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2022-02-24Zeitschriftenartikel DOI: 10.18452/24491
Trajectories of Pain in Very Old Age: The Role of Eudaimonic Wellbeing and Personality
dc.contributor.authorWettstein, Markus
dc.contributor.authorSchilling, Oliver Karl
dc.contributor.authorWahl, Hans-Werner
dc.date.accessioned2022-04-20T14:09:21Z
dc.date.available2022-04-20T14:09:21Z
dc.date.issued2022-02-24none
dc.identifier.urihttp://edoc.hu-berlin.de/18452/25159
dc.descriptionThis article was supported by the German Research Foundation (DFG) and the Open Access Publication Fund of Humboldt-Universität zu Berlin.none
dc.description.abstractPain is common in very old age and in the last years prior to death. However, little is known regarding longitudinal trajectories of pain in very old age and at the end of life. Moreover, whereas medical and morbidity-related factors contributing to pain are established, the role of psychosocial factors, such as eudaimonic wellbeing or personality as potential determinants of late-life pain trajectories has so far not been sufficiently investigated. We used data from the LateLine project. The sample consisted of n = 118 very old adults (M = 90.5 years, SD = 2.8 years) who were living alone at baseline and who had died between 2009 and 2021. They took part in up to 16 measurement occasions (M = 5.2, SD = 4.7, range 1–16) within an observational interval of 7 years. Assessment of pain was based on the SF-36 bodily pain subscale. Key indicators of eudaimonic wellbeing (autonomy, environmental mastery, and purpose in life) as well two of the Big Five personality traits (neuroticism and extraversion) were included as predictors. We controlled in all analyses for gender, education, subjective health, and depressive symptoms. Contrasting pain trajectories over chronological age (time since birth) vs. time to death, a time-to-death-related model resulted in a better model fit and accounted for a larger amount of pain variability than the age-related model. Mean-level change in pain, both over age and time to death, was not significant, but there was substantial interindividual variability in intraindividual trajectories. Age-related change in pain was significantly predicted by autonomy and neuroticism, with increasing pain among those who had lower initial autonomy scores and higher initial neuroticism scores. With regard to time-to-death-related trajectories of pain, higher purpose in life as well as lower extraversion at baseline predicted less increase or even steeper decrease in pain with approaching death. Our findings suggest that, despite overall mean-level stability in pain both over age and time to death, there is a substantial proportion of individuals who reveal deterioration in pain over time. Regarding the role of psychosocial predictors, personality traits and eudaimonic wellbeing are related with late-life pain trajectories both over age and time-to-death.eng
dc.language.isoengnone
dc.publisherHumboldt-Universität zu Berlin
dc.rights(CC BY 4.0) Attribution 4.0 Internationalger
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectneuroticismeng
dc.subjectextraversioneng
dc.subjectterminal declineeng
dc.subjectpurpose in lifeeng
dc.subjectautonomyeng
dc.subjectprimary agingeng
dc.subjecttertiary agingeng
dc.subjectbiopsychosocial model of paineng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleTrajectories of Pain in Very Old Age: The Role of Eudaimonic Wellbeing and Personalitynone
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:11-110-18452/25159-7
dc.identifier.doihttp://dx.doi.org/10.18452/24491
dc.type.versionpublishedVersionnone
local.edoc.pages15none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
dc.description.versionPeer Reviewednone
dc.identifier.eissn2673-561X
dcterms.bibliographicCitation.doi10.3389/fpain.2022.807179
dcterms.bibliographicCitation.journaltitleFrontiers in pain researchnone
dcterms.bibliographicCitation.volume3none
dcterms.bibliographicCitation.articlenumber807179none
dcterms.bibliographicCitation.originalpublishernameFrontiers Medianone
dcterms.bibliographicCitation.originalpublisherplaceLausannenone
bua.departmentLebenswissenschaftliche Fakultätnone

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