Predictors of pain self-report in nursing home residents.


Journal Article

The purpose of this study was to examine the influence of cognitive function and other biopsychosocial factors on test-retest agreement, four-week variability, and intensity of self-reported pain using the verbal 0 to 10 scale and a pain thermometer in 115 nursing home residents over four weeks. Pain was assessed twice on three days during week 1, and once each during weeks 2, 3 and 4. A forward stepwise regression procedure was used to examine the influence of biopsychosocial parameters (age, race, gender, educational status, marital status, comorbidity, cognitive function, depression, social support, physical function and self-rated health) on pain intensity, test-retest agreement and variability. There was a quadratic association between cognitive function and test-retest agreement with the 0-10 scale; residents with Folstein scores of 22-26 were more likely to show disagreement (50% of 34) than residents with scores < 22 or > 26 (7% of 71). Higher Folstein scores were also associated with greater pain intensity for both pain scales (p < 0.001). Baseline pain intensity was significantly related to pain variability (0-10 scale only). The clinician should be cognizant of these relationships when interpreting verbalizations of pain in long-term care facilities.

Full Text

Duke Authors

Cited Authors

  • Weiner, DK; Peterson, BL; Logue, P; Keefe, FJ

Published Date

  • October 1998

Published In

Volume / Issue

  • 10 / 5

Start / End Page

  • 411 - 420

PubMed ID

  • 9932145

Pubmed Central ID

  • 9932145

International Standard Serial Number (ISSN)

  • 0394-9532

Digital Object Identifier (DOI)

  • 10.1007/bf03339888


  • eng

Conference Location

  • Italy