Pain characteristics of older persons with medically unexplained symptoms, older persons with medically explained symptoms and older persons with depression.
Aging Ment Health
; 22(12): 1642-1649, 2018 12.
Article
en En
| MEDLINE
| ID: mdl-29019415
ABSTRACT
OBJECTIVES:
The main objective of the current study is to compare chronic pain characteristics of older patients with Medically Unexplained Symptoms (MUS), to those of patients with Medically Explained Symptoms (MES), and to those of patients with Major Depressive Disorder (MDD).METHOD:
By combining data from the OPUS and NESDO study, we compared pain characteristics of 102 older (>60 years) MUS-patients to 145 older MES-patients and 275 older MDD-patients in a case-control study design. Group differences were analyzed using ANCOVA, adjusted for demographic and physical characteristics. Linear regression was applied to examine the association between pain characteristics and somatization (BSI-53 somatization scale) and health anxiety (Whitely Index).RESULTS:
Older MUS-patients have approximately two times more chance of having chronic pain when compared to older MES-patients (OR = 2.01; p = .013) but equal chances as opposed to MDD-patients. After adjustments, MUS-patients report higher pain intensity and disability scores and more pain locations when compared to MES-patients, but equal values as MDD-patients. Health anxiety and somatization levels were positively associated with the number of pain sites in MUS-patients, but not with pain severity or disability.CONCLUSION:
Older MUS-patients did not differ from MDD-patients with respect to any of the chronic pain characteristics, but had more intense and disabling pain, and more pain locations when compared to older MES-patients.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Ansiedad
/
Trastornos Somatomorfos
/
Envejecimiento
/
Trastorno Depresivo Mayor
/
Dolor Crónico
/
Síntomas sin Explicación Médica
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Aging Ment Health
Asunto de la revista:
GERIATRIA
/
PSICOLOGIA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Países Bajos