Pain Management

  • Debra S. Morley
  • David I. Mostofsky
Part of the The Springer Series in Adult Development and Aging book series (SSAD)


Despite the increased interest in understanding age-related changes, and in developing service delivery systems for the expanding aging and elderly populations, there is a paucity of effort directed toward the effective utilization of behavioral theory and technologies in the analysis and remediation of pain problems in older adults. The accelerating nationwide increase in the elderly population, combined with the many behavior problems and deficits associated with their increased longevity, has contributed to the emergence of behavioral gerontology as an identified specialty, although there remains a relative lack of interest and research activity in the larger community of behavioral researchers concerning the problems of older individuals (Wisocki & Mosher, 1982). The need for an understanding of these problems is critical if we are to establish the basis for training and education of professional and other health specialists versed in the psychosocial aspects of comprehensive geriatric and gerontological management.


Chronic Pain Pain Management Cancer Pain Pain Threshold Chronic Pain Patient 
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  1. Achterberg, J., Kenner, C., & Lewis, G. (1988). Severe burn injury: A comparison of relaxation, imagery, and biofeedback for pain management. Journal of Mental Imagery, 12 71–87.Google Scholar
  2. Ades, P. A., Waldmann, M. L., McCann, W. J., & Weaver, S. O. (1992). Predictors of cardiac rehabilitation participation in older coronary patients. Archives of Internal Medicine, 152 1033–1035.PubMedCrossRefGoogle Scholar
  3. Agency for Health Care Policy and Research. (1994). Cancer pain management panel. Management of cancer pain. Clinical Practice Guideline Number 9. Washington, DC: U.S. Department of Health and Human Services.Google Scholar
  4. Alexander, A. M., Veitch, G. B., & Wood, J. B. (1985). Anti-rheumatic and analgesic drug usage and acute gastro-intestinal bleeding in elderly patients. Journal of Clinical and Hospital Pharmacy, 10 89–93.PubMedGoogle Scholar
  5. American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington, DC: Author.Google Scholar
  6. Arena, J. G., Hightower, N. E., & Chong, G. C. (1988). Relaxation therapy for tension headache in the elderly: A prospective study. Psychology and Aging, 3 96–98.PubMedCrossRefGoogle Scholar
  7. Arena, J. G., Hannah, S. L., Bruno, G. M., & Meador, K. J. (1991). Electromyographic biofeedback training for tension headache in the elderly: A prospective study. Biofeedback and Self Regulation, 16 379–390.PubMedCrossRefGoogle Scholar
  8. Beekman, A. T., Kriegsman, D. M., Deeg, D. J., & van Tilburg, W. (1995). The association of physical health and depressive symptoms in the older population: Age and sex differences. Social Psychiatry and Psychiatric Epidemiology, 30 32–38.PubMedCrossRefGoogle Scholar
  9. Bender, R. (1992). Yoga exercises and gentle movements for the elderly. In S. Harris, R. Harris, & W. S. Harris (Eds.), Physical activity and sports: Practice, program and policy (Vol. II, pp. 344–371) Albany, NY: Center for the Study of Aging.Google Scholar
  10. Biegel, L. (Ed.). (1984). Physical fitness and the older person: A guide to exercise for health care professionals. Rockville, MD: Aspen.Google Scholar
  11. Birren, J. E., Shapiro, H. B., & Miller, H. H. (1959). The effect of salicylate upon pain sensitivity. Journal of Pharmacology and Experimental Therapeutics, 100 67–71.Google Scholar
  12. Boczkowski, J. (1984). Biofeedback training for the treatment of chronic pain in an elderly arthritic female. Clinical Gerontology, 2 39–46.CrossRefGoogle Scholar
