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The Role of Pain in the Cascade from Chronic Illness to Social Disability and Psychological Distress in Late Life

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Part of the book series: The Springer Series in Adult Development and Aging ((SSAD))

Abstract

Pain has been viewed as an important concomitant of late-life illness that can threaten the quality of life of older adults. In considering linkages between chronic physical illness and psychological distress in late life, the associations between reporting of pain and indices of depression have been extensively studied (Parmelee, 1994; Romano & Turner, 1985). Nevertheless, the role of pain in mediating the effects of ill health on functioning and psychological well-being has seldom been considered in a more comprehensive framework. Such a framework could organize our understanding of the biopsychosocial and ecological context of pain and consider its sequelae for both social and psychological well-being (Kahana & Kahana, 1996).

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References

  • All, A. C. (1994). Current concepts and management of cancer pain in older women. In K. A. Roberto (Ed.), Older women with chronic pain. New York: Harrington Park Press.

    Google Scholar 

  • Borowski, E., Kinney, J., & Kahana, E. (1996). The meaning of older adults’ health appraisals: Congruence with health status and determinant of mortality. Journal of Gerontology, 51B, S157–S170.

    Article  Google Scholar 

  • Brintnell, E. S., Madill, H. M., Montgomerie, T. C., & Stewin, L. L. (1992). Work and family issues after injury: Do female and male client perspectives differ? Career Development Quarterly, 41(2), 145–160.

    Article  Google Scholar 

  • Deimling, G. T., Kahana, B., & Schumacher, J. (1994). Life-threatening illness and physical and mental health of older adults. The Gerontologist Program Abstracts, 47th Annual Scientific Meeting, Special Issue, 34(1), 225.

    Google Scholar 

  • Dekker, J., Tola, P., Aufdemkampe, G., & Winkers, M. (1993). Negative affect, pain, and disability in osteoarthritis patients: The mediating role of muscle weakness. Behaviour Research and Therapy, 31(2), 203–206.

    Article  PubMed  Google Scholar 

  • Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.

    Article  PubMed  Google Scholar 

  • Engle, G. (1962). Psychological development in health and disease. Philadelphia: Saunders.

    Google Scholar 

  • Faucett, J., Gordon, N., & Levine, J. (1994). Differences in postoperative pain severity among four ethnic groups. Journal of Pain and Symptom Management, 9(6), 383–389.

    Article  PubMed  Google Scholar 

  • Felton, B. J., & Revenson, T. A. (1984). Age differences in coping with chronic illness. Psychology in Aging, 2(2), 164–170.

    Article  Google Scholar 

  • Ferrell, B. A., Ferrell, B. R., & Osterweil, D. A. (1990). Pain in the nursing home. Journal of the American Geriatrics Society, 38, 409–414.

    PubMed  Google Scholar 

  • Fillenbaum, G. G. (1978). Multidimensional functional assessment: The OARS methodology (2nd ed.). Durham, NC: Duke University Press.

    Google Scholar 

  • Ford, A. B., Folmar, S. J., Salmon, R. B., Medalie, J. H., Roy, A. W., & Galazka, S. S. (1988). Health and function on the old and the very old. Journal of the American Geriatrics Society, 36(3), 187–197.

    PubMed  Google Scholar 

  • Fox, N. R., Sittig, M., Dorris, G., & Breisinger, G. (1994). An analysis of the relationship of gender and age to MMPI scores of patients with chronic pain. Journal of Clinical Psychology, 50(4), 537–554.

    Article  Google Scholar 

  • France, C., Adler, P. S., France, J., & Ditto, B. (1994). Family history of hypertension and pain during blood donation. Psychosomatic Medicine, 56(1), 52–60.

    PubMed  Google Scholar 

  • Fried, L. P., Herdman, S. J., Kuhn, K. E., Rubin, G., & Turano, K. (1991). Preclinical disability: Hypotheses about the bottom of the iceberg. Journal of Aging and Health, 3(2), 285–300.

    Article  Google Scholar 

  • Gold, D. T. (1994). Chronic musculoskeletal pain: Older women and their coping strategies. In K. A. Roberto (Ed.), Older women with chronic pain. New York: Harrington Park Press.

