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Pain perceptions of the oldest old: a longitudinal study
Steven H Zarit1, Patricia C Griffiths, Stig Berg
1Department of Human Development and Family Studies, The Pennsylvania State University, Henderson S-211, University Park, PA 16802, USA. Z67@psu.edu
The Gerontologist
|August 28, 2004
Summary
Pain prevalence increases in the oldest old (86-92 years) over time, affecting 34% at baseline and 40% at follow-up. Despite associations with other health issues, recovery is possible, suggesting adaptation in very late life.
Area of Science:
- Gerontology
- Epidemiology
- Pain Research
Background:
- Self-reported pain is a significant concern in the oldest old.
- Understanding pain trajectories and associated factors is crucial for this demographic.
Purpose of the Study:
- To assess self-reported pain in individuals aged 86-92.
- To examine changes in pain over time.
- To investigate the relationship between pain and other health/functioning measures.
Main Methods:
- Longitudinal, population-based study in Sweden.
- Interviews with individuals aged 86-92.
- Assessment of pain, health, and functioning.
Main Results:
- Baseline pain prevalence was 34%, increasing to 40% at follow-up.
- 16% incidence of new pain cases during the study period.
- Pain showed significant, though modest, associations with sleep, medication, subjective health, depression, and mobility.
Conclusions:
- Pain increases in the oldest old after age 85, but recovery is also possible.
- Modest associations suggest adaptation and selectivity among survivors in very late life.
- Findings extend cross-sectional data with longitudinal insights into aging and pain.