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11-03-2022

Examining subjective well-being among older adults using pain medications

Auteurs: Irene Nsiah, Hyllore Imeri, John P. Bentley, Sujith Ramachandran

Gepubliceerd in: Quality of Life Research | Uitgave 9/2022

Abstract

Purpose

To examine the relationship between social participation and subjective well-being (SWB) among older adults using pain medications and evaluate the impact of sex on this relationship.

Methods

A cross-sectional analysis was conducted using the 2019 National Health and Aging Trends Study data, a nationally-representative sample of Medicare beneficiaries 65 years and older. Individuals were included if they reported taking pain medications for five days or more per week over the last month. Social participation was operationalized using the sum score of four items: visiting family and friends, going out for enjoyment, attending religious services, and participation in other organized activities. SWB was operationalized as a latent variable using four items reflecting positive and negative emotions, and three items reflecting self-evaluation. Structural equation modeling was used to test the relationship between key study constructs, as well as the moderating effect of sex on the relationship between social participation and SWB.

Results

A total of 964 (weighted N = 7,660,599) participants were included in the study. Most participants were female (61.3%), White (81.0%), community-dwelling (94.9%) older adults. Confirmatory factor analysis showed appropriate fit for SWB. Social participation had a statistically significant association with SWB (unstandardized regression coefficient = 0.133; 95% CI 0.071, 0.196; p < 0.001) after adjusting for covariates. However, this relationship was not moderated by sex (p = 0.836).

Conclusion

Social participation is positively and significantly associated with SWB among older adults using pain medications. Interventions aimed at improving SWB should consider incorporating a social activities component.

vorige artikel Correction to: Neurocognitive functioning and health‑related quality of life of children after pediatric intensive care admission: a systematic review

volgende artikel A comparison of health-related quality of life and personal, social, and environmental factors of older adults according to a residential area: a propensity score matching analysis

The United States Census Bureau. (2018, March 13). Older people projected to outnumber children. Retrieved April 29, 2021, from https://www.census.gov/newsroom/press-releases/2018/cb18-41-population-projections.html

United States Department of Health and Human Services Healthy People 2030. (2020). Older Adults Overview and Objectives. Retrieved April 29, 2021, from https://health.gov/healthypeople/objectives-and-data/browse-objectives/older-adults

Dahlhamer, J., Lucas, J. W., Zelaya, C. E., Nahin, R., Mackey, S., DeBar, L., Kerns, R., Von Korff, M., Porter, L., & Helmick, C. (2018). Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016. Morbidity and Mortality Weekly Report (MMWR), 67(36), 1001–1006. https://doi.org/10.15585/mmwr.mm6736a2CrossRef

Zelaya, C. E., Dahlhamer, J. M., Lucas, J. W., & Connor, E. M. (2020). Chronic pain and high-impact chronic pain among U.S. adults, 2019. NCHS Data Brief, no 390. Hyattsville, MD: National Center for Health Statistics. Retrieved April 29, 2021, from https://www.cdc.gov/nchs/products/databriefs/db390.htm

Pitcher, M. H., Von Korff, M., Bushnell, M. C., & Porter, L. (2019). Prevalence and profile of high-impact chronic pain in the United States. The Journal of Pain, 20(2), 146–160. https://doi.org/10.1016/j.jpain.2018.07.006CrossRefPubMed

Reid, M. C., Eccleston, C., & Pillemer, K. (2015). Management of chronic pain in older adults. The BMJ. https://doi.org/10.1136/bmj.h532CrossRefPubMedPubMedCentral

Domenichiello, A. F., & Ramsden, C. E. (2019). The silent epidemic of chronic pain in older adults. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 93, 284–290. https://doi.org/10.1016/j.pnpbp.2019.04.006CrossRef

Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. (2011). Relieving pain in America: A blueprint for transforming prevention, care, education, and research. National Academies Press (US). Retrieved April 29, 2021, from http://www.ncbi.nlm.nih.gov/books/NBK91497/

Dueñas, M., Ojeda, B., Salazar, A., Mico, J. A., & Failde, I. (2016). A review of chronic pain impact on patients, their social environment and the health care system. Journal of Pain Research, 9, 457–467. https://doi.org/10.2147/JPR.S105892CrossRefPubMedPubMedCentral

10.