    Google Scholar 

  • Harkins, S. W., & Price, D. D. (1992). Assessment of pain in the elderly. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 315–331). New York: Guilford Press.

    Google Scholar 

  • Hughes, S., Edelman, P., Singer, R., & Chang, R. (1993). Joint impairment and self-reported disability in elderly persons. Journal of Gerontology, 48, s84–s92.

    Article  PubMed  Google Scholar 

  • Jensen, I., Nygren, A., Gamberale, F., & Goldie, I. (1994). Coping with long-term musculoskeletal pain and its consequences: Is gender a factor? Pain, 57(2), 167–172.

    Article  PubMed  Google Scholar 

  • Jette, A. M., Branch, L. G., & Berlin, J. (1990). Musculoskeletal impairments and physical disablement among the aged. Journal of Gerontology: Medical Sciences, 45(6), M203–M208.

    Google Scholar 

  • Kahana, B., Kercher, K., Kahana, E., & Namazi, K. (1995). Mild cognitive impairment and accuracy of survey responses of the old-old. Proceedings of the AHCPR Methodology Conference, Denver, August.

    Google Scholar 

  • Kahana, E., & Kahana, B. (1996). A preventive model of successful aging. In V. Bengtson (Ed.), Continuities and discontinuities in the life span (pp. 18–41). New York: Springer.

    Google Scholar 

  • Kasl, S. (1992). Stress and health among the elderly: Overview of issues. In M. Wykle, E. Kahana, & J. Kowal (Eds.), Stress and health among the elderly. New York: Springer.

    Google Scholar 

  • Kenshalo, D. (1977). Age changes in touch, vibration, temperature, kinesthesis, and pain sensitivity. In J. E. Birren & K. W. Schaie (Eds.), Handbook of the psychology of aging (1st ed., pp. 562–610). New York: Van Nostrand Reinhold.

    Google Scholar 

  • Kercher, K. (1992). Assessing subjective well-being in the old-old. Research on Aging, 14(2), 131–168.

    Article  Google Scholar 

  • Larson, R. (1978). Thirty years of research on the subjective well-being of older Americans. Journal of Gerontology, 33, 109–129.

    Article  PubMed  Google Scholar 

  • Lawton, M. P. (1983). Environment and other determinants of well-being in older persons. The Gerontologist, 23, 349–357.

    Article  PubMed  Google Scholar 

  • Maslow, A. (1970). Motivation and personality (2nd ed.). New York: Harper & Row.

    Google Scholar 

  • Moss, M. S., Lawton, M. P., & Glicksman, A. (1991). The role of pain in the last year of life of older persons. Journal of Gerontology, 46(2), 51–52.

    Article  Google Scholar 

  • Nagi, S. Z. (1990). Disability concepts revisited: Implications for prevention. In A. M. Pope & A. R. Tarlov (Eds.), Disability in America: A national agenda for prevention (Appendix A). Washington, DC: National Academy Press.

    Google Scholar 

  • Olshansky, S. J., Rudberg, M. A., Carnes, B. A., Cassel, C. K., & Brody, J. A. (1991). Trading off longer life for worsening health: The expansion of morbidity hypothesis. Journal of Aging and Health, 3(2), 194–216.

    Article  Google Scholar 

  • Parmelee, P. A. (1994). Assessment of pain in the elderly. In M. P. Lawton & J. A. Teresi (Eds.), Annual review of gerontology and geriatrics: Focus on assessment techniques (pp. 281–301). New York: Springer.

    Google Scholar 

  • Parmelee, P. A., Katz, I. R., & Lawton, M. P. (1989). Depression among institutionalized aged: Assessment and prevalence estimation. Journals of Gerontology: Medical Sciences, 41, M22–M29.

    Google Scholar 

  • Parmelee, P. A., Katz, I. R., & Lawton, M. P. (1991). The relation of pain to depression among institutionalized aged. Journals of Gerontology, 46, P15–P21.

    PubMed  Google Scholar 

  • Parmelee, P. A., Smith, B. D., & Katz, I. R. (1993). Pain complaints and cognitive status among elderly institution residents. Journal of the American Geriatrics Society, 41, 517–522.

