Chronic Pain in Elderly Patients
In the November 2007 issue of the International Journal of Geriatric Psychiatry, an article presents the result of a study examining chronic pain in depressed geriatric inpatients. By examining the medical charts of patients who were admitted to a geriatric psychiatric unit over a two year period, 148 patients with a depressive disorder were identified. Of these depressed patients, 62% of patients were found to reports problems with chronic pain. Further analysis found that depressed older adults with chronic pain were more likely to report suicidal ideation, be diagnosed with personality disorder, have chronic care needs, and experience less total sleep time compared to depressed older adults without chronic pain. The results match those of previous studies identifying chronic pain as a possible suicide risk factor in the elderly, particularly when depression is involved. : Chronic pain-common in depressed older adults-may influence clinical features of depression and should be assessed as a possible suicide risk factor. Prospective studies should examine causal relationships and determine the effects of adequate pain treatment on depression course and suicide risk in older adults.
