title: Age and the role of restricted activities in adjustment to disability-related pain.
abstract: Chronic pain is common in individuals with multiple sclerosis and spinal cord injury and is associated with depressed mood. This may be because pain creates interference in performing and enjoying valued activities. The importance of pain interference may also vary with age, since older adults may have lowered expectations regarding function. This study analyzed relationships among pain variables, age, and mood in 521 individuals with multiple sclerosis or spinal cord injury. As predicted, pain interference mediated the relationship between pain severity and depressed mood. There was no evidence that older adults were less distressed by pain interference than were younger adults.
authors.affiliation: University of Washington School of Medicine, USA imolton@u.washington.edu.
authors.forename: Ivan R
authors.initials: IR
authors.lastname: Molton
authors.affiliation: Indiana University-Purdue University Indianapolis, USA.
authors.forename: Adam T
authors.initials: AT
authors.lastname: Hirsh
authors.affiliation: University of Washington School of Medicine, USA.
authors.forename: Amanda E
authors.initials: AE
authors.lastname: Smith
authors.affiliation: University of Washington School of Medicine, USA.
authors.forename: Mark P
authors.initials: MP
authors.lastname: Jensen
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000367:Age Factors; D000368:Aged; D059350:Chronic Pain / Q000209:etiology / Q000523:psychology*; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology; D010147:Pain Measurement; D013119:Spinal Cord Injuries / Q000523:psychology; D055815:Young Adult
keywords: chronic pain; multiple sclerosis; pain-related activity restriction; spinal cord injury