Does cognitive functioning predict chronic pain in older adult? Results from the CoLaus|PsyCoLaus longitudinal study.

Details

Serval ID
serval:BIB_3128DFA2C436
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Does cognitive functioning predict chronic pain in older adult? Results from the CoLaus|PsyCoLaus longitudinal study.
Journal
The journal of pain
Author(s)
Rouch I., Dorey J.M., Strippoli M.F., Gholam M., Marques-Vidal P., Laurent B., von Gunten A., Preisig M.
ISSN
1528-8447 (Electronic)
ISSN-L
1526-5900
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Chronic pain (CP) and cognitive impairment are common in older adults. CP was found to be associated with cognitive impairment in many cross-sectional studies. However, their cross-sectional design precluded inference on temporality. Accordingly, we aimed to prospectively assess the association between cognitive functioning and the occurrence of CP in older community dwellers. Analyses were based on data of the first (FU1) and the second follow-up (FU2) of CoLaus|PsyCoLaus, a prospective cohort study conducted in the general population of Lausanne (Switzerland) including the participants aged 65 and over. Neuropsychological functioning including memory, language, attention and executive function was measured at FU1. CP was assessed at FU1 and FU2 by self-rating questionnaire. The association between cognitive scores and subsequent CP was determined using multiple logistic regressions. Among the 337 participants without CP at FU1, 107 (31.8%) developed CP at FU2. A significant association was observed between higher Stroop color-time and interference index at FU1 and a higher risk of CP at FU2 (OR=1.02;p=0.03 and OR=1.49;p=0.03, respectively). Our results suggest that patients with inhibitory deficit may be at higher risk of developing CP in the presence of painful events. A cognitive assessment could be recommended to identify frail patients in these situations. Perspective: This study suggests that presence of inhibitory deficits is associated with a higher risk of developing subsequent CP in older adults. In the presence of painful events, a cognitive assessment should be recommended to identify frail patients and to manage them carefully.
Keywords
Chronic pain, cognition, cohort, executive function
Pubmed
Create date
08/03/2021 15:58
Last modification date
12/03/2021 7:26
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