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

White, Robert S.; Jiang, Julie; Hall, Charles B.; Katz, Mindy J.; Zimmerman, Molly E.; Sliwinski, Martin; Lipton, Richard B.

doi:10.1111/jgs.13135

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

Published Date:

Dec 2014

Publisher's site:

http://dx.doi.org/10.1111/jgs.13135 New Site Icon

Source:

J Am Geriatr Soc. 62(12):2350-2356.

[PDF-210.43 KB]

Details:

Personal Authors:

White, Robert S. ; Jiang, Julie ; Hall, Charles B. ; Katz, Mindy J. ; Zimmerman, Molly E. ; ... More ▼

Keywords:

[+]

Pubmed ID:

25516031

Pubmed Central ID:

PMC4362541

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.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

Supporting Files:

	NIHMS626601-supplement-Supp_TableS1-S2.docx	application/vnd.openxmlformats-officedocument.wordprocessingml.document
	nihms626601.nxml	application/octet-stream

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