Dataset Information

Associations between Pain and Quality of Life in Severe Dementia: A Norwegian Cross-Sectional Study.

ABSTRACT:

Background/aims

Many variables influence the quality of life in older adults with dementia. We aim to quantify how the relationship between pain and quality of life in nursing home residents with severe dementia can be explained by neuropsychiatric symptoms, depressive symptoms, and activities of daily living.

Methods

This article presents cross-sectional baseline data from a cluster randomised controlled trial.

Results

The total and direct effects of pain on quality of life were statistically significant. Both neuropsychiatric and depressive symptoms partially mediated the relationship between pain and quality of life. Activities of daily living acted as a mediator only when modelled together with depressive symptoms.

Conclusion

Pain, neuropsychiatric symptoms, and depressive symptoms appear to be important factors that influence the quality of life for nursing home residents with severe dementia. Therefore, multidimensional interventions may be beneficial for maintaining or improving quality of life in this population.

SUBMITTER: Rostad HM

PROVIDER: S-EPMC5425768 | biostudies-literature | 2017 Jan-Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Associations between Pain and Quality of Life in Severe Dementia: A Norwegian Cross-Sectional Study.

Rostad Hanne Marie HM Puts Martine T E MTE Cvancarova Småstuen Milada M Grov Ellen Karine EK Utne Inger I Halvorsrud Liv L

Dementia and geriatric cognitive disorders extra 20170101 1

<h4>Background/aims</h4>Many variables influence the quality of life in older adults with dementia. We aim to quantify how the relationship between pain and quality of life in nursing home residents with severe dementia can be explained by neuropsychiatric symptoms, depressive symptoms, and activities of daily living.<h4>Methods</h4>This article presents cross-sectional baseline data from a cluster randomised controlled trial.<h4>Results</h4>The total and direct effects of pain on quality of lif ...[more]

PMID: 28553313

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Project description:BackgroundIllness perception is related to management patterns and pain intensity, but among elderly with low back pain, this relation is unclear. The aims of this study were to analyse the associations between illness perception, pain intensity and health related quality of life in a group of elderly with low back pain and explore how different illness perception profiles would cluster and differ in terms of pain, quality of life and choice of management.MethodThis was a cross-sectional survey based on a cohort of originally 640 Danish children. Of the 311 respondents in 2019, 69% reported low back pain within last year and were included. Associations between illness perceptions (Brief illness perception questionnaire), health related quality of life (EuroQol-5 Domain-3L) and low back pain intensity were assessed, and participants were clustered based on their perceptions using hierarchical and K-means cluster analysis. Cluster differences in pain, quality of life and use of pharmacological and non-pharmacological treatments were explored.ResultsAmong the 213 individuals with low back pain, 33% reported severe or fluctuating pain intensity. Higher pain intensity was associated with perceiving low back pain as a greater threat. Participants reporting fluctuating pain perceived their low back pain almost as threatening as participants reporting severe pain. Two clusters were identified. Cluster 1 reported lower quality of life (difference in medians: -0.176 (95% CI [-0.233--0.119 ])) and was more likely to report severe or fluctuating pain (37.7% vs. 4.5% [P < 0.0001]) and to use pharmacological treatments than Cluster 2 (37.7% vs. 14.9% [P < 0.001]). No association was found between clusters concerning use of non-pharmacological treatments (P = 0.134).ConclusionBased on illness perceptions, two clusters differing in pain intensity, quality of life and use of pharmacological treatments were identified. Targeting illness perceptions may be beneficial during rehabilitation or when guiding patients with low back pain in choice of management.

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Dataset Information

Associations between Pain and Quality of Life in Severe Dementia: A Norwegian Cross-Sectional Study.

Background/aims

Methods

Results

Conclusion

Publications

Associations between Pain and Quality of Life in Severe Dementia: A Norwegian Cross-Sectional Study.

Similar Datasets

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