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The association of resilience, social connections, and internal locus of control with pain outcomes among older adults
Geriatric Nursing ( IF 2.7 ) Pub Date : 2022-09-19 , DOI: 10.1016/j.gerinurse.2022.08.011
Shirley Musich 1 , Shaohung S Wang 1 , James A Schaeffer 1 , Sandra Kraemer 2 , Ellen Wicker 3 , Charlotte S Yeh 3
Affiliation  

Our objective was to investigate the hypothesis that psychological resources, including resilience, social connections, and internal locus of control, separately and in additive combinations, would be associated with selected pain outcomes: 1) days of opioid use and 2) medical/drug expenditures over 2 years. A mailed survey was sent to a stratified sample of older adults age≥65 with diagnosed back pain, osteoarthritis, and/or rheumatoid arthritis. Each of the resources was dichotomized as high/low and/or counted with equal weighting. Among respondents (N=3,131), the prevalence of mild/no and moderate/severe pain severity was 59% and 41%, respectively. As hypothesized, each resource was associated with lower levels of pain; additively, reported pain severity decreased as the number of resources increased. For moderate/severe pain, there was reduced opioid use among those with more resources; and, for mild/no pain, decreased medical/drug expenditures among those with ≥2 resources. Interventions that integrate psychological resources may enhance their effectiveness.



中文翻译:

老年人的恢复力、社会联系和内部控制点与疼痛结果的关联

我们的目标是调查这样一个假设,即心理资源,包括恢复力、社会关系和内部控制点,分别和叠加组合,将与选定的疼痛结果相关:1) 使用阿片类药物的天数和 2) 医疗/药物支出超过 2 年。邮寄调查发送给年龄≥65 岁且诊断为背痛、骨关节炎和/或类风湿性关节炎的老年人的分层样本。每个资源都被分为高/低和/或以相同的权重计算。在受访者 (N=3,131) 中,轻度/无和中度/重度疼痛的患病率分别为 59% 和 41%。正如假设的那样,每种资源都与较低程度的疼痛相关;此外,报告的疼痛严重程度随着资源数量的增加而降低。对于中度/重度疼痛,资源较多的人群中阿片类药物的使用有所减少;并且,对于轻度/无疼痛,拥有 ≥ 2 种资源的人的医疗/药物支出减少。整合心理资源的干预措施可能会提高其有效性。

更新日期:2022-09-19
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