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Pain in Nursing Home Residents and Correlation with Neuropsychiatric Disorders
Pain Physician, 10/01/09

Walid SM et al. – Pain was reported by 22% of residents over 65 years of age. Patients with anxiety or depression had the highest prevalence of pain, 29.4% and 24.4%, respectively. Patients with dementia had the lowest rate of reported pain, 14.5%. All neurodegenerative and psychiatric diagnoses had significant correlations with pain rate, however, only anxiety and depression positively correlated with the presence of pain. There were clear differences in the highest levels of reported pain in different neurodegenerative and psychiatric groups. The authors created the Disease–Specific Pain Intensity Scale (DSPI Scale) which can be calculated for each diagnostic entity. The DSPI was highest in patients with obsessive–compulsive disorder (721) and lowest in patients with bipolar disease (358). The average value of this scale in nursing home residents who reported pain in the last 7 days was 488. It is important when assessing pain to consider the patient’s neuropsychiatric status and especially communication abilities.

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