Pain and Psychological Well-Being Among People with Dementia in Long-Term Care

Kyung Hee Lee, Eleanor S. Mcconnell, George J. Knafl, Donna L. Algase

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To examine the relationship between self-reported pain and psychological well-being of people with dementia (PWD) living in residential long-term care as indicated by displays of observed emotional expression over the daytime period. Design: Secondary analysis using repeated measures of self-report and observational data. Setting and Subjects: A total of 177 PWD were included from 17 nursing homes and six assisted living facilities in Michigan and Pennsylvania. Methods: Negative emotional expression was used as an indicator of reduced psychological well-being. Pain was assessed through PWD's response to a question about presence of pain obtained at each observation. Cognitive impairment was assessed using the Mini-Mental Status Examination. Linear mixed models were used that accounted for correlation of negative emotional expression measurements over time for each participant and between participants within the same facility. Results: Among 171 participants who were able to express their pain, 44% of PWD reported pain once or more during the daytime period. Severity of cognitive impairment was related to expression of negative emotion. PWD with pain displayed more negative emotional expression than PWD without pain. Conclusions: Routine pain assessment is feasible among PWD with moderate to severe dementia and positive report of pain is associated with greater observed negative emotional expression, an indicator of reduced psychological well-being. Improving pain management holds potential for enhancing psychological well-being among PWD living in residential long-term care.

Original languageEnglish
Pages (from-to)1083-1089
Number of pages7
JournalPain Medicine (United States)
Volume16
Issue number6
DOIs
Publication statusPublished - 2015 Jun 1

Fingerprint

Long-Term Care
Dementia
Psychology
Pain
Assisted Living Facilities
Pain Measurement
Pain Management
Nursing Homes
Self Report
Linear Models
Emotions
Observation

All Science Journal Classification (ASJC) codes

  • Clinical Neurology

Cite this

Lee, Kyung Hee ; Mcconnell, Eleanor S. ; Knafl, George J. ; Algase, Donna L. / Pain and Psychological Well-Being Among People with Dementia in Long-Term Care. In: Pain Medicine (United States). 2015 ; Vol. 16, No. 6. pp. 1083-1089.
@article{472b2471686d421d8461bde5ead52f94,
title = "Pain and Psychological Well-Being Among People with Dementia in Long-Term Care",
abstract = "Objective: To examine the relationship between self-reported pain and psychological well-being of people with dementia (PWD) living in residential long-term care as indicated by displays of observed emotional expression over the daytime period. Design: Secondary analysis using repeated measures of self-report and observational data. Setting and Subjects: A total of 177 PWD were included from 17 nursing homes and six assisted living facilities in Michigan and Pennsylvania. Methods: Negative emotional expression was used as an indicator of reduced psychological well-being. Pain was assessed through PWD's response to a question about presence of pain obtained at each observation. Cognitive impairment was assessed using the Mini-Mental Status Examination. Linear mixed models were used that accounted for correlation of negative emotional expression measurements over time for each participant and between participants within the same facility. Results: Among 171 participants who were able to express their pain, 44{\%} of PWD reported pain once or more during the daytime period. Severity of cognitive impairment was related to expression of negative emotion. PWD with pain displayed more negative emotional expression than PWD without pain. Conclusions: Routine pain assessment is feasible among PWD with moderate to severe dementia and positive report of pain is associated with greater observed negative emotional expression, an indicator of reduced psychological well-being. Improving pain management holds potential for enhancing psychological well-being among PWD living in residential long-term care.",
author = "Lee, {Kyung Hee} and Mcconnell, {Eleanor S.} and Knafl, {George J.} and Algase, {Donna L.}",
year = "2015",
month = "6",
day = "1",
doi = "10.1111/pme.12739",
language = "English",
volume = "16",
pages = "1083--1089",
journal = "Pain Medicine",
issn = "1526-2375",
publisher = "Wiley-Blackwell",
number = "6",

}

Pain and Psychological Well-Being Among People with Dementia in Long-Term Care. / Lee, Kyung Hee; Mcconnell, Eleanor S.; Knafl, George J.; Algase, Donna L.

In: Pain Medicine (United States), Vol. 16, No. 6, 01.06.2015, p. 1083-1089.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Pain and Psychological Well-Being Among People with Dementia in Long-Term Care

AU - Lee, Kyung Hee

AU - Mcconnell, Eleanor S.

AU - Knafl, George J.

AU - Algase, Donna L.

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Objective: To examine the relationship between self-reported pain and psychological well-being of people with dementia (PWD) living in residential long-term care as indicated by displays of observed emotional expression over the daytime period. Design: Secondary analysis using repeated measures of self-report and observational data. Setting and Subjects: A total of 177 PWD were included from 17 nursing homes and six assisted living facilities in Michigan and Pennsylvania. Methods: Negative emotional expression was used as an indicator of reduced psychological well-being. Pain was assessed through PWD's response to a question about presence of pain obtained at each observation. Cognitive impairment was assessed using the Mini-Mental Status Examination. Linear mixed models were used that accounted for correlation of negative emotional expression measurements over time for each participant and between participants within the same facility. Results: Among 171 participants who were able to express their pain, 44% of PWD reported pain once or more during the daytime period. Severity of cognitive impairment was related to expression of negative emotion. PWD with pain displayed more negative emotional expression than PWD without pain. Conclusions: Routine pain assessment is feasible among PWD with moderate to severe dementia and positive report of pain is associated with greater observed negative emotional expression, an indicator of reduced psychological well-being. Improving pain management holds potential for enhancing psychological well-being among PWD living in residential long-term care.

AB - Objective: To examine the relationship between self-reported pain and psychological well-being of people with dementia (PWD) living in residential long-term care as indicated by displays of observed emotional expression over the daytime period. Design: Secondary analysis using repeated measures of self-report and observational data. Setting and Subjects: A total of 177 PWD were included from 17 nursing homes and six assisted living facilities in Michigan and Pennsylvania. Methods: Negative emotional expression was used as an indicator of reduced psychological well-being. Pain was assessed through PWD's response to a question about presence of pain obtained at each observation. Cognitive impairment was assessed using the Mini-Mental Status Examination. Linear mixed models were used that accounted for correlation of negative emotional expression measurements over time for each participant and between participants within the same facility. Results: Among 171 participants who were able to express their pain, 44% of PWD reported pain once or more during the daytime period. Severity of cognitive impairment was related to expression of negative emotion. PWD with pain displayed more negative emotional expression than PWD without pain. Conclusions: Routine pain assessment is feasible among PWD with moderate to severe dementia and positive report of pain is associated with greater observed negative emotional expression, an indicator of reduced psychological well-being. Improving pain management holds potential for enhancing psychological well-being among PWD living in residential long-term care.

UR - http://www.scopus.com/inward/record.url?scp=84932195541&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84932195541&partnerID=8YFLogxK

U2 - 10.1111/pme.12739

DO - 10.1111/pme.12739

M3 - Article

VL - 16

SP - 1083

EP - 1089

JO - Pain Medicine

JF - Pain Medicine

SN - 1526-2375

IS - 6

ER -