Investigating the Link Between Chronic Pain and Mental Health in Geriatric Populations
DOI:
https://doi.org/10.70749/ijbr.v3i8.2035Keywords:
chronic pain, elderly, multimodal approach, pain management, quality of life, physical therapy, psychological support, pharmacological treatment, sleep improvement, functional status.Abstract
This research was conducted with the aim of evaluating the efficacy of multimodal pain management approach on the elderly population of persons with chronic pain. In the identification of two hundred participants, the purposive sampling method of a tertiary care hospital was employed. The data was obtained by means of the structured questionnaire and discussed using SPSS. The results revealed that the larger percentage of those surveyed were men (52.5%) and were married (65%) and lived with their families (82.5%). Most of them were retired (70 percent) as well as those persons of varied educational attainment. There was physical therapy, psychological counseling and pharmacological treatment combined as the intervention technique that was used. Results indicated that there was a remarkable difference between pain intensity, physical functioning, and sleep quality during and after treatment through multimodal intervention. The findings point to the significance of uncontrolled modalities of treating chronic pain among the elderly to avoid depending only on medicines. The research contributes towards prior studies that prove the beneficial effects of integrated care regarding analgesia and general well-being. This method also has the capacity to lower the dependence as well as elevating the emotional health contented and quality of life. The practice is advised to be adapted by healthcare providers when dealing with elderly care in everyday practice. The next step of future investigation must lie in long-term implications and cost-effectiveness of such an approach and its application to varied clinic conditions.
Downloads
References
1. Dagnino, A.P. and M.M. Campos, Chronic pain in the elderly: mechanisms and perspectives. Frontiers in Human Neuroscience, 2022. 16: p. 736688.
https://doi.org/10.3389/fnhum.2022.736688
2. Braden, J.B., et al., Mental health service use by older adults: the role of chronic pain. The American Journal of Geriatric Psychiatry, 2008. 16(2): p. 156-167.
https://doi.org/10.1097/jgp.0b013e31815a3ea9
3. Meeks, T.W., et al., Chronic pain and depression among geriatric psychiatry inpatients. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences, 2008. 23(6): p. 637-642.
https://doi.org/10.1002/gps.1954
4. Zis, P., et al., Depression and chronic pain in the elderly: links and management challenges. Clinical interventions in aging, 2017: p. 709-720.
https://doi.org/10.2147/cia.s113576
5. Chen, J., X. Wang, and Z. Xu, The relationship between chronic pain and cognitive impairment in the elderly: a review of current evidence. Journal of Pain Research, 2023: p. 2309-2319.
https://doi.org/10.2147/jpr.s416253
6. Bauer, H., et al., Resilience moderates the association between chronic pain and depressive symptoms in the elderly. European journal of pain, 2016. 20(8): p. 1253-1265.
https://doi.org/10.1002/ejp.850
7. Khalighi, E., et al., Assessment of mental health elderly with chronic pain based on quranic components. Journal of religion and health, 2020. 59(6): p. 2807-2818.
https://doi.org/10.1007/s10943-019-00908-5
8. Puto, G., I. Repka, and M. Muszalik, Factors correlating with functional capacity in older people with chronic pain. International Journal of Environmental Research and Public Health, 2023. 20(3): p. 2748.
https://doi.org/10.3390/ijerph20032748
9. Bierman, A. and Y. Lee, Chronic pain and psychological distress among older adults: A national longitudinal study. Research on aging, 2018. 40(5): p. 432-455.
https://doi.org/10.1177/0164027517704970
10. Rudy, T.E., et al., The impact of chronic low back pain on older adults: a comparative study of patients and controls. Pain, 2007. 131(3): p. 293-301.
https://doi.org/10.1016/j.pain.2007.01.012
11. Tsang, A., et al., Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. The journal of pain, 2008. 9(10): p. 883-891.
https://doi.org/10.1016/j.jpain.2008.05.005
12. Ma, Y., et al., Relationship between chronic diseases and depression: the mediating effect of pain. BMC psychiatry, 2021. 21(1): p. 436.
https://doi.org/10.1186/s12888-021-03428-3
13. Hicks, G.E., et al., Associations of back and leg pain with health status and functional capacity of older adults: findings from the retirement community back pain study. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 2008. 59(9): p. 1306-1313.
https://doi.org/10.1002/art.24006
14. Rouch, I., et al., Chronic pain and long‐term dementia risk in older adults: results from a 24‐year longitudinal study. International Journal of Geriatric Psychiatry, 2022. 37(5).
