Chronic Pain in "Probable" Vascular Dementia: Preliminary Findings

E.J.A. Scherder; B. Plooij; W.P. Achterberg; M.J.C. Pieper; M. Wiegersma; F. Lobbezoo; J.M. Oosterman

doi:10.1111/pme.12637

Chronic Pain in "Probable" Vascular Dementia: Preliminary Findings

E.J.A. Scherder, B. Plooij, W.P. Achterberg, M.J.C. Pieper, M. Wiegersma, F. Lobbezoo, J.M. Oosterman

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: In a previous study, the levels of pain reported by patients with "possible" vascular dementia (VaD) were higher than those reported by older individuals without dementia. Objective: To examine experienced pain in patients with "probable" VaD, confirmed by brain imaging. Study Design: Observational, cross sectional. Setting: Nursing home. Methods: The participants were 20 nursing home residents (14 females, 6 males) who met the NINDS-AIREN criteria for "probable" VaD and 22 nursing home residents with a normal mental status (18 females, 4 males). The patients were in a mild to moderate stage of dementia. All of the participants were suffering from arthritis/arthrosis or osteoporosis. Global cognitive functioning was measured by the Mini-Mental State Examination. Pain was assessed by the Coloured Analogue Scale (CAS: original and modified version) and the Faces Pain Scale. The Geriatric Depression Scale and the Symptom Checklist-90 were used to assess mood. Results: The main finding was that, after controlling for mood, the pain levels indicated by patients with "probable" VaD (M=102.32; standard deviation [SD]=53.42) were significantly higher than those indicated by the control group (M=59.17; SD=38.75), only according to the CAS modified version (F[1,29])=5.62, P=0.01, η

Original language	English
Pages (from-to)	442-450
Number of pages	9
Journal	Pain medicine
Volume	16
Issue number	3
Early online date	19 Mar 2015
DOIs	https://doi.org/10.1111/pme.12637
Publication status	Published - Mar 2015

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title = "Chronic Pain in {"}Probable{"} Vascular Dementia: Preliminary Findings",

abstract = "Background: In a previous study, the levels of pain reported by patients with {"}possible{"} vascular dementia (VaD) were higher than those reported by older individuals without dementia. Objective: To examine experienced pain in patients with {"}probable{"} VaD, confirmed by brain imaging. Study Design: Observational, cross sectional. Setting: Nursing home. Methods: The participants were 20 nursing home residents (14 females, 6 males) who met the NINDS-AIREN criteria for {"}probable{"} VaD and 22 nursing home residents with a normal mental status (18 females, 4 males). The patients were in a mild to moderate stage of dementia. All of the participants were suffering from arthritis/arthrosis or osteoporosis. Global cognitive functioning was measured by the Mini-Mental State Examination. Pain was assessed by the Coloured Analogue Scale (CAS: original and modified version) and the Faces Pain Scale. The Geriatric Depression Scale and the Symptom Checklist-90 were used to assess mood. Results: The main finding was that, after controlling for mood, the pain levels indicated by patients with {"}probable{"} VaD (M=102.32; standard deviation [SD]=53.42) were significantly higher than those indicated by the control group (M=59.17; SD=38.75), only according to the CAS modified version (F[1,29])=5.62, P=0.01, η",

author = "E.J.A. Scherder and B. Plooij and W.P. Achterberg and M.J.C. Pieper and M. Wiegersma and F. Lobbezoo and J.M. Oosterman",

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AU - Scherder, E.J.A.

AU - Plooij, B.

AU - Achterberg, W.P.

AU - Pieper, M.J.C.

AU - Wiegersma, M.

AU - Lobbezoo, F.

AU - Oosterman, J.M.

PY - 2015/3

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N2 - Background: In a previous study, the levels of pain reported by patients with "possible" vascular dementia (VaD) were higher than those reported by older individuals without dementia. Objective: To examine experienced pain in patients with "probable" VaD, confirmed by brain imaging. Study Design: Observational, cross sectional. Setting: Nursing home. Methods: The participants were 20 nursing home residents (14 females, 6 males) who met the NINDS-AIREN criteria for "probable" VaD and 22 nursing home residents with a normal mental status (18 females, 4 males). The patients were in a mild to moderate stage of dementia. All of the participants were suffering from arthritis/arthrosis or osteoporosis. Global cognitive functioning was measured by the Mini-Mental State Examination. Pain was assessed by the Coloured Analogue Scale (CAS: original and modified version) and the Faces Pain Scale. The Geriatric Depression Scale and the Symptom Checklist-90 were used to assess mood. Results: The main finding was that, after controlling for mood, the pain levels indicated by patients with "probable" VaD (M=102.32; standard deviation [SD]=53.42) were significantly higher than those indicated by the control group (M=59.17; SD=38.75), only according to the CAS modified version (F[1,29])=5.62, P=0.01, η

AB - Background: In a previous study, the levels of pain reported by patients with "possible" vascular dementia (VaD) were higher than those reported by older individuals without dementia. Objective: To examine experienced pain in patients with "probable" VaD, confirmed by brain imaging. Study Design: Observational, cross sectional. Setting: Nursing home. Methods: The participants were 20 nursing home residents (14 females, 6 males) who met the NINDS-AIREN criteria for "probable" VaD and 22 nursing home residents with a normal mental status (18 females, 4 males). The patients were in a mild to moderate stage of dementia. All of the participants were suffering from arthritis/arthrosis or osteoporosis. Global cognitive functioning was measured by the Mini-Mental State Examination. Pain was assessed by the Coloured Analogue Scale (CAS: original and modified version) and the Faces Pain Scale. The Geriatric Depression Scale and the Symptom Checklist-90 were used to assess mood. Results: The main finding was that, after controlling for mood, the pain levels indicated by patients with "probable" VaD (M=102.32; standard deviation [SD]=53.42) were significantly higher than those indicated by the control group (M=59.17; SD=38.75), only according to the CAS modified version (F[1,29])=5.62, P=0.01, η

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ER -

Chronic Pain in "Probable" Vascular Dementia: Preliminary Findings

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