  13. Bradley, L. A. (1989). Adherence with treatment regiments among adult rheumatoid arthritis patients: Current status and future directions. Arthritis Care and Research, 2 533–539.Google Scholar
  14. Bruce, M. L., Seeman, T. E., Merrill, S. S., & Blazer, D. G. (1994). The impact of depressive symptomatology on physical disability: MacArthur studies of successful aging. American Journal of Public Health, 84 1796–1799.PubMedCrossRefGoogle Scholar
  15. Butt, J. H., Barthel, J. S., & Moore, R. A. (1988). Clinical spectrum of the upper gastrointestinal effects of nonsteroidal anti-inflammatory drugs: Natural history, symptomatology and significance. American Journal of Medicine, 84 5–14.PubMedCrossRefGoogle Scholar
  16. Cadranel, J. F., Benhamou, Y., Zylberberg, P., Novello, P., Luciani, R., Valla, D., & Opolon, P. (1994). Hypnotic relaxation: A new sedative tool for colonoscopy? Journal of Clinical Gastroenterol-ogy, 18 127–129.CrossRefGoogle Scholar
  17. Campora, E., Merlini, L., Pace, M., Bruzzone, M., Luzzani, M., Gottlieb, A., & Rosso, R. (1991). The incidence of narcotic induced emesis. Journal of Pain and Symptom Management, 6 428–430.PubMedCrossRefGoogle Scholar
  18. Casten, R. J., Parmelee, P. A., Kleban, M. H., Lawton, M P., & Katz, I. R. (1995). The relationship among anxiety, depression, and pain in a geriatric institutionalized sample. Pain, 61 271–276.PubMedCrossRefGoogle Scholar
  19. Chapman, C. R. (1978). Pain: The perception of noxious events. In R. A. Sternbach (Ed.), The psychology of pain (pp. 169–202). New York: Raven.Google Scholar
  20. Chaves, J. F. (1994). Recent advances in the application of hypnosis to pain management. American Journal of Clinical Hypnosis, 37 117–129.PubMedCrossRefGoogle Scholar
  21. Cherny, N. I., & Popp, B. (1997). The management of cancer pain in elderly patients. In J. Lomranz & D. I. Mostofsky (Eds.), Handbook of pain and aging (pp. 267–308). New York: Plenum.Google Scholar
  22. Clark, W. C., & Mehl, L. (1973). Signal detection theory procedures are not equivalent when thermal stimuli are judged. Journal of Experimental Psychology, 97 48–53.CrossRefGoogle Scholar
  23. Closs, S. J. (1994). Pain in elderly patients: A neglected phenomenon? Journal of Advanced Nursing, 19 1072–1081.PubMedCrossRefGoogle Scholar
  24. Cohen-Mansfield, J., & Marx, M. S. (1993). Pain and depression in the nursing home: Corroborating results. Journal of Gerontology: Psychological Sciences, 48 96–97.Google Scholar
  25. Collins, G., & Stone, L. A. (1966). Pain sensitivity, age and activity level in chronic schizophrenics and in normals. British Journal of Psychiatry, 112 33–35.CrossRefGoogle Scholar
  26. Corran, T. M., Helme, R. D., & Gibson, S. J. (1993, August). Comparison of chronic pain experience in young and elderly patients. Paper presented at the 7th World Congress on Pain, Paris.Google Scholar
  27. Crook, J., Rideout, E., & Browne, G. (1984). The prevalence of pain complaints in a general population. Pain, 18 299–314.PubMedCrossRefGoogle Scholar
  28. Cutler, R. B., Fishbain, D. A., Rosomoff, R. S., & Rosomoff, H. L. (1994). Outcomes in treatment of pain in geriatric and younger age groups. Archives of Physical Medicine and Rehabilitation, 75 457–464.PubMedCrossRefGoogle Scholar
  29. Czirr, R., & Gallagher, D. (1983). Case report: Behavioral treatment of depression and somatic complaints in rheumatoid arthritis. Clinical Gerontology, 2 63–66.CrossRefGoogle Scholar
  30. Davis, G. C., Cortex, C., & Rubin, B. R. (1990). Pain management in the older adult with rheumatoid arthritis or osteoarthritis. Arthritis Care and Research, 3 127–131.PubMedCrossRefGoogle Scholar
