Pain grade and sleep disturbance in older adults: Evaluation the role of pain, and stress for depressed and non-depressed individuals

Vahid Eslami, Molly E. Zimmerman, Trishdeep Grewal, Mindy Joy Katz, Richard B. Lipton

Research output: Contribution to journalArticle

8 Scopus citations


Objective: The aim of this paper was to assess the relationship between pain and sleep in older adults taking depression, stress, and medical comorbidities into account. Methods: A cross-sectional analysis was performed using Einstein Aging Study, a community-based cohort study of adults aged 70years and older. Ratings of pain intensity and interference from the Medical Outcomes Study (MOS) Short-Form 36 were used to assign individuals to low-pain versus high-pain severity. Sleep disturbance was assessed using the nine-item sleep problems index from the Medical Outcomes Study Sleep Scale. Other measures included the Geriatric Depression Scale and Perceived Stress Scale (PSS). Linear regression models were used to assess the association between pain grade and sleep disturbance adjusted for demographics, PSS, Geriatric Depression Scale, and other comorbidities. Results: Five hundred sixty-two eligible participants with a mean age of 78.22years (standard deviation=5.43) were included; 64% were women. Pain grade [β=5.40, 95% confidence interval (CI) 2.56-8.21, p

Original languageEnglish (US)
JournalInternational Journal of Geriatric Psychiatry
StateAccepted/In press - 2015



  • Depression
  • Pain intensity
  • Pain interference
  • Sleep problems index
  • Stress

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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