Joseph W Shega1, Andrew D Tiedt2, Kaelin Grant3, William Dale3. 1. VITAS Innovative Hospice Care, Maitland, Florida. jshega@gmail.com. 2. Department of Justice, Bureau of Justice Statistics, Washington, District of Columbia. 3. Department of Medicine, University of Chicago, Chicago, Illinois.
Abstract
OBJECTIVES: To describe the rationale for the pain presence, location, and intensity measures in the National Social Life, Health and Aging Project (NSHAP). METHOD: Responses to the pain presence, location (pain map), and intensity (verbal descriptor scale) items were analyzed by gender and age (62-69, 70-79, and 80-91). Pain intensity was dichotomized (none to mild vs moderate or higher) and compared by demographics, physical function, mood, and self-rated health. All analyses used Wald tests to compare sample means. RESULTS: Participants completed the pain presence (n = 2,430/2,799), location (n = 2,558/2,799), and intensity (n = 2,589/2,799) items. Pain items varied by gender with women reporting more head, arm, hip/buttock, leg, and foot pain compared to men, (p < .05) at each individual site. Women also reported more intense pain compared to men-2.13 versus 1.94, respectively (p < .05). Pain items demonstrated remarkable similarity among age cohorts. Health indicators were significant and in the expected direction (p < .001). An increase in comorbidity, ADL and IADL dependence, worse self-rated health, and more depressive symptoms were each significantly more common among participants who reported moderate or greater pain compared to none to mild pain. DISCUSSION: Pain presence, location, and intensity measures were successfully integrated into NSHAP Wave 2 and exhibit construct and external validity.
OBJECTIVES: To describe the rationale for the pain presence, location, and intensity measures in the National Social Life, Health and Aging Project (NSHAP). METHOD: Responses to the pain presence, location (pain map), and intensity (verbal descriptor scale) items were analyzed by gender and age (62-69, 70-79, and 80-91). Pain intensity was dichotomized (none to mild vs moderate or higher) and compared by demographics, physical function, mood, and self-rated health. All analyses used Wald tests to compare sample means. RESULTS:Participants completed the pain presence (n = 2,430/2,799), location (n = 2,558/2,799), and intensity (n = 2,589/2,799) items. Pain items varied by gender with women reporting more head, arm, hip/buttock, leg, and foot pain compared to men, (p < .05) at each individual site. Women also reported more intense pain compared to men-2.13 versus 1.94, respectively (p < .05). Pain items demonstrated remarkable similarity among age cohorts. Health indicators were significant and in the expected direction (p < .001). An increase in comorbidity, ADL and IADL dependence, worse self-rated health, and more depressive symptoms were each significantly more common among participants who reported moderate or greater pain compared to none to mild pain. DISCUSSION: Pain presence, location, and intensity measures were successfully integrated into NSHAP Wave 2 and exhibit construct and external validity.
Authors: Thomas Hadjistavropoulos; Keela Herr; Dennis C Turk; Perry G Fine; Robert H Dworkin; Robert Helme; Kenneth Jackson; Patricia A Parmelee; Thomas E Rudy; B Lynn Beattie; John T Chibnall; Kenneth D Craig; Betty Ferrell; Bruce Ferrell; Roger B Fillingim; Lucia Gagliese; Romayne Gallagher; Stephen J Gibson; Elizabeth L Harrison; Benny Katz; Francis J Keefe; Susan J Lieber; David Lussier; Kenneth E Schmader; Raymond C Tait; Debra K Weiner; Jaime Williams Journal: Clin J Pain Date: 2007-01 Impact factor: 3.442
Authors: Alberto Benito Rodríguez; Hugo Guillermo Ternavasio-de la Vega; José Ángel Santos Sánchez; Helena Iglesias de Sena; Miguel Marcos; Antonio Javier Chamorro; José Antonio Mirón-Canelo Journal: Int J Environ Res Public Health Date: 2022-01-17 Impact factor: 3.390