A Study on Chronic Pain, Pain Coping, and Depression according to Attributions of Somatic Symptoms among Elderly People

노인의 신체증상귀인에 따른 만성통증, 통증대처 및 우울

  • Received : 2009.07.21
  • Accepted : 2009.10.03
  • Published : 2009.11.30

Abstract

Purpose: This study was done to examine differences in chronic pain, pain coping, and depression according to attributions of somatic symptoms among the elderly. Method: Data were collected by self-report questionnaires from 195 persons age 65 or over. Descriptive statistics, ANOVA, and Scheffe's test were used to analyze the data. Results: There were statistically significant differences in chronic pain among the elders according to educational level and duration of pain, and in passive coping according to gender, physical function and duration of pain. There were statistically significant differences among the elders in active coping according to amount of spending money, in depression according to age, educational level, amount of spending money, and physical function. There also were statistically significant differences in chronic pain, pain coping, and depression according to attributions of somatic symptoms. Conclusion: The results of this study indicate that elders who have somatic attributions are incline to complain more severe chronic pain, to cope passively, and to manifest more severe depression than elders who have normalizing attributions. Continuous research is needed to improve effective nursing interventions for attributions of somatic symptoms among elders.

Keywords

References

  1. American Geriatrics Society (2002). Clinical practice guidelines: The management of persistent pain in older persons. Journal of the American Geriatrics Society, 50(6), S205-S224. https://doi.org/10.1046/j.1532-5415.50.6s.1.x
  2. Astin, M., Lawton, D., & Hirst, M. (1996). The prevalence of pain in a disabled population. Social Science & Medicine, 42(11). 1457-1464. https://doi.org/10.1016/0277-9536(95)00253-7
  3. Brown, G. K., & Nicassio, P. M. (1987). Development of questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain, 31(1), 53-64. https://doi.org/10.1016/0304-3959(87)90006-6
  4. Butler, J. A., Chalder, T., & Wessely, S. (2001). Causal attributions for somatic sensations in patients with chronic fatigue syndrome and their partners. Psychological Medicine, 31(1), 97-105. https://doi.org/10.1017/S0033291799003001
  5. Cha, B. K. (2000). Prediction model of the pain of patients with rheumatoid arthritis. Unpublished doctoral dissertation. Korea University, Seoul.
  6. Chang, H. K. (2006). A study on chronic pain, pain beliefs, pain coping, and fatigue in the elderly. Journal of Korean Academy of Adult Nursing, 18(3), 377-385.
  7. Chang, H. K., Sohn, J. N., & Cha, B. K. (2006). A study on the relationship of chronic pain, pain coping, fatigue, self-esteem, and depression in elders. Journal of Korean Academy of Fundamentals of Nursing, 13(1), 86-95.
  8. Chang, S. O., Park, Y. J., & Youn, J. W. (2003). Study on relations of variables; attributions of somatic symptoms, fatigue, chronic pain and depression in the elderly. Journal of Korean Academy of Nursing, 33(1), 26-33.
  9. Dysvik, E., Natvig, G. K., Eikeland, O. J., & Lindstrom, T. C. (2005). Coping with chronic pain. International Journal of Nursing Studies, 42(3), 297-305. https://doi.org/10.1016/j.ijnurstu.2004.06.009
  10. Escobar, J. I., Gara, M., Waitzkin, H., Silver, R. C., Holman, A., & Compton, W. (1998). DSM-IV hypochondriasis in primary care. Genernal Hospital Psychiatry, 20(3), 155-159. https://doi.org/10.1016/S0163-8343(98)00018-8