Stiglitz, J., Sen, A., & Fitoussi, J. (2009). Report of the Commission on the Measurement of Economic Performance and Social Progress (CMEPSP). Retrieved April 29, 2021, from https://ec.europa.eu/eurostat/documents/8131721/8131772/Stiglitz-Sen-Fitoussi-Commission-report.pdf

11.

Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95(3), 542–575. https://doi.org/10.1037/0033-2909.95.3.542CrossRefPubMed

12.

Deci, E. L., & Ryan, R. M. (2010). Self-determination. In The Corsini encyclopedia of psychology (pp. 1–2). American Cancer Society. https://doi.org/10.1002/9780470479216.corpsy0834

13.

Diener, E., Pressman, S. D., Hunter, J., & Delgadillo-Chase, D. (2017). If, why, and when subjective well-being influences health, and future needed research. Applied Psychology: Health and Well-Being, 9(2), 133–167. https://doi.org/10.1111/aphw.12090CrossRef

14.

Cummins, R. A. (2016). The theory of subjective wellbeing homeostasis: A contribution to understanding life quality. In F. Maggino (Ed.), A life devoted to quality of life: Festschrift in honor of Alex C. Michalos (pp. 61–79). Cham: Springer. https://doi.org/10.1007/978-3-319-20568-7_4CrossRef

15.

Levasseur, M., Desrosiers, J., & Whiteneck, G. (2010). Accomplishment level and satisfaction with social participation of older adults: Association with quality of life and best correlates. Quality of Life Research, 19(5), 665–675. https://doi.org/10.1007/s11136-010-9633-5CrossRefPubMedPubMedCentral

16.

Lee, S., & Choi, H. (2020). Impact of older adults’ mobility and social participation on life satisfaction in South Korea. Asian Social Work and Policy Review, 14(1), 4–10. https://doi.org/10.1111/aswp.12187CrossRef

17.

Bertelli-Costa, T., & Neri, A. L. (2019). Life satisfaction and participation among community-dwelling older adults: Data from the FIBRA study. Journal of Health Psychology. https://doi.org/10.1177/1359105319893020CrossRefPubMed

18.

Li, C., Jiang, S., Li, N., & Zhang, Q. (2018). Influence of social participation on life satisfaction and depression among Chinese elderly: Social support as a mediator. Journal of Community Psychology, 46(3), 345–355. https://doi.org/10.1002/jcop.21944CrossRef

19.

Stone, A. A., Broderick, J. E., Wang, D., & Schneider, S. (2020). Age patterns in subjective well-being are partially accounted for by psychological and social factors associated with aging. PLoS ONE, 15(12), e0242664. https://doi.org/10.1371/journal.pone.0242664CrossRefPubMedPubMedCentral

20.

Chen, Y.-C., Putnam, M., Lee, Y. S., & Morrow-Howell, N. (2019). Activity patterns and health outcomes in later life: The role of nature of engagement. The Gerontologist, 59(4), 698–708. https://doi.org/10.1093/geront/gny023CrossRefPubMed

21.

Serrat, R., Scharf, T., Villar, F., & Gómez, C. (2020). Fifty-five years of research into older people’s civic participation: Recent trends, future directions. The Gerontologist, 60(1), e38–e51. https://doi.org/10.1093/geront/gnz021CrossRefPubMed

22.

Lee, S. (2021). Social exclusion and subjective well-being among older adults in Europe: Findings from the European Social Survey. The Journals of Gerontology: Series B, 76(2), 425–434. https://doi.org/10.1093/geronb/gbaa172CrossRef

23.

Pilkington, P. D., Windsor, T. D., & Crisp, D. A. (2012). Volunteering and subjective well-being in midlife and older adults: The role of supportive social networks. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 67(2), 249–260. https://doi.org/10.1093/geronb/gbr154CrossRefPubMed

24.

Luo, M., Ding, D., Bauman, A., Negin, J., & Phongsavan, P. (2020). Social engagement pattern, health behaviors and subjective well-being of older adults: An international perspective using WHO-SAGE survey data. BMC Public Health, 20(1), 99. https://doi.org/10.1186/s12889-019-7841-7CrossRefPubMedPubMedCentral

25.

Bjørnskov, C. (2008). Social capital and happiness in the United States. Applied Research in Quality of Life, 3(1), 43–62. https://doi.org/10.1007/s11482-008-9046-6CrossRef

26.

Zhang, W., Feng, Q., Lacanienta, J., & Zhen, Z. (2017). Leisure participation and subjective well-being: Exploring gender differences among elderly in Shanghai, China. Archives of Gerontology and Geriatrics, 69, 45–54. https://doi.org/10.1016/j.archger.2016.11.010CrossRefPubMed

27.

