TY - JOUR
T1 - Sociodemographic characteristics, health conditions, and functional impairment among older adults with serious mental illness reporting moderate-to-severe pain
AU - Brooks, Jessica M.
AU - Umucu, Emre
AU - Huck, Garrett E.
AU - Fortuna, Karen
AU - Sánchez, Jennifer
AU - Chiu, Chungyi
AU - Bartels, Stephen J.
N1 - Funding Information:
Jessica M. Brooks and Karen Fortuna received grant support from the National Institute of Mental Health (T32 MH073553-11, PI: Stephen Bartels, PhD). In addition, this work was supported by the Dartmouth Health Promotion and Disease Prevention Research Center (Cooperative Agreement U48DP005018) from the Centers for Disease Control and Prevention. For the remaining authors, no other funding sources were declared.
Publisher Copyright:
© 2018 American Psychological Association.
PY - 2018/9
Y1 - 2018/9
N2 - Objective: To compare adults aged ≥ 50 years with serious mental illness reporting moderate-to-severe pain to older adults with serious mental illness without pain with respect to sociodemographic characteristics, health conditions, and functional impairment. Method: Secondary data analyses were conducted using baseline assessments of 183 participants recruited for the Helping Older People Experience Success (HOPES) study from three community mental health centers. The primary outcome was self-reported, nonexperimentally induced, moderate-to-severe pain (referent = no-to-mild pain). Predictor variables consisted of sociodemographic characteristics, health conditions, and functional impairment. We conducted univariable and multivariable logistic regression analyses to examine the associations between these variables. Results: Sixty-one participants (33.3%) from our sample reported pain. Pain was associated with all of the sociodemographic and health-related factors in univariable analyses. In the multivariable model, only older age, pain-related activity interference, and physical and emotional health-related social limitations were significantly associated with pain. Conclusions and Implications for Practice: The presence of moderate-to-severe pain in older adults with serious mental illness is associated with pain-attributable impairment of activities and social problems above and beyond the substantial functional limitations routinely experienced by this high-risk, high-need group. Given the high rates of preexisting conditions and persistent social impairment among these older adults, our findings suggest that pain may contribute to worse overall functional outcomes. Future research and clinical interventions focused on improving outcomes should include an evaluation of pain as a contributor to decreased functioning and assess the need for early intervention, nonpharmacological pain management, or other health promotion services in psychiatric rehabilitation.
AB - Objective: To compare adults aged ≥ 50 years with serious mental illness reporting moderate-to-severe pain to older adults with serious mental illness without pain with respect to sociodemographic characteristics, health conditions, and functional impairment. Method: Secondary data analyses were conducted using baseline assessments of 183 participants recruited for the Helping Older People Experience Success (HOPES) study from three community mental health centers. The primary outcome was self-reported, nonexperimentally induced, moderate-to-severe pain (referent = no-to-mild pain). Predictor variables consisted of sociodemographic characteristics, health conditions, and functional impairment. We conducted univariable and multivariable logistic regression analyses to examine the associations between these variables. Results: Sixty-one participants (33.3%) from our sample reported pain. Pain was associated with all of the sociodemographic and health-related factors in univariable analyses. In the multivariable model, only older age, pain-related activity interference, and physical and emotional health-related social limitations were significantly associated with pain. Conclusions and Implications for Practice: The presence of moderate-to-severe pain in older adults with serious mental illness is associated with pain-attributable impairment of activities and social problems above and beyond the substantial functional limitations routinely experienced by this high-risk, high-need group. Given the high rates of preexisting conditions and persistent social impairment among these older adults, our findings suggest that pain may contribute to worse overall functional outcomes. Future research and clinical interventions focused on improving outcomes should include an evaluation of pain as a contributor to decreased functioning and assess the need for early intervention, nonpharmacological pain management, or other health promotion services in psychiatric rehabilitation.
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U2 - 10.1037/prj0000316
DO - 10.1037/prj0000316
M3 - Article
C2 - 30160508
AN - SCOPUS:85052576906
SN - 1095-158X
VL - 41
SP - 224
EP - 233
JO - Psychiatric Rehabilitation Journal
JF - Psychiatric Rehabilitation Journal
IS - 3
ER -