  31. DeBenedittis, G., Panerai, A. A., & Villamira, M. A. (1989). Effects of hypnotic analgesia and hyp-notizability on experimental ischémie pain. International Journal of Clinical Hypnosis, 37 55–69.CrossRefGoogle Scholar
  32. Deyo, R. A., Walsh, N. E., Martin, D. C., Schoenfield, L. S., & Ramamurthy, S. (1990). A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. New England Journal of Medicine, 322 1627–1634.PubMedCrossRefGoogle Scholar
  33. Dixhoorn, J. V., Duivenvoorden, H. J., Pool, J., & Verhage, F. (1990). Psychic effects of physical training and relaxation therapy after myocardial infarction. Journal of Psychosomatic Research, 34 327–337.PubMedCrossRefGoogle Scholar
  34. Domangue, B. B., Margolis, C. G., Lieberman, D., Kaji, H. (1985). Biochemical correlates of hyp-noanalgesia in arthritic pain patients. Journal of Clinical Psychiatry, 46 235–238.PubMedGoogle Scholar
  35. Ettinger, A. B., & Portenoy, R. K. (1988). The use of corticosteroids in the treatment of symptoms associated with cancer. Journal of Pain and Symptom Management, 3 99–103.PubMedCrossRefGoogle Scholar
  36. Ferrell, B. A. (1991). Pain management in elderly people. Journal of the American Geriatrics Society, 39 64–73.PubMedGoogle Scholar
  37. Ferrell, B. A., Ferrell, B. R., & Osterweil, D. (1990). Pain in the nursing home. Journal of the American Geriatrics Society, 38 409–414.PubMedGoogle Scholar
  38. Fiatarone, M. A., Marks, E. C., Ryan, N. D., Meredith, C. N., Lipsitz, L. A., & Evans, W. J. (1990). High-intensity strength training in nonagenarians. Journal of the American Medical Association, 263 3029–3034.PubMedCrossRefGoogle Scholar
  39. Flatten, K., Wilhite, B., & Reyes-Watson, E. (1988). Exercise activities for the elderly. New York: Springer.Google Scholar
  40. Fordyce, W. E. (1976). Behavioral methods for chronic pain and illness. St. Louis, MO: Mosby.Google Scholar
  41. Fordyce, W. E. (1986). Learning processes in pain. In R. A. Steinbach (Ed.), The psychology of pain (2nd ed., pp. 49–65). New York: Raven.Google Scholar
  42. Fordyce, W. E., Fowler, R., Lehmann, J., DeLateur, B., Sand, P., & Trieschamann, R. (1973). Opérant conditioning in the treatment of chronic pain. Archives of Physical Medicine, 54 399–408.Google Scholar
  43. Fraser, J., & Kerr, J. R. (1993). Psychophysiological effects of back massage on elderly institutional patients. Journal of Advanced Nursing, 18 238–245.PubMedCrossRefGoogle Scholar
  44. Fridlund, B., Hogstedt, B., Lidell, E., & Larson, P. (1991). Recovery after myocardial infarction: Effects of a caring rehabilitation program. Scandinavian Journal of Caring Sciences, 5 23–32.PubMedCrossRefGoogle Scholar
  45. Gagliese, L., & Melzack, R. (1995, May). Age differences in the quality but not intensity of chronic pain. Paper presented at the annual meeting of the Canadian Pain Society, Ottawa, Ontario, Canada.Google Scholar
  46. Gagliese, L., & Melzack, R. (1997). The assessment of pain in the elderly. In J. Lomranz & D. I. Mostofsky (Eds.), Handbook of pain and aging (pp. 69–96). New York: Plenum.Google Scholar
  47. Garfinkel, M. S., Schumacher, H. R. Jr., Husain, A., Levy, M., & Reshetar, R. A. (1994). Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. Journal of Rheumatology, 21 2341–2343.PubMedGoogle Scholar
  48. Garron, D. C., & Leavitt, F. (1979). Demographic and affective covariates of pain. Psychosomatic Medicine, 41 525–535.PubMedGoogle Scholar
  49. Gibson, S. J., Katz, B., Corran, T. M., Farrell, M. J., & Helme, R. D. (1994). Pain in older persons. Disability and Rehabilitation, 16 127–139.PubMedCrossRefGoogle Scholar
  50. Haanen, H. C., Hoenderdos, H. T., van Romunde, L. K., Hop, W. C., Mallee, C., Terwiel, J. P., & Hekster, G. B. (1991). Controlled trail of hypnotherapy in the treatment of refractory fibromyalgia. Journal of Rheumatology, 18 72–75.PubMedGoogle Scholar
