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Cognitive-behavioral pain management for elderly nursing home residents
Author(s)Andrew J Cook
Journal titleThe Journals of Gerontology Series B: Psychological sciences and social sciences, vol 53B, no 1, January 1998
Pagespp P51-P59
KeywordsPain ; Behaviour ; Therapy ; Patients [nursing homes] ; Canada.
AnnotationResearch has demonstrated that pain is a major problem among older people in long-term care facilities. This Canadian study compared a cognitive-behavioural pain management programme for older nursing home residents with chronic pain with an attention/support control treatment in a randomised pre/post comparison group design with follow-up. Thirteen female and nine male nursing home residents aged between 61 and 98 years participated in the treatment programmes through 10 weekly group sessions. Results revealed that the subjects who received the cognitive-behavioural training reported less pain and pain-related disability, although the two programmes were perceived as equally credible both before and after treatment. No significant treatment effects were found for depression and physician medication ratings. Treatment effects were maintained at 4-month follow-up, despite an overall increase in reported pain. Findings indicate that older nursing home residents with chronic pain and without serious cognitive impairment can benefit substantially from training in cognitive and behavioural pain management strategies.
Accession NumberCPA-980310406 A
ClassmarkCT7: DM: LO: LHB:LF: 7S

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