College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, Massachusetts.
Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
J Am Geriatr Soc. 2018 Jul;66(7):1318-1324. doi: 10.1111/jgs.15413. Epub 2018 Jun 6.
To examine the cross-sectional relationship between chronic pain and complex attention in a population of community-living older adults.
Prospective cross-sectional cohort study.
Population-based Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study II.
Individuals aged 71 to 101 (N=354).
Chronic pain was measured using the pain severity and interference subscales of the Brief Pain Inventory. Four subscales of the Test of Everyday Attention were used to measure domains of attention switching and selective, sustained, and divided attention.
Before and after multivariable adjustment, pain severity was associated with poorer scores on measures of selective and sustained attention. Pain interference scores also were significantly inversely associated with selective attention.
Chronic pain is associated with poorer performance in selective and sustained attention in community-dwelling older adults. Further research is needed to determine whether effective pain management could lead to better attentional performance in older adults. Older adults who live with chronic pain, often undertreated, are potentially at risk of cognitive difficulties and related functional consequences.
在社区居住的老年人群体中，研究慢性疼痛与复杂注意力之间的横断面关系。
前瞻性横断面队列研究。
波士顿老年人维持平衡、独立生活、智力和热情研究 II。
年龄在 71 至 101 岁之间的个体（N=354）。
慢性疼痛使用简明疼痛量表的疼痛严重程度和干扰分量表进行测量。日常注意测验的四个分量表用于测量注意力转换和选择性、持续性和分散性注意力的领域。
在进行多变量调整之前和之后，疼痛严重程度与选择性和持续性注意力测量得分较差相关。疼痛干扰评分也与选择性注意力呈显著负相关。
慢性疼痛与社区居住的老年人群体中选择性和持续性注意力较差有关。需要进一步研究以确定有效的疼痛管理是否可以提高老年人的注意力表现。患有慢性疼痛的老年人往往治疗不足，存在认知困难和相关功能后果的风险。