  51. Hamburger, L. (1982). Reduction of generalized aversive responding in a post-treatment cancer patient: Relaxation as an active coping skill. Journal of Behavior Therapy and Experimental Psychiatry, 12 241–247.Google Scholar
  52. Hardy, J. D., Wolff, H. G., & Goodell, H. (1943). The pain threshold in man. American Journal of Psychiatry, 99 744–751.Google Scholar
  53. Harkins, S. W., & Chapman, C. R. (1976). Detection and decision factors in pain perception in young and elderly men. Pain, 2 253–264.PubMedCrossRefGoogle Scholar
  54. Harkins, S. W., & Chapman, C. R. (1977a). Age and sex differences in pain perception. In D. J. Anderson & B. Mathews (Eds.), Pain in the trigeminal region (pp. 435–441). Amsterdam: Elsevier.Google Scholar
  55. Harkins, S. W., & Chapman, C. R. (1977b). The perception of induced dental pain in young and elderly women. Journal of Gerontology, 32 428–435.PubMedCrossRefGoogle Scholar
  56. Harkins, S. W., Price, D. D., & Martelli, M. (1986). Effects of age on pain perception: Thermonociception. Journal of Gerontology, 41 58–63.PubMedCrossRefGoogle Scholar
  57. Herning, M. M. (1993). Posture improvement in the frail elderly. In H. M. Perry, III, J. E. Morley, & R. M. Coe (Eds.), Aging and musculoskeletal disorders: Concepts, diagnosis and treatment (pp. 334–353). New York: Springer.Google Scholar
  58. Herr, K. A., & Mobily, P. R. (1991). Complexities of pain assessment in the elderly. Clinical considerations. Journal of Gerontological Nursing, 17 12–19.PubMedGoogle Scholar
  59. Herr, K. A., Mobily, P. R., & Smith, C. (1993). Depression and the experience of chronic back pain: A study of related variables and age differences. Clinical Journal of Pain, 9 104–114.PubMedCrossRefGoogle Scholar
  60. Hitchcock, L. S., Ferrell, B. R., & McCaffery, M. (1994). The experience of chronic nonmalignant pain. Journal of Pain and Symptom Management, 9 312–318.PubMedCrossRefGoogle Scholar
  61. Holroyd, J., & Hill, A. (1989). Pushing the limits of recovery: Hypnotherapy with a stroke patient. International Journal of Clinical and Experimental Hypnosis, 37 120–128.PubMedCrossRefGoogle Scholar
  62. Houston, K. (1993). An investigation of rocking as relaxation for the elderly. Geriatric Nursing, 14 186–189.PubMedCrossRefGoogle Scholar
  63. Huskisson, E. C. (1974). Measurement of pain. Lancet, 2 1127–1131.PubMedCrossRefGoogle Scholar
  64. Johnson, M. I., Ashton, C. H., & Thompson, J.W. (1991). An in-depth study of long-term users of transcutaneous electrical nerve stimulation (TENS). Implications for clinical use of TENS. Pain, 44 221–229.PubMedCrossRefGoogle Scholar
  65. Johnson, M. I., Ashton, C. H., & Thompson, J.W. (1992). Long term use of transcutaneous electrical nerve stimulation at Newcastle Pain Relief Clinic. Journal of the Royal Society of Medicine, 85 267–268.PubMedGoogle Scholar
  66. Kaiko, R. F., Wallenstein, S. L., Rogers, A. G., Grabinski, P. Y., & Houde, R. W. (1982). Narcotics in the elderly. Medical Clinics of North America, 66 1079–1089.PubMedGoogle Scholar
  67. Kanter, T. G. (1984). Peripherally-acting analgesics. In M. Kuhr & G. Pasternak, (Eds.), Analgesics: Neurochemical, Behavioral and Clinical Perspectives (pp. 289–312). New York: Raven.Google Scholar
  68. Kerlan, R. K. (Ed.). (1991). Clinics in sports medicine. Philadelphia: Saunders.Google Scholar
  69. King, A. C., & Arena, J. G. (1984). Behavioral treatment of chronic cluster headache in a geriatric patient. Biofeedback and Self Regulation, 9 201–108.PubMedCrossRefGoogle Scholar
  70. Kremer, E., Atkinson, J. H., & Ignelzi, R. J. (1981). Measurement of pain: Patient preference does not confound pain measurement. Pain, 10 241–249.PubMedCrossRefGoogle Scholar
