ArticleJournal of pain and symptom management2019
Nonmalignant Pain Symptom Subgroups in Nursing Home Residents.
Article in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed, 18 citations in OpenAlex.
- Pain Assessment and Management Among Nursing Home Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026Article
- Effects of educational attainment on comorbidity of pain and depression in Chinese older adults.Heliyon · 2024Article
- The Relationship Between Pain, Function, Behavioral, and Psychological Symptoms of Dementia and Quality of Life.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022Article
- Racial/Ethnic Differences in Staff-Assessed Pain Behaviors Among Newly Admitted Nursing Home Residents.Journal of pain and symptom management · 2021Article
- A Latent Approach to Understanding Pain in Nursing Home Residents Who are Unable to Self-Report Pain.Journal of pain research · 2021Article
- Pilot testing implementation of the pain management clinical practice guideline in nursing homes.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
contextDespite many nursing home residents experiencing pain, research about the multidimensional nature of nonmalignant pain in these residents is scant.
objectivesTo identify and describe pain symptom subgroups and to evaluate whether subgroups differed by sex.
methodsUsing Minimum Data Set 3.0 data (2011-2012), we identified newly admitted nursing home residents reporting pain (n = 119,379). A latent class analysis included 13 indicators: markers for pain (i.e., severity, frequency, impacts sleep, and function) and depressive symptoms. Sex was evaluated as a grouping variable. Multinomial logistic models identified the association between latent class membership and covariates, including age and cognitive impairment.
resultsFour latent subgroups were identified: severe (15.2%), moderate frequent (26.4%), moderate occasional with depressive symptoms (26.4%), and moderate occasional without depressive symptoms (32.0%). Measurement invariance by sex was ruled out. Depressed mood, sleep disturbances, and fatigue distinguished subgroups. Age ≥75 years was inversely associated with belonging to the severe, moderate frequent, or moderate occasional with depressive symptoms subgroups. Residents with severe cognitive impairment had reduced odds of membership in the severe pain subgroup (adjusted odds ratio [aOR]: 0.84; 95% confidence interval [CI]: 0.78-0.90) and moderate frequent pain subgroup (aOR: 0.60; 95% CI: 0.56-0.64) but increased odds in the moderate occasional pain with depressive symptoms subgroup (aOR: 1.12; 95% CI: 1.06-1.18).
conclusionIdentifying subgroups of residents with different patterns of pain and depressive symptoms highlights the need to consider physical and psychological components of pain. Expanding knowledge about pain symptom subgroups may provide a promising avenue to improve pain management in nursing home residents.
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