Quality of life, pain and use of analgesic, anxiolytic and antidepressant medication, in people living in care homes

Age Ageing. 2024 Sep 1;53(9):afae196. doi: 10.1093/ageing/afae196.

Abstract

Background: People living in care homes often have problems with pain, anxiety and depression. Whether being on analgesia, anxiolytics or antidepressants has any bearing on pain severity and quality of life (QoL) in this population, requires further investigation.

Objectives: (i) to examine the relationship between pain, anxiety and depression and medication use in care home residents and (ii) to compare those on medications to treat pain, anxiety and depression, and those who were not, and associations with pain severity and overall QoL.

Methods: This was a secondary analysis of a randomised controlled trial testing a falls prevention intervention in care homes. We recorded pain, anxiety and depression, QoL measurements and prescribed medication use.

Results: In 1589 participants, the mean age was 84.7 years (±9.3 SD), 32.2% were male and 67.3% had a diagnosis of dementia. 54.3% and 53.2% of participants had some level of pain and anxiety or depression respectively, regardless of prescribed medication use. There was a direct association between pain severity and being on any analgesia, opioid analgesia, and antidepressants, but no associations between pain severity and use of paracetamol and anxiolytics. QoL was best for residents with no pain and not on any analgesia, anxiolytics or antidepressants and worst for those with moderate-extreme pain and taking at least two of these classes of medications.

Conclusion: Many care home residents live with pain, anxiety and depression. Addressing residents' pain may also increase their quality of life, but using medication alone to reach this goal may be inadequate.

Keywords: analgesia; care homes; older people; pain; quality of life.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Accidental Falls / prevention & control
  • Accidental Falls / statistics & numerical data
  • Aged
  • Aged, 80 and over
  • Analgesics* / therapeutic use
  • Anti-Anxiety Agents* / therapeutic use
  • Antidepressive Agents* / therapeutic use
  • Anxiety* / diagnosis
  • Anxiety* / drug therapy
  • Anxiety* / psychology
  • Depression* / diagnosis
  • Depression* / drug therapy
  • Depression* / psychology
  • Female
  • Homes for the Aged*
  • Humans
  • Male
  • Nursing Homes*
  • Pain Measurement*
  • Pain* / diagnosis
  • Pain* / drug therapy
  • Pain* / psychology
  • Quality of Life*
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Anti-Anxiety Agents
  • Antidepressive Agents
  • Analgesics