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The change of pain classes over time: a latent transition analysis

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dc.contributor.author O'Neill, Aoife
dc.contributor.author O'Sullivan, Kieran
dc.contributor.author O'Keeffe, Mary
dc.contributor.author Walsh, Cathal Dominic
dc.contributor.author Purtill, Helen
dc.date.accessioned 2020-02-11T16:18:33Z
dc.date.issued 2020
dc.identifier.uri http://hdl.handle.net/10344/8505
dc.description peer-reviewed en_US
dc.description.abstract Background Pain is common in older adults, and associated with increased morbidity and reduced quality of life. Recent research has highlighted different classes of older adults with pain, each with differing impacts on their life. It has not yet been investigated if, and how, such classes change over time and what influences individuals to prospectively transition to a profile of either improved or worsened pain impact. Methods Latent transition analysis (LTA) is a longitudinal model‐based approach to identifying underlying subgroups in a population. LTA was used to model the change in pain of people aged 50 and above, from The Irish Longitudinal Study on Ageing, across three waves (n = 5,925). The LTA model was extended to include biopsychosocial covariates to predict transition probabilities between classes over time. Results Three latent classes were identified based on three pain indicators (pain presence; pain affects daily life; pain requires medication) and were characterized as “No Pain”, “Low‐Moderate Impact Pain” and “High Impact Pain”. Results indicate that the pain class of many changes over time. However, poor physical or mental health increased the risk of transitioning to a more severe pain class, from Wave 1 to Wave 2 and Wave 2 to Wave 3. Conclusions These findings show the change in pain of older adults over time, with both marked improvement and deterioration being observed. Critically, the predictors of individuals transitioning between classes reflect the breadth of biopsychosocial factors involved in pain. Significant Statement This article identified differing classes of pain in older adults, using latent transition analysis. The analysis demonstrated how the pain classes of older adults are broadly consistent over time, however both improvement and deterioration in pain impact were observed. Transitions between classes were associated with several biopsychosocial factors. These results have important implications for the health and quality of life of older adults. Consideration of health, lifestyle and socio‐demographic factors may enhance assessment and management of pain in older adults en_US
dc.language.iso eng en_US
dc.publisher Wiley and Sons Ltd., en_US
dc.relation.ispartofseries European Journal of Pain;24 (2), pp. 457-469
dc.relation.uri https://doi.org/10.1002/ejp.1502
dc.rights This is the author accepted peer reviewed version of the following article: The change of pain classes over time: a latent transition alalysis, O'Neill, Aoife, O'Sullivan, Kieran, O'Keeffe, Mary, Walsh, Cathal, Purtil, Helen, European Journal of Pain, 2020, 24 (2), pp. 457-459 which has been published in final form at https://doi.org/10.1002/ejp.1502 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. http://olabout.wiley.com/WileyCDA/Section/id-828039.html#terms
dc.subject pain en_US
dc.subject older adults en_US
dc.subject morbidity en_US
dc.subject reduced quality of life en_US
dc.title The change of pain classes over time: a latent transition analysis en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1002/ejp.1502
dc.date.embargoEndDate 2020-11-02
dc.embargo.terms 2020-11-02 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2935838


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