scholarly journals Age Differences in the Quality of Chronic Pain: A Preliminary Study

1997 ◽  
Vol 2 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Lucia Gagliese ◽  
Ronald Melzack
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Age Differences ◽  
Pain Assessment ◽  
Age Groups ◽  
The Elderly ◽  
Chronic Arthritis ◽  
Assessment Tools ◽  
Mcgill Pain Questionnaire ◽  
Age Related

BACKGROUND: Recent studies of the relationship between age and the intensity of chronic pain report increases, decreases or no change in pain intensity as a function of age. These inconsistencies may be due in part to the pain assessment tools employed and their appropriateness with different age groups.OBJECTIVES: To assess age differences in chronic pain by using several measures of pain intensity and a multidimensional measure of pain qualities in the same sample; to assess the consistency of pain intensity estimates obtained from different scales within age groups; to determine whether the failure rates for appropriately completing the scale (such as choosing more than one descriptor or making more than one mark on the Visual Analog Scale [VAS]) differ among age groups.SUBJECTS: Seventy-nine adults aged 27 to 79 years with chronic arthritis pain.MEASUREMENTS: The unidimensional pain intensity scales used were the VAS, the Verbal Descriptor Scale and the Behavioural Rating Scale. The multidimensional pain scale used was the short form McGill Pain Questionnaire (SF-MPQ). The Beck Depression Inventory was also administered.RESULTS: Age-related decreases were found in the sensory and affective dimensions of chronic pain as measured with the SF-MPQ. No age differences in pain intensity were measured with any of the unidimensional scales. These results were maintained after controlling for the effects of concurrent depressive symptomatology. Pain intensity estimates differed within groups, with verbal descriptors yielding the most consistent estimates in the elderly group. The elderly were significantly more likely to fail on the VAS than younger subjects. There were no age differences on any other measure.CONCLUSIONS: There may be age-related changes in the quality but not in the intensity of chronic arthritis pain. Implications for clinical pain assessment in the elderly are discussed.

Optimizing Antiepileptic Drug Therapy in the Elderly

2005 ◽  
Vol 39 (11) ◽  
pp. 1852-1860 ◽  
Author(s):  
William R Garnett
Keyword(s):  
Drug Therapy ◽  
Elderly Patients ◽  
Antiepileptic Drug ◽  
Age Groups ◽  
The Elderly ◽  
Complex Partial Seizures ◽  
Medline Search ◽  
Age Related ◽  
Epilepsy In The Elderly ◽  
Clonic Seizures

OBJECTIVE To review and evaluate the medical literature concerning antiepileptic drug (AED) therapy in elderly patients. DATA SOURCES A MEDLINE search (1982–December 2004) was conducted. Bibliographies of the articles identified were also reviewed, and an Internet search engine was used to identify additional pertinent references. STUDY SELECTION AND DATA EXTRACTION Clinical studies and reviews were evaluated, and relevant information was included. DATA SYNTHESIS The elderly have the highest incidence of seizures among all age groups. Complex partial seizures are the most common, followed by primary generalized tonic–clonic seizures. An accurate diagnosis may prove difficult because of a low suspicion of epilepsy in the elderly and other diseases that may mimic seizures. Most AEDs are approved for treatment of elderly patients who have partial and tonic–clonic seizures. However, a number of age-related variables should be addressed when selecting an appropriate AED. Age-dependent differences in pharmacokinetics and pharmacodynamics of AEDs must be taken into account. Drug–drug interactions must be considered since elderly people often take multiple medications. The ultimate factor that often determines AED selection is tolerability. CONCLUSIONS Numerous factors must be considered in treating elderly patients for seizures, but maximizing the ability of patients to tolerate drug therapy is often the basis for AED selection. Special consideration should be made along several lines, including elderly patients’ cognitive functioning and their tendency to respond to lower AED concentrations.

scholarly journals Age-related mortality in 61,993 confirmed COVID-19 cases over three epidemic waves in Aragon, Spain. Implications for vaccination programmes

