Higher Perceived Stress Scale scores are associated with higher pain intensity and pain interference levels in Older Adults

Details

• Alternative Title:
  J Am Geriatr Soc
• Personal Author:
  White, Robert S. ; Jiang, Julie ; Hall, Charles B. ; Katz, Mindy J. ; Zimmerman, Molly E. ; Sliwinski, Martin ; Lipton, Richard B.
• Description:
  Objectives
  
  To determine the prevalence of bodily pain measures (pain intensity and pain interference) in elderly people and their relationship with perceived stress scale (PSS) scores.
  
  Design
  
  Cross-sectional.
  
  Setting
  
  Community.
  
  Participants
  
  A representative community sample of 578 subjects aged 70 and older.
  
  Measurements
  
  The prevalence of pain intensity and pain interference and their relationship with perceived stress scale scores, demographic factors, past medical history, and neuropsychological testing scores were examined. Pain intensity and pain interference were measured by the SF-36 bodily pain questions.
  
  Results
  
  The study sample of 578 participants has a mean age of 78.8 years and is 63% female. Bivariate analysis for pain measures showed that higher scores on the perceived stress scale, lower neuropsychological test scores, and medical histories were associated with both pain intensity and interference. Logistic regression showed that higher scores on the perceived stress scale were significantly associated with increased odds of having moderate/severe pain intensity and moderate/severe pain interference (with and without the inclusion of for pain intensity in the models).
  
  Conclusion
  
  Higher PSS scores are associated with higher levels of pain intensity and pain interference. In this cross-sectional analysis, directionality cannot be determined. As both perceived stress and pain are potentially modifiable risk factors for cognitive decline and other poor health outcomes, future research should address temporality and the benefits of treatment.
  
  
• Subjects:
  Aged Aged, 80 And Over Comorbidity Cross-Sectional Studies Female Geriatric Assessment Humans Longitudinal Studies Male Neuropsychological Tests New York City Pain Pain Measurement Prevalence Severity Of Illness Index Stress, Psychological

  More +
• Keywords:
  Chronic Pain Elderly Pain Intensity Pain Interference
• Source:
  J Am Geriatr Soc. 62(12):2350-2356
• Pubmed ID:
  25516031
• Pubmed Central ID:
  PMC4362541
• Document Type:
  Journal Article
• Funding:
  TL1 TR001072/TR/NCATS NIH HHSUnited States/ ; R01 AG022374/AG/NIA NIH HHSUnited States/ ; R01 AG034119/AG/NIA NIH HHSUnited States/ ; KL2 TR000088/TR/NCATS NIH HHSUnited States/ ; U01 OH010411/OH/NIOSH CDC HHSUnited States/ ; TL1RR000087/RR/NCRR NIH HHSUnited States/ ; R01 AG012101/AG/NIA NIH HHSUnited States/ ; R01 AG022092/AG/NIA NIH HHSUnited States/ ; UL1 TR001073/TR/NCATS NIH HHSUnited States/ ; P01 AG027734/AG/NIA NIH HHSUnited States/ ; K23 AG030857/AG/NIA NIH HHSUnited States/ ; P01 AG003949/AG/NIA NIH HHSUnited States/ ; T32 GM007288/GM/NIGMS NIH HHSUnited States/ ; UL1TR000086/TR/NCATS NIH HHSUnited States/ ; UL1 RR025750/RR/NCRR NIH HHSUnited States/ ; R01 AG039409/AG/NIA NIH HHSUnited States/ ; UL1 TR000086/TR/NCATS NIH HHSUnited States/ ; R03 AG045474/AG/NIA NIH HHSUnited States/ ; KL2TR000088/TR/NCATS NIH HHSUnited States/ ; K23 NS047256/NS/NINDS NIH HHSUnited States/ ; R01 AG025119/AG/NIA NIH HHSUnited States/ ; U01 OH010412/OH/NIOSH CDC HHSUnited States/ ; P30 CA013330/CA/NCI NIH HHSUnited States/ ; U01 OH010513/OH/NIOSH CDC HHSUnited States/
• Volume:
  62
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:cd01a3345c3a94d4ab5802222b85a19b0d9020606e2b054c9189a5d93f23d3c9
• Download URL:
  https://stacks.cdc.gov/view/cdc/42029/cdc_42029_DS1.pdf
• File Type:
  [PDF - 210.43 KB ]