Chronic Pain and Attention in Older Community-Dwelling Adults

Guusje van der Leeuw; Suzanne G. Leveille; Zhiyong Dong; Ling Shi; Daniel Habtemariam; William Milberg; Jeffrey M. Hausdorff; Laura Grande; Peggy Gagnon; Robert R. McLean; Jonathan F. Bean

doi:10.1111/jgs.15413

Chronic Pain and Attention in Older Community-Dwelling Adults

Guusje van der Leeuw, Suzanne G. Leveille, Zhiyong Dong, Ling Shi, Daniel Habtemariam, William Milberg, Jeffrey M. Hausdorff, Laura Grande, Peggy Gagnon, Robert R. McLean, Jonathan F. Bean

VU University medical center

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVES: To examine the cross-sectional relationship between chronic pain and complex attention in a population of community-living older adults. DESIGN: Prospective cross-sectional cohort study. SETTING: Population-based Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study II. PARTICIPANTS: Individuals aged 71 to 101 (N=354). MEASUREMENTS: Chronic pain was measured using the pain severity and interference subscales of the Brief Pain Inventory. Four subscales of the Test of Everyday Attention were used to measure domains of attention switching and selective, sustained, and divided attention. RESULTS: Before and after multivariable adjustment, pain severity was associated with poorer scores on measures of selective and sustained attention. Pain interference scores also were significantly inversely associated with selective attention. CONCLUSION: Chronic pain is associated with poorer performance in selective and sustained attention in community-dwelling older adults. Further research is needed to determine whether effective pain management could lead to better attentional performance in older adults. Older adults who live with chronic pain, often undertreated, are potentially at risk of cognitive difficulties and related functional consequences.

Original language	English
Pages (from-to)	1318-1324
Journal	Journal of the American Geriatrics Society
Volume	66
Issue number	7
DOIs	https://doi.org/10.1111/jgs.15413
Publication status	Published - 2018

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10.1111/jgs.15413

Cite this

van der Leeuw, G., Leveille, S. G., Dong, Z., Shi, L., Habtemariam, D., Milberg, W., ... Bean, J. F. (2018). Chronic Pain and Attention in Older Community-Dwelling Adults. Journal of the American Geriatrics Society, 66(7), 1318-1324. https://doi.org/10.1111/jgs.15413

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title = "Chronic Pain and Attention in Older Community-Dwelling Adults",

abstract = "OBJECTIVES: To examine the cross-sectional relationship between chronic pain and complex attention in a population of community-living older adults. DESIGN: Prospective cross-sectional cohort study. SETTING: Population-based Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study II. PARTICIPANTS: Individuals aged 71 to 101 (N=354). MEASUREMENTS: Chronic pain was measured using the pain severity and interference subscales of the Brief Pain Inventory. Four subscales of the Test of Everyday Attention were used to measure domains of attention switching and selective, sustained, and divided attention. RESULTS: Before and after multivariable adjustment, pain severity was associated with poorer scores on measures of selective and sustained attention. Pain interference scores also were significantly inversely associated with selective attention. CONCLUSION: Chronic pain is associated with poorer performance in selective and sustained attention in community-dwelling older adults. Further research is needed to determine whether effective pain management could lead to better attentional performance in older adults. Older adults who live with chronic pain, often undertreated, are potentially at risk of cognitive difficulties and related functional consequences.",

author = "{van der Leeuw}, Guusje and Leveille, {Suzanne G.} and Zhiyong Dong and Ling Shi and Daniel Habtemariam and William Milberg and Hausdorff, {Jeffrey M.} and Laura Grande and Peggy Gagnon and McLean, {Robert R.} and Bean, {Jonathan F.}",

year = "2018",

doi = "10.1111/jgs.15413",

language = "English",

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pages = "1318--1324",

journal = "Journal of the American Geriatrics Society",

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publisher = "Wiley-Blackwell",

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}

Chronic Pain and Attention in Older Community-Dwelling Adults. / van der Leeuw, Guusje; Leveille, Suzanne G.; Dong, Zhiyong; Shi, Ling; Habtemariam, Daniel; Milberg, William; Hausdorff, Jeffrey M.; Grande, Laura; Gagnon, Peggy; McLean, Robert R.; Bean, Jonathan F.

In: Journal of the American Geriatrics Society, Vol. 66, No. 7, 2018, p. 1318-1324.

Research output: Contribution to journal › Article › Academic › peer-review

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T1 - Chronic Pain and Attention in Older Community-Dwelling Adults

AU - van der Leeuw, Guusje

AU - Leveille, Suzanne G.

AU - Dong, Zhiyong

AU - Shi, Ling

AU - Habtemariam, Daniel

AU - Milberg, William

AU - Hausdorff, Jeffrey M.

AU - Grande, Laura

AU - Gagnon, Peggy

AU - McLean, Robert R.

AU - Bean, Jonathan F.

PY - 2018

Y1 - 2018

N2 - OBJECTIVES: To examine the cross-sectional relationship between chronic pain and complex attention in a population of community-living older adults. DESIGN: Prospective cross-sectional cohort study. SETTING: Population-based Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study II. PARTICIPANTS: Individuals aged 71 to 101 (N=354). MEASUREMENTS: Chronic pain was measured using the pain severity and interference subscales of the Brief Pain Inventory. Four subscales of the Test of Everyday Attention were used to measure domains of attention switching and selective, sustained, and divided attention. RESULTS: Before and after multivariable adjustment, pain severity was associated with poorer scores on measures of selective and sustained attention. Pain interference scores also were significantly inversely associated with selective attention. CONCLUSION: Chronic pain is associated with poorer performance in selective and sustained attention in community-dwelling older adults. Further research is needed to determine whether effective pain management could lead to better attentional performance in older adults. Older adults who live with chronic pain, often undertreated, are potentially at risk of cognitive difficulties and related functional consequences.

AB - OBJECTIVES: To examine the cross-sectional relationship between chronic pain and complex attention in a population of community-living older adults. DESIGN: Prospective cross-sectional cohort study. SETTING: Population-based Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study II. PARTICIPANTS: Individuals aged 71 to 101 (N=354). MEASUREMENTS: Chronic pain was measured using the pain severity and interference subscales of the Brief Pain Inventory. Four subscales of the Test of Everyday Attention were used to measure domains of attention switching and selective, sustained, and divided attention. RESULTS: Before and after multivariable adjustment, pain severity was associated with poorer scores on measures of selective and sustained attention. Pain interference scores also were significantly inversely associated with selective attention. CONCLUSION: Chronic pain is associated with poorer performance in selective and sustained attention in community-dwelling older adults. Further research is needed to determine whether effective pain management could lead to better attentional performance in older adults. Older adults who live with chronic pain, often undertreated, are potentially at risk of cognitive difficulties and related functional consequences.

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