  71. Kwentus, J. A., Harkins, S. W., Lignon, N., & Silverman, J. J. (1985). Current concepts of geriatric pain and its treatment. Geriatrics, 40 48–54, 57.PubMedGoogle Scholar
  72. Lang, E. V., & Hamilton, D. (1994). Anodyne imagery: An alternative to IV sedation in interventional radiology. AJR, American Journal of Roentgenology, 162 1221–1226.CrossRefGoogle Scholar
  73. Lehr, J., & Swanson, K. (1990). Fit, firm & 50. Chelsea, MI: Lewis.Google Scholar
  74. Linoff, M., & West, C. (1982). Relaxation training systematically combined with music: Treatment of tension headaches in a geriatric patient. International Journal of Behavioral Geriatrics, 1 11–16.Google Scholar
  75. Magni, J., Schifano, F., & DeLeo, D. (1985). Pain as a symptom in elderly depressed patients: Relationship to diagnostic subgroups. European Archives of Psychiatry and Neurological Sciences, 235 143–145.PubMedCrossRefGoogle Scholar
  76. Maniglia, R., Schwartz, A. B., & Moriber-Katz, S. (1988). Non-steroidal anti-inflammatory nephrotoxicity. Annals of Clinical and Laboratory Science, 18 240–252.PubMedGoogle Scholar
  77. Manton, K. G. (1997). Chronic morbidity and disability in the U.S. elderly populations: Recent trends and population implications. In J. Lomranz & D. I. Mostofsky (Eds.), Handbook of pain and aging (pp. 37–68). New York: Plenum.Google Scholar
  78. Masters, J. C., Burish, T. G., Hollon, S. D., & Rimm, D. C. (1987). Behavior therapy: Techniques and empirical findings (3rd ed.). San Diego, CA: Harcourt Brace Jovanovich.Google Scholar
  79. McCracken, L. M., Mosley, T. H., Plaud, J. J., Gross, R. T., & Penzien, D. B. (1993, August). Age, chronic pain and impairment: Results from two clinical samples. Paper presented at the 7th World Congress on Pain, Paris.Google Scholar
  80. McCullough, P. K. (1991). Geriatric depression: Atypical presentations, hidden meanings. Geriatrics, 46 72–76.PubMedGoogle Scholar
  81. Mclntosh, I. B. (1990). Psychological aspects influence the threshold of pain. Geriatric Medicine, 20 37–41.Google Scholar
  82. Meichenbaum, D. H. (1977). Cognitive-behavior modification. New York: Plenum.CrossRefGoogle Scholar
  83. Melding, P. S. (1995). Psychiatric aspects of chronic pain. In R. Roy (Ed.), Chronic pain in old age: An integrated psychosocial perspective (pp. 194–214). Toronto: University of Toronto Press.Google Scholar
  84. Melding, P. S. (1997). Coping with pain in old age. In J. Lomranz & D. I. Mostofsky (Eds.), Handbook of pain and aging (pp. 167–184). New York: Plenum.Google Scholar
  85. Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1 277–299.PubMedCrossRefGoogle Scholar
  86. Melzack, R. (1987). The short-form McGill Pain Questionnaire. Pain, 30 191–197.PubMedCrossRefGoogle Scholar
  87. Melzack, R., & Katz, J. (1992). The McGill Pain Questionnaire: Appraisal and current status. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 152–168). New York: Guilford.Google Scholar
  88. Meyer, C. L., & Hawley, D. J. (1994). Characteristics of participants in water exercise programs compared to patients in a rheumatic disease clinic. Arthritis Care and Research, 7 85–89.PubMedCrossRefGoogle Scholar
  89. Middaugh, S. J., Levin, R. B., Kee, W. G., Barchiesi, F. D., & Roberts, J. M. (1988). Chronic pain: Its treatment in geriatric and younger patients. Archives of Physical Medicine and Rehabilitation, 69 1021–1025.PubMedGoogle Scholar
  90. Middaugh, S. J., Woods, S. E., Kee, W. G., Harden, R. N., & Peters, J. R. (1991). Biofeedback-assisted relaxation training for the chronic pain patient. Biofeedback and Self Regulation, 16 361–377.PubMedCrossRefGoogle Scholar
  91. 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: Psychological Sciences, 46 P51–57.Google Scholar