    PubMed  Google Scholar 

  • Pfeiffer, E. (1975). Multidimensional functional assessment: The OARS methodology. Durham, NC: Center for the Study of Aging and Human Development, Duke University.

    Google Scholar 

  • Radloff, L. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Rapin, C. H. (1991). The mechanism of pain memory in the elderly patient. Journal of Palliative Care, 7(4), 48–50.

    PubMed  Google Scholar 

  • Reuben, D. B., Laliberte, L., Hiris, J., & Mor, V. (1990). A hierarchical exercise scale to measure function at the advanced activities of daily living (AADL) level. Journal of the American Geriatrics Society, 38, 855–861.

    PubMed  Google Scholar 

  • Reuben, D. B., & Siu, A. L. (1990). An objective measure of physical function of elderly outpatients: The physical performance test. Journal of the American Geriatrics Society, 38, 1105–1112.

    PubMed  Google Scholar 

  • Roberto, K. A. (1994). Older women with chronic pain. Binghamton, NY: Harrington Park Press.

    Google Scholar 

  • Romano, J. M, & Turner, J. A. (1985). Chronic pain and depression: Does the evidence support a relationship? Psychological Bulletin, 97, 18–34.

    Article  PubMed  Google Scholar 

  • Rosenberg, M., & Pearlin, L. (1978). Social class and self-esteem among children and adults. American Journal of Sociology, 84, 53–87.

    Article  Google Scholar 

  • Special Committee on Aging, U.S. Senate. (1985). Americans in transition: An aging society (1984–85 edition). Washington, DC: Government Printing Office.

    Google Scholar 

  • Thomas, M. R., & Roy, R. (1988). Age and pain: A comparative study of the “younger and older” elderly. Pain Management (July/August), 174-179.

    Google Scholar 

  • Trief, P. M., Elliott, D. J., Stein, N., & Frederickson, B. E. (1987). Functional vs. organic pain: A meaningful distinction? Journal of Clinical Psychology, 43, 219–226.

    Article  PubMed  Google Scholar 

  • Verbrugge, L. M. (1990). The iceberg of disability. In S. Stahl (Ed.), The legacy of longevity: Health and health care in later life (pp. 55–75). Newbury Park, CA: Sage.

    Google Scholar 

  • Verbrugge, L. M. (1991). Survival curves, prevalence rates, and dark matters therein. Journal of Aging and Health, 3(2), 217–236.

    Article  Google Scholar 

  • Von Korff, M., Dworkin, S. F., LeResche, L., & Kruger, A. (1988). An epidemiological comparison of pain complaints. Pain, 32, 173–183.

    Article  Google Scholar 

  • Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.

    Article  PubMed  Google Scholar 

  • Williams, M. E., Hadler, N. M., & Earp, J. A. (1990). Timed manual performance in a community elderly population. Journal of the American Geriatrics Society, 38, 1120–1126.

    PubMed  Google Scholar 

  • Williamson, G. M, & Schulz, R. (1992). Pain, activity restriction, and symptoms of depression among community-residing elderly adults. Journal of Gerontology, 47(6), 367–372.

    Article  Google Scholar 

  • Woodrow, K. M., Friedman, G. D., Siegalaug, A. B., & Collen, M. F. (1972). Pain tolerance: Differences according to age, sex, and race. Psychosomatic Medicine, 34, 548–556.

    PubMed  Google Scholar 

  • World Health Organization. (1980). International classification of impairments, disabilities, and handicaps. Geneva: Author.

    Google Scholar 

  • Zarit, S., & Zarit, J. M. (1983). Cognitive impairment. In P. Lewishon & L. Teri (Eds.), Clinical geropsychology. New York: Pergamon Press.

    Google Scholar 

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Kahana, B., Kahana, E., Namazi, K., Kercher, K., Stange, K. (1997). The Role of Pain in the Cascade from Chronic Illness to Social Disability and Psychological Distress in Late Life. In: Mostofsky, D.I., Lomranz, J. (eds) Handbook of Pain and Aging. The Springer Series in Adult Development and Aging. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0283-2_9

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  • DOI: https://doi.org/10.1007/978-1-4899-0283-2_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0285-6

  • Online ISBN: 978-1-4899-0283-2

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