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

  • Boaz Kahana
  • Eva Kahana
  • Kevan Namazi
  • Kyle Kercher
  • Kurt Stange
Part of the The Springer Series in Adult Development and Aging book series (SSAD)


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).


Negative Affect Chronic Illness Marital Satisfaction Late Life Cascade Model 
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Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Boaz Kahana
    • 1
  • Eva Kahana
    • 2
  • Kevan Namazi
    • 2
  • Kyle Kercher
    • 2
  • Kurt Stange
    • 3
  1. 1.Department of PsychologyCleveland State UniversityClevelandUSA
  2. 2.Department of SociologyCase Western UniversityClevelandUSA
  3. 3.Department of Family MedicineCase Western UniversityClevelandUSA

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