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261061
Author(s):  
Diego Casas-Deza ◽  
Vanesa Bernal-Monterde ◽  
Angel Nicolás Aranda-Alonso ◽  
Enrique Montil-Miguel ◽  
Ana Belen Julián-Gomara ◽  
...  
Keyword(s):  
Age Groups ◽  
Case Fatality ◽  
The Elderly ◽  
Progressive Increase ◽  
University Hospital ◽  
Rapid Progression ◽  
Targeted Prevention ◽  
Older Individuals ◽  
Prevention Measures ◽  
Age Related

Background Risk for severe COVID-19 increases with age. Different vaccination strategies are currently being considered, including those aimed at slowing down transmission and those aimed at providing direct protection to those most at risk. Methods The objectives of the current study were i) to assess age-related incidence and survival between PCR-diagnosed COVID-19 cases (n = 61,993) in the Autonomous Community of Aragon from March to November 2020, and ii) to characterize age differences regarding the course of the disease in hospitalized patients in a tertiary university hospital. Results We found a similar incidence of COVID-19 in individuals between 10 and 79 years. Incidence increased in those over 80 years possibly because of the elevated transmission within the nursing homes. We observed a profound disparity among age groups; case fatality rates (CFRs) were near 0 in cases younger than 39 years throughout different waves. In contrast, there was an age-dependent and progressive increase in the CFRs, especially during the first pandemic wave. SARS-CoV-2 infection caused a more severe and rapid progression in older patients. The elderly required faster hospitalization, presented more serious symptoms on admission, and had a worse clinical course. Hospitalized older individuals, even without comorbidities, had an increased mortality risk directly associated with their age. Lastly, the existence of comorbidities dramatically increased the CFRs in the elderly, especially in males. Conclusion The elevated incidence of COVID-19 and the vulnerability of the elderly call for their prioritization in vaccination and targeted prevention measures specifically focused on this aged population.

scholarly journals Age Differences in the Required Coefficient of Friction During Level Walking Do Not Exist When Experimentally-Controlling Speed and Step Length

2014 ◽  
Vol 30 (4) ◽  
pp. 542-546 ◽  
Author(s):  
Dennis E. Anderson ◽  
Christopher T. Franck ◽  
Michael L. Madigan
Keyword(s):  
Older Adults ◽  
Age Differences ◽  
Coefficient Of Friction ◽  
Age Groups ◽  
Step Length ◽  
Age Difference ◽  
Age Related ◽  
Negative Effect ◽  
Independent Effects ◽  
Positive Effect

The effects of gait speed and step length on the required coefficient of friction (COF) confound the investigation of age-related differences in required COF. The goals of this study were to investigate whether age differences in required COF during self-selected gait persist when experimentally-controlling speed and step length, and to determine the independent effects of speed and step length on required COF. Ten young and 10 older healthy adults performed gait trials under five gait conditions: self-selected, slow and fast speeds without controlling step length, and slow and fast speeds while controlling step length. During self-selected gait, older adults walked with shorter step lengths and exhibited a lower required COF. Older adults also exhibited a lower required COF when walking at a controlled speed without controlling step length. When both age groups walked with the same speed and step length, no age difference in required COF was found. Thus, speed and step length can have a large influence on studies investigating age-related differences in required COF. It was also found that speed and step length have independent and opposite effects on required COF, with step length having a strong positive effect on required COF, and speed having a weaker negative effect.

Age-related Utilization of Advanced Life Support Services

1991 ◽  
Vol 6 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Steven A. Meador
Keyword(s):  
Life Support ◽  
Age Groups ◽  
Rank Correlation ◽  
Advanced Life Support ◽  
The Elderly ◽  
Population Projections ◽  
Patient Treatment ◽  
Related Case ◽  
Spearman’S Rank Correlation ◽  
Age Related