  92. Mumford, H. M. (1965). Pain perception threshold and adaptation of normal human teeth. Archives of Graduate Biology, 10 957–968.CrossRefGoogle Scholar
  93. Nelson, L., Taylor, F., Adams, M., & Parker, D. E. (1990). Improving pain management for hip fractured elderly. Orthopaedic Nursing, 9 79–82.PubMedCrossRefGoogle Scholar
  94. Notermans, S. L. H. (1966). Measurement of the pain threshold determined by electrical stimulation and its clinical application. I: Methods and factors possibly influencing the pain threshold. Neurology, 16 1071–1086.PubMedCrossRefGoogle Scholar
  95. Onghena, P., & Van Houdenhove, B. (1992). Antidepressant-induced analgesia in chronic non-malignant pain: A meta-analysis of 39 placebo-controlled studies. Pain, 49 205–220.PubMedCrossRefGoogle Scholar
  96. Parmelee, P. A., Katz, I. R., & Lawton, M. P. (1991). The relation of pain to depression among institutionalized aged. Journal of Gerontology: Psychological Sciences, 46 P15–21.Google Scholar
  97. Patterson, D. R., Everett, J. J., Burns, G. L., & Marvin, J. A. (1992). Hypnosis for the treatment of burn pain. Journal of Consulting and Clinical Psychology, 60 713–717.PubMedCrossRefGoogle Scholar
  98. Portenoy, R. K., & Farkash, A. (1988). Practical management of non-malignant pain in the elderly. Geriatrics, 5 29–47.Google Scholar
  99. Portenoy, R. K., Foley, K. M., & Inturrisi, C. E. (1990). The nature of opioid responsiveness and its implications for neuropathic pain: New hypotheses derived from studies of opioid infusions. Pain, 43 273–286.PubMedCrossRefGoogle Scholar
  100. Procacci, P., Delia Corte, M., Zoppi, M., Romano, S., Maresca, M., & Voegelin, M. (1974). Pain threshold measurement in man. In J. J. Bonica, P. Procacci, & C. Pagoni (Eds.), Recent advances on pain: Pathophysiology and clinical aspects (pp. 105–147). Springfield, IL: Thomas.Google Scholar
  101. Puder, R. S. (1988). Age analysis of cognitive-behavioural group therapy for chronic pain outpatients. Psychology and Aging, 3 204–207.PubMedCrossRefGoogle Scholar
  102. Rasmussen, M. J., Hayes, D. L., Vlietstra, R. E., & Thorsteinsson, G. (1988). Can transcutaneous electrical nerve stimulation be safely used in patients with permanent cardiac pacemakers? Mayo Clinic Proceedings, 63 443–445.PubMedCrossRefGoogle Scholar
  103. Saxon, S. V., & Etten, M. J. (1984). Psychosocial rehabilitation programs for older adults. Springfield, IL: Thomas.Google Scholar
  104. Schludermann, E., & Zubek, J. P. (1962). Effect of age on pain sensitivity. Perceptual and Motor Skills, 14 295–301.CrossRefGoogle Scholar
  105. Schumacher, G. A., Goodell, H., Hardy, J. D., & Wolff, H. G. (1940). Uniformity of pain threshold in man. Science, 92 110–112.PubMedCrossRefGoogle Scholar
  106. Schuster, J. M., & Goetz, K. L. (1994). Pain. In C. E. Coffey & J. L. Cummings (Eds.), Textbook of geriatric neuropsychiatry (pp. 334–350). Washington, DC: American Psychiatric Press.Google Scholar
  107. Scogin, F., Rickard, H. C., Keith, S., Wilson, J., & McElreath, L. (1992). Progressive and imaginai relaxation training for elderly persons with subjective anxiety. Psychology and Aging, 7 419–424.PubMedCrossRefGoogle Scholar
  108. Sengstaken, E. A., & King, S. A. (1993). The problems of pain and its detection among geriatric nursing home residents. Journal of the American Geriatric Society, 41 541–4.Google Scholar
  109. Sherman, E. D., & Robillard, E. (1960). Sensitivity to pain in the aged. Canadian Medical Association Journal, 83 944–947.PubMedGoogle Scholar
  110. Sherman, E. D., & Robillard, E. (1964). Sensitivity to pain in relationship to age. Journal of the American Geriatric Society, 12 1037–1044.Google Scholar
