Journal article
Depression and Self-Rated Health Are Proximal Predictors of Episodes of Sustained Change in Pain in Independently Living, Community Dwelling Elders
Pain medicine (Malden, Mass.), v 9(8), pp 1035-1049
01 Nov 2008
PMID: 19067830
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To identify, in community dwelling elders, the determinants of sustained pain improvement or worsening.
A longitudinal study with two baseline and 11 monthly follow-up interviews was conducted. Pain was assessed monthly using the Parmelee adaptation of the McGill Pain Inventory.
Subjects included 109 Caucasian and 132 African American, Philadelphia residing Medicare recipients (65-74 years of age).
To identify sustained pain change (>= 2 months), the data for each subject were reconfigured to yield 10 overlapping 3-month data segments. Each segment was classified as improved or worsened pain. Other variables included: the Geriatric Depression Scale (GDS), self-rated health (SRH), physical functioning, and number of improved or worsened medical conditions.
Pain experienced (over 3-month periods) was typically stable. Sustained improved pain was more likely than worsened pain. Odds ratios obtained through Generalized Estimation Equation analyses showed that a 1-point increase in GDS scores increased the odds of worsened pain by 1.18 (1.11-1.30). Fair/poor SRH, being female, and having medical conditions worsen increased the odds of worsened pain by 4.04 (2.12-7.70), 1.63 (1.11-2.38), and 2.12 (1.42-3.16), respectively. Observed, statistically significant associations between these variables, except gender, and improved pain were in the opposite direction.
With a 1-month time lag between predictor variable assessment and follow-up pain measures, the study supports temporal associations between depressive symptoms and SRH and subsequent pain change. Clinicians providing care to community dwelling elders are advised to evaluate and attend to both the depressive symptoms and SRH of their patients.
Metrics
Details
- Title
- Depression and Self-Rated Health Are Proximal Predictors of Episodes of Sustained Change in Pain in Independently Living, Community Dwelling Elders
- Creators
- Andrea L. Rosso - Drexel UniversityRollin M. Gallagher - School of Medicine, University of Pennsylvania and Pain Medicine Service, Philadelphia VA Medical Center, Philadelphia, PennsylvaniaMark Luborsky - Wayne State UniversityJana M. Mossey - Drexel University
- Publication Details
- Pain medicine (Malden, Mass.), v 9(8), pp 1035-1049
- Publisher
- Oxford Univ Press
- Number of pages
- 15
- Grant note
- R01AG015730 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000261106100012
- Scopus ID
- 2-s2.0-56849084027
- Other Identifier
- 991019169576804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Anesthesiology