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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Caregiver's Perceptions of the Relationship of Pain to Behavioral and Psychiatric Symptoms in Older Community-residing Adults With Dementia
The Clinical journal of pain, v 30(5), pp 421-427
01 May 2014
PMID: 24281271
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives:
Pain is underrecognized and undermanaged in older adults with dementia. Because dementia patients have a diminished capacity to communicate discomfort, untreated pain may be expressed in the form of behavioral and psychiatric symptoms. The goal of the present study was to examine the relationship between pain and behavioral and psychiatric symptoms of dementia in community-residing older adults from the perspective of the family caregiver.
Materials and Methods:
Dyads composed of 272 dementia patients, and their family caregivers were assessed to determine dementia patient's mental status; family caregiver's assessment of care recipient's pain, functional dependence, and number of behavioral symptoms; analgesic use; and demographic information.
Results:
Hierarchical multiple regression analysis controlling for age, marital status, race, functional disability, and analgesic use showed that pain explained a small but significant percent of variance in the number of behavioral symptoms (3%, P < 0.001). Pain had a stronger influence on the number of behavioral and psychiatric symptoms of dementia among those with severe cognitive impairment (F-1,F-69=11.75, P < 0.001) compared with those with low to moderate cognitive impairment (F-1,F-199=4.543, P=0.034.).
Discussion:
The findings indicate that pain is a risk factor for behavioral symptoms in individuals with dementia and suggest that pain is a more significant predictor of behavior for individuals with severe dementia, compared with those with mild/moderate stage dementia. These results reinforce the importance of proper pain assessment and its management as part of dementia care planning.
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Details
- Title
- Caregiver's Perceptions of the Relationship of Pain to Behavioral and Psychiatric Symptoms in Older Community-residing Adults With Dementia
- Creators
- Nancy Hodgson - Johns Hopkins UniversityLaura N. Gitlin - Johns Hopkins UniversityLaraine Winter - College Station Medical CenterWalter W. Hauck - Product Innovation and Engineering (United States) (United States, Saint James) - LLC
- Publication Details
- The Clinical journal of pain, v 30(5), pp 421-427
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Grant note
- K23NR012017 / NATIONAL INSTITUTE OF NURSING RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) R01AG022254 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) RO1 AG22254 / National Institute on Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000334597800006
- Scopus ID
- 2-s2.0-84898434270
- Other Identifier
- 991020100184804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Anesthesiology
- Clinical Neurology