Phantom limb pain and pain interference in adults with lower extremity amputation: The moderating effects of age

被引:9
作者
Molton, Ivan R.
Jensen, Mark P.
Ehde, Dawn M.
Smith, Douglas G.
机构
[1] Univ Washington, Sch Med, Dept Rehabil Med, Seattle, WA 98195 USA
[2] Univ Washington, Sch Med, Dept Orthopaed, Seattle, WA USA
关键词
phantom limb pain; older adult; disability; lower extremity amputation;
D O I
10.1037/0090-5550.52.3.272
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Purpose/Objective: To determine whether the relationship between phantom limb pain severity and pain-related interference was moderated by age and to compare 2 theoretical perspectives used in the literature to account for age-related differences in the experience of chronic pain. Research Method/Design: Analysis of survey data provided by 375 adults with lower extremity amputations who reported phantom limb pain. Results: The relationship between phantom limb pain severity and pain-related interference was shown to be moderated by age (beta = -.10, p < .05), such that pain predicted interference only in younger adults (P = .44, p < .01). Analysis of age group differences in interference by pain level revealed a large effect when pain was moderate/severe (Cohen's d = 1.23) but not when pain was mild/moderate (Cohen's d = 0.04). Finally, time since amputation emerged as a significant predictor of pain interference above and beyond chronological age. Conclusions/Implications: These data suggest that the pain/interference relationship is weaker in older persons, particularly at higher levels of pain. This phenomenon may be driven primarily by temporal experience with pain.
引用
收藏
页码:272 / 279
页数:8
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