Journal article
Pain burden and sleep quality in community-dwelling adults aged ≥50 years in Ghana: potential psychosomatic mechanisms
Aging & mental health, Vol.29(8), pp.1477-1484
27/03/2025
PMID: 40146176
Metrics
7 Record Views
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites
Abstract
Objective: Pain has been related to adverse health outcomes in old age. However, evidence from low-income countries is limited, and the potential mediators are poorly understood. Therefore, the aim of this study was to analyze the association between pain burden (PB) and sleep problems (SP) among older adults in Ghana and explore potential psychosomatic mediators.
Method: We analyzed data from the Aging, Health, and Health-seeking Behavior study administered to 1201 adults aged ≥50 years. PB was assessed using the pain subscale of the Medical Outcomes Study Short Form-36. SP was assessed using nighttime/daytime SP in the last 30 days. Multivariable OLS and mediation models evaluated the hypotheses.
Results: Mean (SD) age was 66.14 (11.85) years, and 63.3% were women. After full adjustment, PB (versus no PB) was positively associated with SP in the overall sample (
= 0.227, 95% CI = 0.124 - 0.331) and women (
= 0.363, 95% CI = 0.233 - 0.492) but not in men. Moreover, the association was pronounced in the ≥65 year group (
= 0.317) than in the 50-64 year group (
= 0.216). Self-rated health (54.4%), immobility (23.4%), physical activity (12.2%), restlessness (12.1%), depression (6.4%), anxiety (6.3%), and social isolation (7.2%) mediated the PB-SP association.
Conclusion: PB was positively associated with SP among older adults in Ghana. Bio-psychosomatic factors were identified as potential mediators in this association. Addressing these factors may improve sleep health in older adults with pain.
Details
- Title
- Pain burden and sleep quality in community-dwelling adults aged ≥50 years in Ghana: potential psychosomatic mechanisms
- Creators
- Razak M Gyasi - African Population and Health Research CenterEmelia Aikins - Kwame Nkrumah University of Science and TechnologyPriscilla Appiah - Kwame Nkrumah University of Science and TechnologyEmmanuel Nyaaba - Kwame Nkrumah University of Science and TechnologyDesmond Agyei - Kwame Nkrumah University of Science and TechnologyEmmanuel Konadu - Kwame Nkrumah University of Science and TechnologyVeronica Teye Angmorkwor - Kwame Nkrumah University of Science and TechnologyAndré Hajek - University Medical Center Hamburg-EppendorfLouis Jacob - Université Paris Cité (Paris, France)Karl Peltzer - Mahidol UniversityLee Smith - Anglia Ruskin University
- Publication Details
- Aging & mental health, Vol.29(8), pp.1477-1484
- Publisher
- Routledge
- Grant note
- This work was supported by Lingnan University, Hong Kong [grant numbers: RPG1129310], to Razak M. Gyasi.
- Identifiers
- 991013269305202368
- Copyright
- © 2025 Informa UK Limited, trading as Taylor & Francis Group.
- Academic Unit
- National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article