RNRCTArchives of psychiatric nursing2021

Senior WISE intervention: Gender differences in bodily pain and trait anxiety.

Graham J McDougall, Keenan A Pituch, Geraldine Martorella and 1 others

PMID 34176575

WHAT IT FOUND

The multi-component memory classes did not lower pain at end of study.

At post-treatment they lowered pain by about 6 points. Anxiety fell mainly in men.

Key findings

01Participants assigned to the memory intervention reported approximately 6 points less bodily pain than health training participants at post-treatment, but there was no treatment group difference at end of study.

02Anxiety fell significantly for men assigned to the memory intervention by 5.4 points at post-treatment and 5.1 points at end of study, but not for women.

03For men, the memory intervention reduced pain indirectly through lower post-treatment anxiety; the indirect effect was significant for men but not women.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The memory intervention combined mindfulness-based stress reduction, cognitive behavioral anxiety coping, memory strategy training, and discussion of false beliefs about aging, so the study cannot show which component mattered. Pain was measured with one SF-36 item about bodily pain in the past four weeks, and medication intake was not documented. Social support was not measured, although the authors note it can influence pain in older adults. The pain benefit was present at post-treatment but absent at end of study. The sample was recruited from Central Texas community sites and was highly motivated, so less engaged older adults may not be represented. The MMSE cut score was changed for Hispanic adults, and practice effects may have been greater for Black and Hispanic participants.

Declared interests

The supplied metadata lists research support from the N.I.H., Extramural. The article text provided does not include a funding or conflict of interest declaration.

The easy way to misread this

Do not conclude that memory training alone reduces pain. The memory intervention also included mindfulness-based stress reduction, cognitive behavioral anxiety coping, memory strategy training, and discussion of false beliefs about aging. The pain effect was not present at end of study, so the contribution of any single component cannot be separated.

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