TY - JOUR
T1 - Sleep and Pain in Mid- to Late-Life
T2 - An Exploration of Day-to-Day Pain Inconsistency
AU - Ravyts, Scott G.
AU - Dzierzewski, Joseph M.
AU - Grah, Stephanie C.
AU - Buman, Matthew
AU - Aiken-Morgan, Adrienne T.
AU - Giacobb, Peter R.
AU - Roberts, Beverly L.
AU - Marsiske, Michael
AU - McCrae, Christina S.
N1 - Funding Information:
This work was supported by the National Institute on Aging (1R36AG029664-01, PI: Aiken-Morgan; T32AG020499, PI: Dzierzewski; F31AG032802, PI: Dzierzewski; 1K23AG049955, PI: Dzierzewski) and University of Florida (Age Network research award, PI: McCrae).
Publisher Copyright:
© 2017 Taylor & Francis Group, LLC.
PY - 2018/3/15
Y1 - 2018/3/15
N2 - Objectives: This study examined how different quantifications of pain (average vs. day-to-day inconsistency) are related to sleep in older adults beyond known predictors. Methods: Baseline measures from the Active Adult Mentoring Project were used for secondary analyses. Participants included 82 adults in mid- to late-life. Depression was assessed with the BDI-II. Pain intensity was assessed over seven days on a 11-point Likert-scale, while sleep efficiency (SE), total sleep time (TST), and total wake time (TWT) were assessed using a self-report diary. Results: Regression analyses revealed that pain inconsistency was associated with both SE and TWT and accounted for significant variance over age, gender, and depression. In contrast, average pain was not associated with SE, TST, or TWT. Conclusions: The findings indicate that pain inconsistency may be a more meaningful predictor of sleep disturbance than average pain level, suggesting that one’s ability to regulate pain may be related to one’s ability to engage in optimal sleep in mid- to late-life. Clinical Implications: Pain inconsistency appears to contribute more to sleep disturbance than average pain. Pain inconsistency in late-life warrants greater attention and may be an area of clinical intervention through activity-pacing or coping skills training.
AB - Objectives: This study examined how different quantifications of pain (average vs. day-to-day inconsistency) are related to sleep in older adults beyond known predictors. Methods: Baseline measures from the Active Adult Mentoring Project were used for secondary analyses. Participants included 82 adults in mid- to late-life. Depression was assessed with the BDI-II. Pain intensity was assessed over seven days on a 11-point Likert-scale, while sleep efficiency (SE), total sleep time (TST), and total wake time (TWT) were assessed using a self-report diary. Results: Regression analyses revealed that pain inconsistency was associated with both SE and TWT and accounted for significant variance over age, gender, and depression. In contrast, average pain was not associated with SE, TST, or TWT. Conclusions: The findings indicate that pain inconsistency may be a more meaningful predictor of sleep disturbance than average pain level, suggesting that one’s ability to regulate pain may be related to one’s ability to engage in optimal sleep in mid- to late-life. Clinical Implications: Pain inconsistency appears to contribute more to sleep disturbance than average pain. Pain inconsistency in late-life warrants greater attention and may be an area of clinical intervention through activity-pacing or coping skills training.
KW - Older adults
KW - pain
KW - pain inconsistency
KW - sleep
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U2 - 10.1080/07317115.2017.1345818
DO - 10.1080/07317115.2017.1345818
M3 - Article
C2 - 28742446
AN - SCOPUS:85025806776
SN - 0731-7115
VL - 41
SP - 123
EP - 129
JO - Clinical Gerontologist
JF - Clinical Gerontologist
IS - 2
ER -