Interdisciplinary Journal of Acute Care

Interdisciplinary Journal of Acute Care

The Association between Spirituality and Dental Pain Tolerance/Control among the Elderly in Sari, Iran

Document Type : Research

Authors
1 Geriatric Nursing Department, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
2 Dental Research Center, Mazandaran University of Medical Sciences, Sari, Iran
3 Department of Gerontology Nursing, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
4 Department of Biostatistics and Epidemiology, School of Public Health, Sari, Iran
5 Department of Midwifery, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
6 Department of Nursing, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
Abstract
Dental disorders are often associated with pain and discomfort, particularly during the sensitive life stage of old age. This study aimed to evaluate the relationship between spiritual well-being and dental pain tolerance/control among elderly individuals attending the Tooba Dental Clinic in Sari, Iran, in 2023. A total of 240 elderly patients (aged ≥60 years) were selected through convenience sampling. Data collection involved a demographic questionnaire, a visual analog scale (VAS), and a standardized spiritual well-being questionnaire assessing religious and existential health. The findings indicated that the participants had a mean age of 65.87±3.39 years, with mean scores for spiritual well-being and pain severity of 71.8±3.12 and 5.27±0.07, respectively. An inverse correlation was identified between spiritual well-being and dental pain severity among the elderly (P<0.05), which remained significant in multivariate regression analysis after adjusting for other factors. This suggests that spiritual well-being plays a role in reducing pain perception. In conclusion, the results highlight the importance of spiritual well-being as a factor in regulating pain perception, advocating for the integration of spirituality-based interventions with conventional dental treatments as a complementary approach to managing geriatric dental pain.
Keywords

