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  4. Coping With Chronic Pain Among Younger, Middle-Aged, and Older Adults Living With Neurological Injury and Disease

Coping With Chronic Pain Among Younger, Middle-Aged, and Older Adults Living With Neurological Injury and Disease

J Aging Health, 2008 · DOI: 10.1177/0898264308324680 · Published: January 1, 2008

AgingNeurologyPain Management

Simple Explanation

This study looks at how older, middle-aged, and younger adults deal with long-lasting pain related to nerve damage and disease. The researchers wanted to know if the ways people handle pain changes as they get older, and whether age affects how strongly pain and coping strategies are connected. The study found that older adults use a wider variety of coping methods and tend to use certain strategies, like pacing themselves and seeking support, more often than younger adults. Also, the link between pain and coping seems weaker in older adults, suggesting they cope regardless of how much pain they're in.

Study Duration
Not specified
Participants
464 adults with chronic pain secondary to multiple sclerosis, spinal cord injury, or neuromuscular disease
Evidence Level
Not specified

Key Findings

  • 1
    Older adults reported a wider range of frequently used strategies and significantly more frequent engagement in activity pacing, seeking social support, and use of coping self-statements than did younger or middle-aged adults.
  • 2
    For younger adults, efforts at coping generally increased with greater pain severity, whereas this relationship did not exist for older adults.
  • 3
    Older adults utilized five of nine strategies at least three times per week, as compared to two of nine for middle-aged adults and only one of nine for younger adults.

Research Summary

This study investigated age-related differences in pain coping strategies among adults with chronic pain secondary to disability. The study found that older adults used a wider range of coping strategies, with greater reliance on activity pacing, social support, and positive self-talk. The relationship between pain severity and coping efforts differed by age, with younger adults increasing coping efforts with higher pain, while older adults' coping was less contingent on pain levels.

Practical Implications

Tailored Interventions

Understanding age-related differences in coping can inform the development of tailored pain management interventions.

Promoting Active Coping

Encouraging active coping strategies like pacing and social support may be particularly beneficial for older adults.

Addressing Pain-Contingent Coping

Interventions should address pain-contingent coping, especially in younger adults, to prevent reinforcement of maladaptive behaviors.

Study Limitations

  • 1
    Cross-sectional design precludes causal inferences.
  • 2
    Self-report data may be subject to bias.
  • 3
    Sample primarily middle-aged, with 'youngest old' represented in the older adult group.

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