AbstractPurpose:To investigate the relationship between age and Advanced Life Support (ALS) utilization.Population:All patients from 1 January 1987 to 31 December 1988 transported by ALS ambulances within Lebanon County, a rural/urban county of 112,000.Methods:All runs resulting in patient treatment by ALS personnel were tallied at five-year age intervals and sub-grouped by trauma- and non-trauma-related calls. Utilization rates for each age group were obtained by dividing the calls by the population of each group. Correlation with age was tested by Spearman's rank correlation. Treatment rates for age groups were calculated for the six most frequent medical etiologies. To illustrate the effect of age distributions, age rates were applied to projected state and national population distributions.Results:There was a significant correlation with age for all transports (p < .01; r=.93) and for those not related to trauma (p<.01; r=.98). Correlation was not detected for trauma-related responses (p>.10; r=.19). Non-trauma-related case incidence varied among age groups, ranging from 1.1/1,000 for age five through nine years to 89/1,000 for age 80–84 years. Congestive heart failure, cardiac ischemia, syncope, myocardial infarction, and cardiac arrest evidenced increased incidence with age. Seizure did not. Older populations had a higher projected utilization of ALS services than did the younger age groups.Conclusion:Non-trauma ALS utilization is highly dependent on the age of the patient. Due to projected aging of the population and increased utilization of ALS by the elderly, projected utilization will increase at a rate faster than will the population. Age:rate data can be combined with population projections to estimate future need.

scholarly journals Lack of Evidence for Age Differences in Pain Beliefs

1997 ◽  
Vol 2 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Lucy Gagliese ◽  
Ronald Melzack
Keyword(s):  
Chronic Pain ◽  
Age Differences ◽  
Self Efficacy ◽  
The Elderly ◽  
Pain Experience ◽  
Pain Beliefs ◽  
Self Assessments ◽  
Normal Ageing ◽  
The Relationship

OBJECTIVE: To assess, in two studies, whether there are any age differences in beliefs about the role of psychological, organic and ageing factors in the experience of chronic pain.SUBJECTS: Healthy adults free from chronic pain ranging in age from 18 to 86 years (first study); adults with chronic pain due to arthritis, fibromyalgia or other rheumatological disorders ranging in age from 27 to 79 years (second study).MATERIALS: In both studies, subjects completed the Pain Beliefs Questionnaire which was modified to measure beliefs about the relationship between pain and ageing. In addition, subjects completed various self-assessments of health, pain intensity and depression. Those with chronic pain also completed the Arthritis Self-Efficacy Scale.RESULTS: There was no evidence of any age differences in beliefs about pain in either the pain-free or chronic pain samples. There was some evidence that elderly patients may report less pain, but there were no age differences found on measures of depression or self-efficacy.CONCLUSIONS: The elderly were no more likely than younger persons to associate pain with the normal ageing process than with organic factors such as tissue damage, nor were they more likely to deny the importance of psychological factors to the pain experience.

scholarly journals ANGER, LOVE, SADNESS: DO EMOTION WORDS HAVE THE SAME SEMANTIC MEANING ACROSS AGE-GROUPS?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S841-S842
Author(s):  
Madeline J Nichols ◽  
Jennifer A Bellingtier ◽  
Frances Buttelmann
Keyword(s):  
Older Adults ◽  
Age Differences ◽  
Language Use ◽  
Age Groups ◽  
Past Research ◽  
Semantic Meaning ◽  
Younger Adults ◽  
Emotion Words ◽  
Emotion Word ◽  
Age Related

Abstract Every day we use emotion words to describe our experiences, but past research finds that the meanings of these words can vary. Furthermore, historical shifts in language use and experiential knowledge of the emotions may contribute to age-differences in what these emotion words convey. We examined age-related differences in the valence, arousal, and expression connoted by the words anger, love, and sadness. We predicted age-related differences in the semantic meanings of the words would emerge such that older adults would more clearly differentiate the positivity/negativity of the words, whereas younger adults would report higher endorsement for the conveyed arousal and expression. Participants included American and German older adults (N=61; mean age=68.98) and younger adults (N=77; mean age=20.77). Using the GRID instrument (Swiss Center for Affective Sciences, 2013), they rated each emotion word for its valence, arousal, and expression when used by a speaker of the participant’s native language. Across emotions and dimensions, older adults were generally more moderate in their understanding of emotion words. For example, German older adults rated anger and sadness as suggesting the speaker felt less bad and more good than the younger adults. American older adults rated love as connoting the speaker felt more bad and less good than younger adults. Arousal ratings were higher for German younger, as opposed to older, adults. Cultural differences were most pronounced for sadness such that German participants gave more moderate answers than American participants. Overall, our research suggests that there are age-related differences in the understanding of emotion words.