  111. Sorkin, B. A., Rudy, T. E., Hanlon, R. B., Turk, D. C., & Stieg, R. L. (1990). Chronic pain in old and young patients: Differences appear less important than similarities. Journal of Gerontology: Psychological Sciences, 45 P64–68.Google Scholar
  112. Stern, M. J., Gorman, P. A., & Kaslow, L. (1983). The group counselling v. exercise therapy study: A controlled intervention with subjects following myocardial infarction. Archives of Internal Medicine, 143 1719–1725.PubMedCrossRefGoogle Scholar
  113. Stewart, R. B., Blashfield, R., Hale, W. E., Moore, M. T., May, F. E., & Marks, R. G. (1991). Correlates of Beck Depression Inventory scores in an ambulatory elderly population: Symptoms, diseases, laboratory values, and medications. Journal of Family Practice, 32 497–502.PubMedGoogle Scholar
  114. Sykes, N. P. (1991). [Letter]. Oral naloxone in opioid associated constipation. Lancet, 337 1475.PubMedCrossRefGoogle Scholar
  115. Thorsteinsson, G. (1987). Chronic pain: use of TENS in the elderly. Geriatrics, 42 75–82.PubMedGoogle Scholar
  116. Turk, D. C., & Meichenbaum, D. (1994). A cognitive-behavioural approach to pain management. In P. D. Wall & R. Melzack (Eds.), Textbook of pain (pp. 1337–1348). Endinburgh: Churchill Livingstone.Google Scholar
  117. Turk, D. C., Okifuji, A., & Scharff, L. (1995). Chronic pain and depression: Role of perceived impact and perceived control in different age cohorts. Pain, 61 93–101.PubMedCrossRefGoogle Scholar
  118. Van der Does, A. J., & Van Dyck, R., & Spijker, R. E. (1988). Hypnosis and pain in patients with severe burns: A pilot study. Burns, Including Thermal Injury, 14 399–404.PubMedCrossRefGoogle Scholar
  119. Weinsten, E. J., & Au, P. K. (1991). Use of hypnosis before and during angioplasty. American Journal of Clinical Hypnosis, 34 29–37.CrossRefGoogle Scholar
  120. Williams, A. K., & Schulz, R. (1988). Association of pain and physical dependency with depression in physically ill middle-aged and elderly persons. Physical Therapy, 68 1226–1230.PubMedGoogle Scholar
  121. Williamson, G. M., & Schulz, R. (1992). Pain, activity restriction and symptoms of depression among community-residing elderly residents. Journal of Gerontology: Psychological Sciences, 47 P367–372.Google Scholar
  122. Williamson, J. (1978). Depression in the elderly. Age and Aging, 7 (Suppl.), 35–40.CrossRefGoogle Scholar
  123. Wisocki, P. A., & Mosher, P. A. (1982). The elderly: An under-studied population in behavioral research. International Journal of Behavior Geriatrics, 1 5–11.Google Scholar
  124. Wisocki, P. A., & Powers, C. B. (1997). Behavioral treatments for pain experienced by older adults. In J. Lomranz & D. I. Mostofsky (Eds.), Handbook of pain and aging (pp. 365–382). New York: Plenum.Google Scholar
  125. Woodrow, K. M., Friedman, G. D., Siegalaub, A. B., & Collen, M. F. (1972). Pain tolerance: Differences according to age, sex, and race. Psychosomatic Medicine, 34 548–556.PubMedGoogle Scholar
  126. Yates, P., Dewar, A., & Fentiman, B. (1995). Pain: The view of elderly people living in long-term residential settings. Journal of Advanced Nursing, 21 667–674.PubMedCrossRefGoogle Scholar
  127. Yehuda, S., & Carasso, R. L. (1997). A brief history of pain perception and pain tolerance in aging. In J. Lomranz & D. I. Mostofsky (Eds.), Handbook of pain and aging (pp. 19–35). New York: Plenum.Google Scholar
  128. Zoob, M. (1978). Differentiating the chest pain. Geriatrics, 33 95–101.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Debra S. Morley
    • 1
  • David I. Mostofsky
    • 2
  1. 1.Department of PsychologyBoston UniversityBostonUSA
  2. 2.Laboratory for Experimental Behavioral Medicine, Department of PsychologyBoston UniversityBostonUSA

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