15. Bicket, M.C. and J. Mao, Chronic pain in older adults. Anesthesiology clinics, 2015. 33(3): p. 577-590.
https://doi.org/10.1016/j.anclin.2015.05.011
16. Morrissey, M.B., D. Viola, and Q. Shi, Relationship between pain and chronic illness among seriously ill older adults: Expanding role for palliative social work. Journal of social work in end-of-life & palliative care, 2014. 10(1): p. 8-33.
https://doi.org/10.1080/15524256.2013.877861
17. Santhosh Kumar, S., A.K. Khan, and S. Shinde, AI integration in higher education: Exploring practical implications and perspectives. Statistical Journal of the IAOS, 2024: p. 18747655251342648.
https://doi.org/10.1177/18747655251342648
18. Benca, R.M., S. Ancoli-Israel, and H. Moldofsky, Special considerations in insomnia diagnosis and management: depressed, elderly, and chronic pain populations. Journal of Clinical psychiatry, 2004. 65(8): p. 26-35.
19. Wang, S., et al., Poor mental health status and its associations with demographic characteristics and chronic diseases in Chinese elderly. Social psychiatry and psychiatric epidemiology, 2016. 51(10): p. 1449-1455.
https://doi.org/10.1007/s00127-016-1271-y
20. Gonder, M.E., W.N. Orr, and T.W. Khan, The impact of isolation during COVID-19 on chronic musculoskeletal pain in the geriatric population: a narrative review. Pain Physician, 2022. 25(2): p. E185.
21. Paz, M.G.d., et al., Factors associated with quality of life of older adults with chronic pain. Revista Brasileira de Enfermagem, 2021. 74: p. e20200554.
https://doi.org/10.1590/0034-7167-2020-0554
22. Polatin, P., K. Bevers, and R.J. Gatchel, Pharmacological treatment of depression in geriatric chronic pain patients: a biopsychosocial approach integrating functional restoration. Expert Review of Clinical Pharmacology, 2017. 10(9): p. 957-963.
https://doi.org/10.1080/17512433.2017.1339602
23. Kim, G.M., Y.-M. Lee, and S.O. Chang, Factors influencing fatigue in elderly people with chronic pain. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 2011. 20(1): p. 61-70.
https://doi.org/10.12934/jkpmhn.2011.20.1.61
24. Ahmadi Ahangar, A., et al., Association between chronic pain and depression among the elderly of Amirkola City, northern Iran. Elderly Health Journal, 2017. 3(2): p. 74-79.
25. Shega, J.W., et al., Relationship between persistent pain and 5‐year mortality: a population‐based prospective cohort study. Journal of the American Geriatrics Society, 2013. 61(12): p. 2135-2141.
https://doi.org/10.1111/jgs.12554
26. Turk, D.C., A. Okifuji, and L. Scharff, Assessment of older women with chronic pain, in Older women with chronic pain. 2014, Routledge. p. 25-42.
27. Qian, M., Y. Shi, and M. Yu, The association between obesity and chronic pain among community-dwelling older adults: a systematic review and meta-analysis. Geriatric Nursing, 2021. 42(1): p. 8-15.
https://doi.org/10.1016/j.gerinurse.2020.10.017
28. White, R.S., et al., Higher perceived stress scale scores are associated with higher pain intensity and pain interference levels in older adults. Journal of the American Geriatrics Society, 2014. 62(12): p. 2350-2356.
https://doi.org/10.1111/jgs.13135
29. Forrest, J., Assessment of acute and chronic pain in older adults. 1995, SLACK Incorporated Thorofare, NJ. p. 15-20.
30. Irigaray, T.Q., et al., Cognitive reserve, cognitive functioning, and mental health in elderly people. 2022, Frontiers Media SA. p. 1040675.
https://doi.org/10.3389/fnhum.2022.1040675
31. Ferrell, B.A., B.R. Ferrell, and D. Osterweil, Pain in the nursing home. Journal of the American Geriatrics Society, 1990. 38(4): p. 409-414.
32. Ersek, M., et al., Chronic pain self-management for older adults: a randomized controlled trial [ISRCTN11899548]. BMC geriatrics, 2004. 4(1): p. 7.
https://doi.org/10.1186/1471-2318-4-7
33. Andrena, D. and F. Kurdi, Application of relaxation therapy on chronic pain in the elderly with hypertension at upt pstw jember: A Case study. Jurnal Kesehatan Komunitas Indonesia, 2023. 3(1): p. 59-80.
34. Huang, J., D. Wang, and J. Wang, Clinical evidence of tai chi exercise prescriptions: a systematic review. Evidence‐Based Complementary and Alternative Medicine, 2021. 2021(1): p. 5558805.
https://doi.org/10.1155/2021/5558805
35. Han, B.H., et al., Geriatric conditions among middle-aged and older adults on methadone maintenance treatment: a pilot study. Journal of addiction medicine, 2022. 16(1): p. 110-113.
https://doi.org/10.1097/adm.0000000000000808
36. Khanagar, S.B., et al., Age-related oral changes and their impact on oral health-related quality of life among frail elderly population: a review. The journal of contemporary dental practice, 2021. 21(11): p. 1298-1303.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Indus Journal of Bioscience Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