Norton, M. C., Skoog, I., Franklin, L. M., Corcoran, C., Tschanz, J. T., Zandi, P. P., Breitner, J. C. S., Welsh-Bohmer, K. A., Steffens, D. C., Cache County Investigators. (2006). Gender differences in the association between religious involvement and depression: the Cache County (Utah) study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61(3), P129-136. https://doi.org/10.1093/geronb/61.3.p129CrossRefPubMed

28.

Kawachi, I., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 78(3), 458–467. https://doi.org/10.1093/jurban/78.3.458CrossRef

29.

Pristavec, T. (2018). Social participation in later years: The role of driving mobility. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 73(8), 1457–1469. https://doi.org/10.1093/geronb/gbw057CrossRefPubMed

30.

Kasper, J. D., & Freedman, V. A. (2020). National health and aging trends study user guide: Rounds 1–9 Final Release. Johns Hopkins University School of Public Health. Retrieved April 24, 2021, from www.nhats.org

31.

Xiang, X., Freedman, V. A., Shah, K., Hu, R. X., Stagg, B. C., & Ehrlich, J. R. (2020). Self-reported vision impairment and subjective well-being in older adults: A longitudinal mediation analysis. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 75(3), 589–595. https://doi.org/10.1093/gerona/glz148CrossRefPubMed

32.

Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50(6), 613–621. https://doi.org/10.1176/appi.psy.50.6.613CrossRefPubMed

33.

Keilani, M., Crevenna, R., & Dorner, T. E. (2018). Sleep quality in subjects suffering from chronic pain. Wiener Klinische Wochenschrift, 130(1–2), 31–36. https://doi.org/10.1007/s00508-017-1256-1CrossRefPubMed

34.

Pérez, C., Margarit, C., Sánchez-Magro, I., de Antonio, A., & Villoria, J. (2017). Chronic pain features relate to quality of life more than physiopathology: A cross-sectional evaluation in pain clinics. Pain Practice: The Official Journal of World Institute of Pain, 17(7), 866–878. https://doi.org/10.1111/papr.12533CrossRef

35.

Wettstein, M., Eich, W., Bieber, C., & Tesarz, J. (2019). Pain Intensity, disability, and quality of life in patients with chronic low back pain: Does age matter? Pain Medicine (Malden, Mass.), 20(3), 464–475. https://doi.org/10.1093/pm/pny062CrossRef

36.

Dehi Aroogh, M., & Mohammadi Shahboulaghi, F. (2020). Social participation of older adults: A concept analysis. International Journal of Community Based Nursing and Midwifery, 8(1), 55–72. https://doi.org/10.30476/IJCBNM.2019.82222.1055CrossRefPubMed

37.

Christian, A. K., Sanuade, O. A., Okyere, M. A., & Adjaye-Gbewonyo, K. (2020). Social capital is associated with improved subjective well-being of older adults with chronic non-communicable disease in six low- and middle-income countries. Globalization and Health, 16(1), 2. https://doi.org/10.1186/s12992-019-0538-yCrossRefPubMedPubMedCentral

38.

Flora, D. B., & Curran, P. J. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9(4), 466–491. https://doi.org/10.1037/1082-989X.9.4.466CrossRefPubMedPubMedCentral

39.

Rhemtulla, M., Brosseau-Liard, P. É., & Savalei, V. (2012). When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions. Psychological Methods, 17(3), 354–373. https://doi.org/10.1037/a0029315CrossRefPubMed

40.

Freedman, V. A., Kasper, J. D., Spillman, B. C., Agree, E. M., Mor, V., Wallace, R. B., & Wolf, D. A. (2014). Behavioral adaptation and late-life disability: A new spectrum for assessing public health impacts. American Journal of Public Health, 104(2), e88–e94. https://doi.org/10.2105/AJPH.2013.301687CrossRefPubMedPubMedCentral

41.

Agresti, A. (2019). An introduction to categorical data analysis (3rd ed.). Wiley.

42.

Wu, F., & Sheng, Y. (2019). Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: A pathway analysis. Archives of Gerontology and Geriatrics, 85, 103934. https://doi.org/10.1016/j.archger.2019.103934CrossRefPubMed

43.

