Journal article
Risk of Sleep Problems in Middle-Aged and Older Adults Experiencing Bodily Pains: Serial Multiple Mediation Estimates of Emotional Distress and Activity Limitations
The American journal of geriatric psychiatry, Vol.32(10), pp.1231-1243
01/10/2024
PMID: 38702252
Metrics
13 Record Views
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites
Abstract
Objectives
Pain is increasingly becoming common among middle-aged and older adults. While research on the association between pain characteristics and sleep problems (SP) is limited in low- and middle-income countries, the underlying mechanisms of the association are poorly understood. This study examines the association of bodily pain intensity and pain interference with SP and investigates the mediating role of activity limitation and emotional distress in this association.
Methods
We analyzed population-based data, including 1,201 individuals aged ≥50 (mean [SD] age 66.14 [11.85] years) from the 2016–2018 AgeHeaPsyWel-HeaSeeB study in Ghana. Multiple OLS regressions and serial multiple mediation modeling using bootstrapping analyses examined direct and indirect effects from pain to SP through activity limitation and emotional distress.
Results
Regressions demonstrated that pain intensity and interference were significantly associated with higher levels of activity limitation, emotional distress, and SP (range: β = 0.049–0.658). Bootstrapping analysis showed that activity limitation and emotional distress serially mediated the relationship between pain intensity and SP (total effect: β = 0.264, Bootstrap 95% confidence interval [CI] = 0.165–0.362; direct effect: (β = 0.107, Bootstrap 95% CI = 0.005–0.210; total indirect effect: β = 0.156, Bootstrap 95% CI = 0.005–0.210) accounting for ∼59%. Activity limitation and emotional distress mediated pain interference and SP association (total effect: β = 0.404, Bootstrap 95% CI = 0.318–0.490; direct effect: β = 0.292, Bootstrap 95% CI = 0.201–0.384; and total indirect effect: β = 0.112, Bootstrap 95% CI = 0.069–0.156) yielding ∼28%.
Conclusion
Our data suggest that activity limitation and emotional distress may convey stress-related risks of pain on SP. Future research should evaluate if activity limitation and emotional distress could be effective targets to reduce the effect of pain on sleep in later-life.
Details
- Title
- Risk of Sleep Problems in Middle-Aged and Older Adults Experiencing Bodily Pains: Serial Multiple Mediation Estimates of Emotional Distress and Activity Limitations
- Creators
- Razak M. Gyasi - Southern Cross UniversityEmelia Aikins - Kwame Nkrumah University of Science and TechnologyGift Dumedah - Kwame Nkrumah University of Science and TechnologyNelson Gyasi-Boadu - Kwame Nkrumah University of Science and TechnologyPrince Boakye Frimpong - Kwame Nkrumah University of Science and TechnologyMary Sefa Boampong - Kwame Nkrumah University of Science and TechnologyDaniel Buor - Kwame Nkrumah University of Science and TechnologySimon Mariwah - University of Cape CoastFrancis Naab - University of BristolDavid R. Phillips - Lingnan University
- Publication Details
- The American journal of geriatric psychiatry, Vol.32(10), pp.1231-1243
- Publisher
- Elsevier Inc
- Number of pages
- 13
- Grant note
- Lingnan University, Hong Kong: RPG1129310
This work was supported by the Research Grant Coun-cil and Lingnan University, Hong Kong (grant number RPG1129310) . The funders had no role in study design, data collection, and analysis, decision to publish, or prepa-ration of the manuscript. The authors declare that they have no known competing fi nancial interests or personal relationships that could have appeared to in fl uence the work reported in this article.
- Identifiers
- 991013189013502368
- Copyright
- © 2024 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
- Academic Unit
- National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article