  11. Evers, A. W. M., Kraaimatt, F. W., Geenen, R., Jacobs, J. W. G., & Bijlsma, J. W. (2003). Pain coping and social support as predictors of long-term functional disability and pain in early rheumatoid arthritis. Behaviour Research and Therapy, 41(11), 1295-1310. https://doi.org/10.1016/S0005-7967(03)00036-6
  12. Gray, E. (2001). Linking chronic pain and depression, Nursing Standard, 15(25), 33-36.
  13. Herr, K. (2002). Chronic pain in the older patient: Management strategies. Journal of Gerontological Nursing, 28(2), 28-34.
  14. Kang, J. H., Kim, J. A., Oh, K. S., Oh, K. O., Lee, S. O., Lee, S. J., et al. (2008). Health status, depression and social support of elderly beneficiaries of the national basic livelihood security system. Journal of Korean Academy of Adult Nursing, 20(6), 866-882.
  15. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association, 35(2), 298-307.
  16. Kirmayer, L. J., Young, A., & Robbins, J. M. (1994). Symptom attribution in cultural perspective. Canadian Journal of Psychiatry, 39(10), 584-595.
  17. Koenig, H. G. K., & Blazer, D. G. (1996). Minor depression in late life. The American Journal of Geriatric Psychiatry, 4 (suppl. 1), S14-21.
  18. May, C. R., Rose, M. J., & Johnstone, F. C. (2000). Dealing with doubt: how patients account for non-specific chronic low back pain. Journal of Psychosomatic Research, 49(4), 223-225. https://doi.org/10.1016/S0022-3999(00)00168-9
  19. Ministry for Health, Welfare and Family Affairs. (2005, December). Health Plan 2010. Retrieved October 3, 2009, from http:// www.mw.go.kr/front/jb/sjb0501vw.jsp?PAR_MENU_ID=03& MENU_ID=030501&BOARD_ID=320&BOARD_FLAG=00& CONT_SEQ=178287&page=1
  20. Ministry for Health, Welfare and Family Affairs. (2006). The third national health and nutrition examination survey: KNHANES III 2005, Illness of adults. Seoul: Ministry for Health, Welfare and Family Affairs Printing Office.
  21. National Health Insurance Corporation (2007, September). Increase in medical fee of older adults. Retrieved October 3, 2009, from http://www.nhic.or.kr/cms/board/board/Select BoardFormh.jsp?communityKey=B0005&boardId=4122
  22. Park, S. Y., Lee, Y. J., Hwang, S. H., Eom, S. Y., & Jeon, W. T. (2006). The difference in psychological characteristics of patients with somatic symptom according to the presence of physical illness. The Korean Journal of Clinical Psychology, 25(1), 147-167.
  23. Robbins, J. M., & Kirmayer, L. J. (1991). Attributions of common somatic symptoms. Psychological Medicine, 21(4), 1029-1045. https://doi.org/10.1017/S0033291700030026
  24. Shin, H. K. (2006). Effects of depressive mood state on self-focused attention, somato-sensory amplification, somatic attribution, and somatic symptoms in somatization group. The Korean Journal of Clinical Psychology, 25(2), 467-488.
  25. Shin, K. R., Kang, Y. H., Jung, D. Y., & Choi, K. A. (2007). A study on the depression, somatic symptom, activities of daily living for the elderly women in an urban area. Journal of Korean Academy of Nursing, 37(7), 1131-1138.
  26. Turk, D. C., & Rudy, T. E. (1986). Assessment of cognitive factors in chronic pain: A worthwhile enterprise?. Journal of Consulting and Clinical Psychology, 54(6), 760-768.
  27. Turner, J. A., Jensen, M. P., & Romano, J. M. (2000). Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain?. Pain, 85(1-2), 115-125. https://doi.org/10.1016/S0304-3959(99)00259-6
  28. Vogel, C. H. (1982). Anxiety and depression among the elderly. Journal of Gerontological Nursing, 8(4), 213-216.
  29. Yozbatiran, N., Yildirim, Y., & Parlak, B. (2004). Effects of fitness and aquafitness exercises on physical fitness in patients with chronic low back pain. Pain Clinic, 16(1), 35-42. https://doi.org/10.1163/156856904322858684