Authors:

Allison Vollmer

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About Paper:

Disorders Pain and sleep disturbance are common sequelae of substance use disorders (SUDs), and particularly prevalent among older adults. However, no available data address susceptibility, trajectories of pain/sleep improvement, or relationships with treatment outcomes among older adults in recovery from SUDs. We hypothesized that pain and sleep disturbance would be more severe among older adults in SUD treatment, and we investigated differences in pain/sleep trajectories and relationships with craving as empirical questions. Patients with SUDs completed assessments of sleep, pain, and craving at intake, 30 days, and discharge. Propensity scores were used to create two matched samples of older (55+; n=211) and younger (30-40; n=211) adults. Older patients reported greater pain at baseline (p=.010) and improved at a slower rate (p=.028). Surprisingly, the association between pain and craving was more robust among younger patients (p=.010). Sleep quality did not differ at baseline, however, older patients improved at slower rates (ps≤.009). Additionally, the association between sleep quality and craving was more robust among younger patients (p<.001). These findings suggest the import of directed interventions for pain and sleep problems regardless of patient age but imply that successful intervention may yield age- contingent effects. 16

Source:

University of Florida / 2024

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No topics listed

Co-authors:

Allison Vollmer