scholarly journals Age-Related Changes in the 25-Hydroxyvitamin D Versus Parathyroid Hormone Relationship Suggest a Different Reason Why Older Adults Require More Vitamin D

2003 ◽  
Vol 88 (1) ◽  
pp. 185-191 ◽  
Author(s):  
Reinhold Vieth ◽  
Yasmin Ladak ◽  
Paul G. Walfish
Keyword(s):  
Older Adults ◽  
Vitamin D ◽  
Secondary Hyperparathyroidism ◽  
Age Groups ◽  
The Elderly ◽  
Age Group ◽  
Hydroxyvitamin D ◽  
Age Related ◽  
25 Hydroxyvitamin D ◽  
The Relationship

Vitamin D requirements are thought to vary with age, but there is little comparative evidence for this. One goal in establishing a vitamin D requirement is to avoid secondary hyperparathyroidism. We studied 1741 euthyroid, thyroid clinic outpatients without evidence of calcium abnormalities, ranging in age from 19 to 97 yr, whose serum and urine had been analyzed for calcium, vitamin D, and parathyroid status. We found no effect of age on the 25-hydroxyvitamin D [25(OH)D] concentration associated with specific vitamin D intakes, and there was no relationship between 25(OH)D and 1,25hydroxyvitamin D [1,25(OH)2D]. In every age group, serum 1,25(OH)2D declined with increasing creatinine (P &lt; 0.001). What changed with age included creatinine, which correlated with 25(OH)D (r = 0.146, P &lt; 0.001) only in the youngest age group (19–50 yr) but not in the older age groups (P &gt; 0.1). Creatinine did not correlate with PTH in the youngest age group, but the relationship became significant as age increased (e.g. for the elderly, r = 0.365, P &lt; 0.001). Linear regression of log PTH vs. log 25(OH)D agreed with the natural shape of the relationship observed with scatterplot smoothing, and this showed no plateau in PTH as 25(OH)D increased. We compared PTH concentrations among age groups, based on 20 nmol/liter increments in 25(OH)D. Mean PTH in adults older than 70 yr was consistently higher than in adults younger than 50 yr (P &lt; 0.05 by ANOVA and Dunnett’s t test). PTH levels of the elderly who had 25(OH)D concentrations greater than 100 nmol/liter matched PTH of younger adults having 25(OH)D concentrations near 70 nmol/liter. This study shows that all age groups exhibit a high prevalence of 25(OH)D insufficiency and secondary hyperparathyroidism. Older adults are just as efficient in maintaining 25(OH)D, but they need more vitamin D to produce the higher 25(OH)D concentrations required to overcome the hyperparathyroidism associated with their diminishing renal function.

From acute to chronic back pain: Using linear mixed models to explore changes in pain intensity, disability, and depression

2017 ◽  
Vol 16 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Rebecca Bendayan ◽  
Carmen Ramírez-Maestre ◽  
Emilio Ferrer ◽  
Alicia López ◽  
Rosa Esteve
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Age Differences ◽  
Transition Point ◽  
Linear Growth ◽  
Chronic Back Pain ◽  
Continuous Process ◽  
Individual Variability ◽  
Older Individuals ◽  
Over Time

