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Association between Participation Activities, Pain Severity, and Psychological Distress in Old Age: A Population-Based Study of Swedish Older Adults

Author

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  • Elena Dragioti

    (Pain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 85 Linköping, Sweden)

  • Björn Gerdle

    (Pain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 85 Linköping, Sweden)

  • Lars-Åke Levin

    (Department of Health, Medicine and Caring Sciences, Division of Health Care Analysis, Linköping University, SE-581 85 Linköping, Sweden)

  • Lars Bernfort

    (Department of Health, Medicine and Caring Sciences, Division of Health Care Analysis, Linköping University, SE-581 85 Linköping, Sweden)

  • Huan-Ji Dong

    (Pain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 85 Linköping, Sweden)

Abstract

Although chronic pain is common in old age, previous studies on participation activities in old age seldom consider pain aspects and its related consequences. This study analyses associations between participation activities, pain severity, and psychological distress in an aging population of Swedish older adults ( N = 6611). We examined older adults’ participation in five common leisure activities using the Multidimensional Pain Inventory (MPI), sociodemographic factors, pain severity, weight status, comorbidities, and pain-related psychological distress (anxiety, depression, insomnia severity, and pain catastrophising). We found that gender, body mass index (BMI) levels, and psychological distress factors significantly affected older adults’ participation in leisure activities. Pain severity and multimorbidity were not significantly associated with older adults’ participation in leisure activities nor with gender stratification in generalised linear regression models. The potentially modifiable factors, such as high levels of BMI and psychological distress, affected activity participation in men and women differently. Health professionals and social workers should consider gender and target potentially modifiable factors such as weight status and psychological distress to increase older adults’ participation in leisure activities.

Suggested Citation

  • Elena Dragioti & Björn Gerdle & Lars-Åke Levin & Lars Bernfort & Huan-Ji Dong, 2021. "Association between Participation Activities, Pain Severity, and Psychological Distress in Old Age: A Population-Based Study of Swedish Older Adults," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2795-:d:514070
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    References listed on IDEAS

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    1. Lingling Gao & Alina Dahmen & Franziska Maria Keller & Petra Becker & Sonia Lippke, 2021. "The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT," IJERPH, MDPI, vol. 18(20), pages 1-14, October.

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