1. Sung YT, Wu JS. The Visual Analogue Scale for Rating, Ranking and Paired-Comparison (VAS-RRP): A new technique for psychological measurement. Behav Res Methods. 2018 Aug;50(4):1694-1715. doi: https://doi.org/10.3758/s13428-018-1041-8  
2. Ekhtiarzadeh M, Kamran A, Heydari ara M, Birjandi M, Heydari H. The Association Between Social Support and Spirituality with Death Anxiety among the Elderly in Khorramabad During COVID-19 Pandemic. Interdisciplinary Journal of Acute Care. 2024; 5(2): 80-89. doi: https://doi.org/10.22087/ijac.2024.508283.1052   
3. Noghani F, Navab E, Mehran A, yaghobi L. The Effects of Group Reminiscence Therapy on Loneliness and Spiritual Well- being among Residents of Kahrizak Nursing Home. Iranian Journal of Nursing Research. 2018; 13 (1) :47-56
4. Shankland WE 2nd. Factors that affect pain behavior. Cranio. 2011 Apr;29(2):144-54. doi: https://doi.org/10.1179/crn.2011.023   
5. Koyama T, McHaffie JG, Laurienti PJ, Coghill RC. The subjective experience of pain: where expectations become reality. Proceedings of the National Academy of Sciences. 2005 Sep 6;102(36):12950-5. doi: https://doi.org/10.1073/pnas.0408576102  
6. Bellville JW, Forrest WH Jr, Miller E, Brown BW Jr. Influence of age on pain relief from analgesics. A study of postoperative patients. JAMA. 1971 Sep 27;217(13):1835-41. 
7. Martin AL, McGrath PA, Brown SC, Katz J. Children with chronic pain: impact of sex and age on long-term outcomes. Pain. 2007 Mar;128(1-2):13-9. doi: https://doi.org/10.1016/j.pain.2006.08.027  
8. Khoshbakht Pishkhani M, Mohammadi Shahboulaghi F, Khankeh H, Dalvandi A. Spiritual health in iranian elderly: a concept analysis by walker and avant’s approach. Iranian Journal of Ageing. 2019;  14(1):96-113.
9. Safa A, & Moradi T. Assessment the Status of Spiritual Health and Related Factors in Elderly Patients Admitted to Governmental Hospitals in Kashan in 2018. Assessment.2020; 5(2).
10. Etemadifar, S., & Rafiei, H. Religious attitudes and spiritual health among elderly inpatient adults in Shahrekord hospitals. Jorjani Biomedicine Journal, 2016; 4(1): 56-65.
11. Saydshohadai M, Heshmat Sh, Seidfatemi N, Haghani H, Mehrdad N. The Spiritual Health of Seniors Living in Sanitarium and Home Residents. Iran Journal of Nursing.2013; 26(81), 11-20 
12. Aslani Y, Hosseini R, Alijanpour-Aghamaleki, M, Javanbakhtian-Ghahfarokhi, R, Borhaninejad V. Spiritual health and life satisfaction in older adults in Shahrekord hospitals, 2013. Journal of Clinical Nursing and Midwifery.2018; 6(4):1-10 
13. Kavoosian N, Hosseinzadeh, K, Jaliseh H. K, Karboro A. The relationship between spiritual health and loneliness among the elderly in Karaj-2016. Journal of Research on Religion and Health.2018; 4(2): 7-15.
14. Abbaszadeh E, Ganjalikhan Hakemi N, Rad M, Torabi M. Drug-Drug Interactions in Elderly Adults in Dentistry Care: a Cross-Sectional Study. Journal of Dentistry (Shiraz). 2022 Dec;23(4):459-466. doi: https://doi.org/10.30476/DENTJODS.2021.91067.1549  
15. Viveiros WL, Okuno MFP, Campanharo CRV, Lopes MCBT, Oliveira GN, Batista REA. Pain in emergency units: correlation with risk classification categories. Revista Latino-Americana de Enfermagem. 2018 Nov 14;26:e3070. doi: https://doi.org/10.1590/1518-8345.2415.3070   
16. Manogharan S, Kongsted A, Ferreira ML, Hancock MJ. Do older adults with chronic low back pain differ from younger adults in regards to baseline characteristics and prognosis? European Journal of Pain. 2017 May;21(5):866-873. doi: https://doi.org/10.1002/ejp.989    
17. Yang W, Yang X, Guo A, Li S, Li Z, Lin J, Ren Y, Yang J, Wu J, Zhang Z. Audiovisual integration of the dynamic hand-held tool at different stimulus intensities in aging. Frontiers in Human Neuroscience. 2022 Dec 14;16:968987. doi: https://doi.org/10.3389/fnhum.2022.968987   
18. Rodríguez I, Abarca E, Herskovic V, Campos M. Living with Chronic Pain: A Qualitative Study of the Daily Life of Older People with Chronic Pain in Chile. Pain Research and Management. 2019 Apr 1;2019:8148652. doi: https://doi.org/10.1155/2019/8148652   
19. Wideman TH, Boom A, Dell'Elce J, Bergeron K, Fugère J, Lu X, Bostick G, Lambert HC. Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation. Pain Research and Management. 2016;2016:9570581. doi: https://doi.org/10.1155/2016/9570581  
20. Timmins F, McCausland D, Brennan D, Sheerin F, Luus R, McCallion P, McCarron M. A national cohort study of spiritual and religious practices of older people with intellectual disability. Journal of Intellectual Disabilities. 2024 Jun;28(2):533-548. doi: https://doi.org/10.1177/17446295231163977    
21. Ferreira-Valente A, Jarego M, Queiroz-Garcia I, Pimenta F, Costa RM, Day MA, Pais-Ribeiro J, Jensen MP. Prayer as a pain intervention: protocol of a systematic review of randomised controlled trials. BMJ Open. 2021 Jul 5;11(7):e047580. doi: https://doi.org/10.1136/bmjopen-2020-047580  
22. García-Vázquez FI, Durón-Ramos MF, Pérez-Rios R, Pérez-Ibarra RE. Relationships between Spirituality, Happiness, and Prosocial Bystander Behavior in Bullying-The Mediating Role of Altruism. European Journal of Investigation in Health, Psychology and Education. 2022 Dec 6;12(12):1833-1841. doi: https://doi.org/10.3390/ejihpe12120128  
23. Mohammed WA, Pappous A, Sharma D. Effect of Mindfulness Based Stress Reduction (MBSR) in Increasing Pain Tolerance and Improving the Mental Health of Injured Athletes. Front Psychology. 2018 May 15;9:722. doi: https://doi.org/10.3389/fpsyg.2018.00722   
24. Grossoehme DH, Cole AG, Lewis K, Stamper SM, Teeters A, Joseph PM. Adults with cystic fibrosis: spiritual coping with lifelong disease. Journal of Health Care Chaplaincy. 2020 Apr-Jun;26(2):45-57. doi: https://doi.org/10.1080/08854726.2020.1713647     
25. Rambod M, Sharif F, Molazem Z, Khair K. Spirituality Experiences in Hemophilia Patients: A Phenomenological Study. Journal of Religion and Health. 2019 Jun;58(3):992-1002. doi: https://doi.org/10.1007/s10943-018-0621-3  
26. Zhang C, Zhou X, Zhou X. Effect of Acute Brief Social Isolation on Visceral Pain. Journal of Pain Research. 2022 Nov 9;15:3547-3553. doi: https://doi.org/10.2147/JPR.S378244  
27. Zhou X, Zhou X, Zhang C. Long-term social isolation increases visceral pain in rats. Heliyon. 2022 Nov 18;8(11):e11663. doi: https://doi.org/10.1016/j.heliyon.2022.e11663   
28. Alcañiz-Colomer J, Moya M, Valor-Segura I. Not all poor are equal: the perpetuation of poverty through blaming those who have been poor all their lives. Current Psychology. 2022 Oct 5:1-17. doi: https://doi.org/10.1007/s12144-022-03804-6   
Volume 6, Issue 1
June 2025
Pages 23-30

  • Receive Date 21 February 2025
  • Revise Date 17 March 2025
  • Accept Date 26 May 2025