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Elderly Pain Complaints Tied More Closely To Life Satisfaction Than Health

By Susan R. Farrer, Contributing Writer Health Behavior News Service

 March 11, 2003  

How much an elderly person complains about pain, gastric symptoms and other body problems may be tied more to overall well-being and life satisfaction than to actual physical health, says new research published in the journal Psychosomatics.

A German team of psychosomatic and gerontology researchers assessed 251 general hospital inpatients' body complaints and how those complaints related to demographic factors (such as age and marital status), age-related changes, life satisfaction and doctors' ratings of problems. Body complaints studied included exhaustion, gastric symptoms, pain, cardiovascular complaints and other symptoms.

The patients' average age was 75 years, and more than two-thirds (68.1 percent) of the patients were women.

"Because subjective body complaints and medically unexplained symptoms are associated with substantial distress and frequent health care utilization, more information is needed about the predictors of these complaints, particularly in elderly patients," write Gudrun Schneider, M.D., of the Department of Psychosomatics and Psychotherapy at University Hospitals Münster and co-investigators from the Institute of Gerontology at the University of Heidelberg and the Haus Berge Geriatric Clinic of St. Elisabeth-Hospital in Essen, Germany.

The researchers found that only three factors were significantly associated with the elderly persons' body complaints: self-assessment of life satisfaction; self-assessment of age-related changes related to activities, cognitive performance and state of health; and doctors' ratings of somatization - that is, patients' physical complaints that cannot be explained by a bodily cause.

Age, gender, marital status, living arrangements and objective health-related variables were not associated with the level of subjects' body complaints.

"Complaints of psychosomatic symptoms in elderly patients have been receiving increased attention," Dr. Schneider and colleagues write. "Our results confirm those of other studies that have shown a correlation between subjective body complaints, subjective well-being, depressive mood and psychiatric disorders."

However, the researchers caution that because their study subjects were hospital inpatients, they might have had lower levels of health and functioning than other elderly patients would. Therefore, the results might not apply to elderly persons as a whole.

The research was supported by grants from the German Research Association.

Health Behavior News Service: (202) 387-2829 or www.hbns.org.
Interviews: Contact Dr. Gudrun Schneider at +0049-251-8352902 or schneig@mednet.uni-muenster.de.
Psychosomatics: Contact Tom Wise, M.D., at (703) 698-3626.

Center for the Advancement of Health
Contact: Ira R. Allen
Director of Public Affairs
202.387.2829
press@cfah.org


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