Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)
Book Synopsis Pain and Cognitive Functioning in Community-dwelling Older Adults by :
Download or read book Pain and Cognitive Functioning in Community-dwelling Older Adults written by and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Summary Introduction Chronic pain is frequently reported in older adults and the prevalence will only increase with the rising number of older adults as a result of the baby-boom generation. The aim of our studies was to clarify the association between pain and several domains of cognitive functioning in older adults, which may shed light on potentially modifiable risk factors for cognitive impairment in aging. Pain and cognition cross-sectionally We found that pain severity was associated with impaired memory, executive functioning, and general cognitive performance and pain interference (with daily activities) with impaired attention, memory, executive functioning and general cognitive performance, after adjustments for age, gender, race and education. However, many of these associations were not statistically significant anymore after additional adjustments for chronic conditions and psychiatric medications. The association between pain interference and memory and general cognitive performance in older adults persisted, even after adjusting for demographics, chronic conditions, behaviors, and psychiatric medication. We also found that the observed relationships between pain and cognitive performance were partly explained by the effect of pain on attentional resources. Therefore we focused on the association between pain and attention in the next chapters. First we found that the Test of Everyday Attention (TEA), which was only validated to measure attention in adults 18-80 years old, is also a valuable tool to measure attention in the very old (chapter 3). However, the Visual Elevator Test, which measures the domain of attentional switching, was the most challenging test for these older participants. In chapter 4 we showed that higher pain severity was associated with poorer scores in measures of selective and sustained attention. Pain interference scores were also significantly inversely associated with selective attention.