles. Opioid-based and psychotropic medications were the outcome variables. Gender, age, living arrangement, socioeconomic status (educational attainment and financial strain), continuity of medical care, health management organization membership, sleeping disorder/insomnia, arthritis, back pain, pain severity, self-rated health, depressive symptoms, and major chronic conditions were the explanatory variables. Logistic regression was used for data analyses. Arthritis, back pain, severe pain, and poor self-rated health were associated with opioid-based medications. Pain severity and depressive symptoms were correlated with psychotropic medication. Among African-American older adults, arthritis, back pain, poor self-rated health, and severe pain increase the chance of opioid-based and psychotropic medication. Future research should test factors that can reduce inappropriate and appropriate use and prescription of opioid-based and psychotropic medication among economically disadvantaged African-American older adults.

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Section: Discussionsupporting

confidence: 71%

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

et al. 2020

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“…The search was done by experts on schizophrenia (two psychologists, two dentists, two psychiatrists, and two nurses). They screened 46 papers, selected nine (8,12,14,(21)(22)(23)(24)(25)(26), and engaged in discussion until a consensus was reached at the end of the third meeting. This process involved 3 consensus meeting.…”

Section: Interview Guidementioning

confidence: 99%

“…In this context, further studies are needed to improve the management of their oral health and OHRQoL, potentially with the use of specific prevention and education programs. The challenge is to identify people who are not willing to care for themselves and identify the importance that they place on their quality of life including treatments, 12 dental pain management, 13 or OHRQoL 14 to expand the understanding of the factors that limit or facilitate the healthcare pathway. In other words, determining the significance that PWS place in oral health and OHRQoL warrants investigation.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study on experiences of persons with schizophrenia in oral-health-related quality of life

et al. 2021

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Our study aimed to explore the views and experiences in oral health and oral-health-related quality of life (OHRQoL) of persons with schizophrenia (PWS) in order to expand the understanding of the factors that either limit or facilitate their healthcare pathway, which can ultimately optimize their oral health and/or OHRQoL. A qualitative study was conducted in France in the Côte d'Or department (530 000 in habitants) centered on PWS's perceived meanings regarding oral health or OHRQoL, and semi-structured individual interviews were used. A conventional content analysis approach was chosen in order to highlight unrevealed themes. A sample of 20 PWS (12 males; 8 females) with a median age was 45.8 (± 9.5) were recruited to assess views and experiences regarding OHRQoL, which were focused on three dimensions: an individual dimension related to experience of "oral symptoms", a second dimension related to experience of "stress and its management", and a third related to "Autonomy dimension in oral health". We showed that PWS clearly expressed their mental representations of oral health and OHRQoL. This study supports that PWS were able to define their needs and had the ability to discuss their oral health and OHRQoL. These finding could be used to support specific interventions for this population to better manage the negative impact of antipsychotics and help them to consult dentists on a regular basis.

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“…A recent multicenter study evaluated the prevalence of physical pain in a sample of 655 schizophrenia and bipolar disorder patients who were homeless [28]. While less than 3% were receiving analgesic treatment, more than half of the sample reported moderate to severe physical pain.…”

Section: The Association Between Pain and Psychotropic Medications Inmentioning

confidence: 99%

“…No association was found between antipsychotics, mood stabilizers, anxiolytics, hypnotics, or medication adherence and self-reported pain. However, to some extent, the severity of psychotic symptoms (e.g., the relative absence of antipsychotic medication) increased the reporting of physical pain [28]. This suggests that antipsychotics may, indeed, reduce pain or else that the pain reported in the context of severe psychotic symptoms is a form of delusional sensation.…”

Section: The Association Between Pain and Psychotropic Medications Inmentioning

confidence: 99%

Pain Sensitivity in Schizophrenia Spectrum Disorders: A Narrative Review of Recent Work

González-Rodríguez

Labad

Seeman

2021

Psychiatry International

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Many patients with schizophrenia seem relatively immune to physical pain while others complain of constant pain. This may result from disturbances or alterations of the sensory threshold for pain in populations with psychosis, a possibility for which there is some preliminary evidence. The inconsistency in pain perception may, in part, be explained by the treatments patients receive, but treatment-naïve patients also exhibit differences in response to pain. This suggests that decreased pain sensitivity may represent a specific psychosis endophenotype. Thus far, few experimental studies have investigated sensory thresholds, pain modalities, or other factors contributing to the perception or expression of physical pain in psychosis. A digital search for information on this topic was conducted in PubMed and Google Scholar. The result is a non-systematic, narrative review focusing on recent clinical and experimental findings of pain sensitivity in patients with psychosis. Importantly, physical and mental pain are closely connected constructs that may be difficult to differentiate. Our hope is that the review provides some clarity to the field in the specific context of schizophrenia.

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The need to improve detection and treatment of physical pain of homeless people with schizophrenia and bipolar disorders. Results from the French Housing First Study

Cited by 9 publications

References 37 publications

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

A qualitative study on experiences of persons with schizophrenia in oral-health-related quality of life

Pain Sensitivity in Schizophrenia Spectrum Disorders: A Narrative Review of Recent Work

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