Overview of Persistent Pain in Older Adults
Overview of Persistent Pain in Older Adults
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DOI：
10.1037/a0035794
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发表时间：
2014-02-01
影响因子：
16.4
通讯作者：
Terrill, Alexandra L.
中科院分区：
文献类型：
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作者：
Molton, Ivan R.;Terrill, Alexandra L.
随着美国人口年龄结构的变化，更多的心理学家将被要求为老年人提供临床服务。考虑到老年人持续疼痛的高患病率，在许多情况下，这将意味着为疼痛及其产生的干扰提供经验支持的干预措施。本综述的目的是对老年人持续性疼痛的范围和影响提供一个广泛的概述，并讨论持续性老年疼痛导致痛苦和残疾的机制。我们考虑了老年人疼痛的独特背景，并回顾了老年人和年轻人在疼痛感知、社会网络、关于疼痛的信念、与疼痛相关的应对以及对止痛药的依从性方面的差异。最后，我们讨论了影响老年人疼痛管理的特殊问题，包括痴呆、多种药物治疗和获得适当疼痛护理的障碍。这篇综述还强调了在疼痛管理方面需要更多的提供者培训，以满足不断变化的美国人口的需求。
With the shifting age demographics of the U. S. population, more psychologists will be asked to provide clinical services to older adults. Given the high prevalence of persistent pain in aging, in many cases this will mean providing empirically supported interventions for pain and the interference it creates. The purpose of this review is to provide a broad overview of the scope and impact of persistent pain in older people and to discuss mechanisms by which persistent geriatric pain can lead to suffering and disability. We consider the unique context of pain in older adulthood and review differences between older and younger people in terms of pain perception, the social network, beliefs about pain, pain-related coping, and adherence to pain medication. Finally, we discuss special issues affecting pain management in older adults, including dementia, polypharmacy, and barriers to accessing adequate pain care. This review also highlights a need for greater provider training in pain management to meet the needs of a changing U.S. population.