AbstractBackground/aimsThis longitudinal study investigated the pattern of change in pain intensity, disability, and depression in 232 chronic pain patients who were followed up for 2 years since pain onset. Most studies that have investigated changes in these variables over time have used participants who had already been in pain for more than 3 months. Few studies have followed up individuals from the acute phase onward and such studies used traditional statistical methods that cannot identify transition points over time or measure inter-individual variability.MethodsWe followed up individuals with chronic pain from pain onset up to 18 months and we examined their pain intensity, disability and depression trajectories using a modelling approach that allows to account for between and within-individual variability. We compared three patterns of change based on theoretical criterions: a simple linear growth model; a spline model with a 3-month transition point; and a spline model with a 6-month transition point. Time with pain was selected as time metric to characterise the change in these variables in the transition from acute to chronic pain. Sex and age differences were also examined.ResultsThe results showed that the pain intensity trajectory was best represented by the spline model with a 3-month transition point, whereas disability and depression were best explained by linear growth models. There were sex differences at intercept level in all the models. There were age differences at baseline for pain intensity. No sex or age differences were found for the slope.ConclusionsPain intensity decreased in the first 3 months but underwent no further change. Disability and depression slightly but constantly decreased over time. Although women and older individuals are more likely to report higher pain intensity or pain-related disability in the first three months with pain, no differences by sex or age appear to be associated with the changes in pain intensity, depression and disability through the process of chronification.ImplicationsOur findings suggest that pain chronification could be considered a continuous process and contribute to the ongoing discussion on the utility of standard classifications of pain as acute or chronic from a clinical point of view. Clinical and intervention decisions based in these standard classifications should consider the differences in the trajectories of pain related variables over time. In addition, this article illustrates a statistical procedure that can be of utility to pain researchers.

Differences and Similarities in Forgiveness Seeking Across Childhood and Adolescence

2018 ◽  
Vol 44 (8) ◽  
pp. 1119-1132 ◽  
Author(s):  
Blake M. Riek ◽  
Christin C. DeWit
Keyword(s):  
Prosocial Behavior ◽  
Age Differences ◽  
Age Groups ◽  
Teacher Ratings ◽  
Childhood And Adolescence ◽  
Older Students ◽  
Offense Severity ◽  
12Th Grade ◽  
Age Related

The current study examines age-related differences and similarities in forgiveness seeking. Students in third, seventh, and 12th grade imagined themselves committing various transgressions and the characteristics of these transgression (e.g., severity of consequences, type of offense) were manipulated. Across the age groups, forgiveness seeking was predicted by guilt, whereas withdrawal was predicted by shame. For all age groups, forgiveness seeking was more likely to occur when the offense was an active one rather than a failure to act. However, age differences were found in how offense severity affected forgiveness seeking. Older students were more likely to seek forgiveness when the offense was high rather than low in severity, but younger students did not show this difference. Age differences were also found in the motivations for seeking forgiveness. Finally, teacher ratings of students’ overall prosocial behavior were positively correlated with forgiveness seeking.

Assessment of paediatric pain: a critical review

2016 ◽  
Vol 0 (0) ◽  
Author(s):  
Sachin Manocha ◽  
Navneet Taneja
Keyword(s):  
Pain Assessment ◽  
Psychological Factors ◽  
Age Groups ◽  
Assessment Tools ◽  
Measurement Tool ◽  
Cognitive Level ◽  
Pubmed Search ◽  
Paediatric Age ◽  
In Infants And Children ◽  
Selection Of

AbstractPain is a complex experience, and its quantification involves many aspects including physiological, behavioural, and psychological factors. References related to the topic were selected and analysed, along with a PubMed search of the recent and earlier reports. Assessment of pain in infants and children has always been a dilemma for the clinicians. Unlike in adults, it is difficult to assess and effectively treat pain in paediatric age groups, and it often remains untreated or undertreated. Misperceptions are attributed not only to the difficulties in isolating the specific signs of pain but also in recognising and inferring the meaning of the cues available in the complex of individual differences in the reaction pattern of children to pain. In children, several parameters such as age, cognitive level, type of pain, etc. are required to be considered for the selection of appropriate pain assessment tools. Although considerable progress has been made, there is a critical need for a more accurate measurement tool for both research and clinical purposes. This review has critically analysed the various techniques available to assess pain in children with emphasis on current research and present-day status of paediatric pain assessment.

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