Sawyer, P., Bodner, E. V., Ritchie, C. S., & Allman, R. M. (2006). Pain and pain medication use in community-dwelling older adults. The American Journal of Geriatric Pharmacotherapy, 4(4), 316–324. https://doi.org/10.1016/j.amjopharm.2006.12.005CrossRefPubMed

44.

Elder, C., Ritenbaugh, C., Aickin, M., Hammerschlag, R., Dworkin, S., Mist, S., & Harris, R. E. (2012). Reductions in pain medication use associated with traditional Chinese medicine for chronic pain. The Permanente Journal, 16(3), 18–23.CrossRef

45.

Dale, O., Borchgrevink, P. C., Fredheim, O. M. S., Mahic, M., Romundstad, P., & Skurtveit, S. (2015). Prevalence of use of non-prescription analgesics in the Norwegian HUNT3 population: Impact of gender, age, exercise and prescription of opioids. BMC Public Health, 15(1), 461. https://doi.org/10.1186/s12889-015-1774-6CrossRefPubMedPubMedCentral

46.

Das, K. V., Jones-Harrell, C., Fan, Y., Ramaswami, A., Orlove, B., & Botchwey, N. (2020). Understanding subjective well-being: Perspectives from psychology and public health. Public Health Reviews, 41(1), 25. https://doi.org/10.1186/s40985-020-00142-5CrossRefPubMedPubMedCentral

47.

Morrow-Howell, N., Hinterlong, J., Rozario, P. A., & Tang, F. (2003). Effects of volunteering on the well-being of older adults. The Journals of Gerontology: Series B, 58(3), S137–S145. https://doi.org/10.1093/geronb/58.3.S137CrossRef

48.

Dury, S., Stas, L., Switsers, L., Duppen, D., Domènech-Abella, J., Dierckx, E., & Donder, L. D. (2021). Gender-related differences in the relationship between social and activity participation and health and subjective well-being in later life. Social Science & Medicine, 270, 113668. https://doi.org/10.1016/j.socscimed.2020.113668CrossRef

49.

George, L. K. (2010). Still happy after all these years: Research frontiers on subjective well-being in later life. The Journals of Gerontology. Series B Psychological Sciences and Social Sciences, 65B(3), 331–339. https://doi.org/10.1093/geronb/gbq006CrossRefPubMed

50.

Tang, F., Jang, H., Rauktis, M. B., Musa, D., & Beach, S. (2019). The race paradox in subjective wellbeing among older Americans. Ageing & Society, 39(3), 568–589. https://doi.org/10.1017/S0144686X17001064CrossRef

51.

Yang, Y. (2008). Social inequalities in happiness in the United States, 1972 to 2004: An age-period-cohort analysis. American Sociological Review, 73(2), 204–226. https://doi.org/10.1177/000312240807300202CrossRef

52.

Taylor, R. J., Chatters, L. M., & Brown, R. K. (2014). African American religious participation. Review of Religious Research, 56(4), 513–538.CrossRef

53.

Fox, K., Morrow-Howell, N., Herbers, S., Battista, P., & Baum, C. M. (2017). Activity disengagement: Understanding challenges and opportunities for reengagement. Occupational Therapy International, 2017, e1983414. https://doi.org/10.1155/2017/1983414CrossRef

54.

Parisi, J. M., Roberts, L., Szanton, S. L., Hodgson, N. A., & Gitlin, L. N. (2017). Valued activities among individuals with and without cognitive impairments: Findings from the national health and aging trends study. The Gerontologist, 57(2), 309–318. https://doi.org/10.1093/geront/gnv144CrossRefPubMed

Titel: Examining subjective well-being among older adults using pain medications
Auteurs: Irene Nsiah
Hyllore Imeri
John P. Bentley
Sujith Ramachandran
Publicatiedatum: 11-03-2022
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 9/2022
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03116-z

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Examining subjective well-being among older adults using pain medications

Abstract

Purpose

Methods

Results

Conclusion

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Neurocognitive functioning and health-related quality of life of children after pediatric intensive care admission: a systematic review

Health-related quality of life of breast and colorectal cancer patients undergoing active chemotherapy treatment: Patient-reported outcomes

Profile of individuals with low back pain and factors defining chronicity of pain: a population-based study in Ethiopia

Correction to: Neurocognitive functioning and health‑related quality of life of children after pediatric intensive care admission: a systematic review

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Application of validated mapping algorithms between generic PedsQL scores and utility values to individuals with sickle cell disease