Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty
Borim et al. showed that older adults with chronic pain exhibited more depressive symptoms and frailty components. Depressive symptoms were associated with more frailty components, and those with more depressive symptoms and frailty faced greater limitations in IADL performance. Frailty appears to m...
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| Abstract | Borim et al. showed that older adults with chronic pain exhibited more depressive symptoms and frailty components. Depressive symptoms were associated with more frailty components, and those with more depressive symptoms and frailty faced greater limitations in IADL performance. Frailty appears to mediate the pathway from chronic pain to functional impairment Chronic pain is directly associated with depressive symptoms and frailty. Chronic pain is not directly associated with functional disability. Depression and frailty are both directly associated with functional disabilities. Frailty mediates the association between chronic pain and functional disability. Depression; Disability evaluation; Frailty; Frail elderly.
To evaluate the direct and indirect effects of chronic pain, depressive symptoms, frailty components, and functional disability through a pathway analysis approach in a sample of community-dwelling older adults.
Data of 419 participants were cross-sectionally evaluated for the presence of depressive symptoms (Geriatric Depression Scale [15 items]), physical frailty components (phenotype criteria), chronic pain, and limitations in performing instrumental activities of daily living (functional disability scale by Lawton and Brody). Structural equation modeling via path analysis was used to explore the direct and indirect effects among these four variables. Statistical significance was set at p<0.05.
Of the total participants, 69.8% were women and 59.3% had low education (1-4 years); the mean age was 80.3±4.6 years. Chronic pain and depressive symptoms were directly related and were associated to frailty. The number of frailty components and depressive symptoms were directly associated with functional disability. Frailty had an indirect effect on the association between chronic pain, depressive symptoms, and functional disabilities.
The pathway from chronic pain and depressive symptoms to functional disability is potentially mediated by the number of frailty components. |
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| AbstractList | Borim et al. showed that older adults with chronic pain exhibited more depressive symptoms and frailty components. Depressive symptoms were associated with more frailty components, and those with more depressive symptoms and frailty faced greater limitations in IADL performance. Frailty appears to mediate the pathway from chronic pain to functional impairment Chronic pain is directly associated with depressive symptoms and frailty. Chronic pain is not directly associated with functional disability. Depression and frailty are both directly associated with functional disabilities. Frailty mediates the association between chronic pain and functional disability. Depression; Disability evaluation; Frailty; Frail elderly.
To evaluate the direct and indirect effects of chronic pain, depressive symptoms, frailty components, and functional disability through a pathway analysis approach in a sample of community-dwelling older adults.
Data of 419 participants were cross-sectionally evaluated for the presence of depressive symptoms (Geriatric Depression Scale [15 items]), physical frailty components (phenotype criteria), chronic pain, and limitations in performing instrumental activities of daily living (functional disability scale by Lawton and Brody). Structural equation modeling via path analysis was used to explore the direct and indirect effects among these four variables. Statistical significance was set at p<0.05.
Of the total participants, 69.8% were women and 59.3% had low education (1-4 years); the mean age was 80.3±4.6 years. Chronic pain and depressive symptoms were directly related and were associated to frailty. The number of frailty components and depressive symptoms were directly associated with functional disability. Frailty had an indirect effect on the association between chronic pain, depressive symptoms, and functional disabilities.
The pathway from chronic pain and depressive symptoms to functional disability is potentially mediated by the number of frailty components. BACKGROUNDBorim et al. showed that older adults with chronic pain exhibited more depressive symptoms and frailty components. Depressive symptoms were associated with more frailty components, and those with more depressive symptoms and frailty faced greater limitations in IADL performance. Frailty appears to mediate the pathway from chronic pain to functional impairment Chronic pain is directly associated with depressive symptoms and frailty. Chronic pain is not directly associated with functional disability. Depression and frailty are both directly associated with functional disabilities. Frailty mediates the association between chronic pain and functional disability. Depression; Disability evaluation; Frailty; Frail elderly.OBJECTIVETo evaluate the direct and indirect effects of chronic pain, depressive symptoms, frailty components, and functional disability through a pathway analysis approach in a sample of community-dwelling older adults.METHODSData of 419 participants were cross-sectionally evaluated for the presence of depressive symptoms (Geriatric Depression Scale [15 items]), physical frailty components (phenotype criteria), chronic pain, and limitations in performing instrumental activities of daily living (functional disability scale by Lawton and Brody). Structural equation modeling via path analysis was used to explore the direct and indirect effects among these four variables. Statistical significance was set at p<0.05.RESULTSOf the total participants, 69.8% were women and 59.3% had low education (1-4 years); the mean age was 80.3±4.6 years. Chronic pain and depressive symptoms were directly related and were associated to frailty. The number of frailty components and depressive symptoms were directly associated with functional disability. Frailty had an indirect effect on the association between chronic pain, depressive symptoms, and functional disabilities.CONCLUSIONThe pathway from chronic pain and depressive symptoms to functional disability is potentially mediated by the number of frailty components. ABSTRACT Objective To evaluate the direct and indirect effects of chronic pain, depressive symptoms, frailty components, and functional disability through a pathway analysis approach in a sample of community-dwelling older adults. Methods Data of 419 participants were cross-sectionally evaluated for the presence of depressive symptoms (Geriatric Depression Scale [15 items]), physical frailty components (phenotype criteria), chronic pain, and limitations in performing instrumental activities of daily living (functional disability scale by Lawton and Brody). Structural equation modeling via path analysis was used to explore the direct and indirect effects among these four variables. Statistical significance was set at p<0.05. Results Of the total participants, 69.8% were women and 59.3% had low education (1-4 years); the mean age was 80.3±4.6 years. Chronic pain and depressive symptoms were directly related and were associated to frailty. The number of frailty components and depressive symptoms were directly associated with functional disability. Frailty had an indirect effect on the association between chronic pain, depressive symptoms, and functional disabilities. Conclusion The pathway from chronic pain and depressive symptoms to functional disability is potentially mediated by the number of frailty components. |
| Author | Borim, Flávia Silva Arbex Batistoni, Samila Sathler Tavares Voshaar, Richard C Oude Yassuda, Mônica Sanches Costa, Henrique Trajano de Moraes Neri, Anita Liberalesso Aprahamian, Ivan Assumpção, Daniela de |
| AuthorAffiliation | Faculdade de Medicina de Jundiaí University of Groningen Universidade de São Paulo University Medical Center Groningen Universidade Estadual de Campinas |
| AuthorAffiliation_xml | – name: Universidade de São Paulo – name: Faculdade de Medicina de Jundiaí – name: University of Groningen – name: University Medical Center Groningen – name: Universidade Estadual de Campinas |
| Author_xml | – sequence: 1 givenname: Flávia Silva Arbex orcidid: 0000-0001-7316-1145 surname: Borim fullname: Borim, Flávia Silva Arbex organization: Programa de pós-graduação em Gerontologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil – sequence: 2 givenname: Daniela de orcidid: 0000-0003-1813-996X surname: Assumpção fullname: Assumpção, Daniela de organization: Programa de pós-graduação em Gerontologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil – sequence: 3 givenname: Mônica Sanches orcidid: 0000-0002-9182-2450 surname: Yassuda fullname: Yassuda, Mônica Sanches organization: Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brazil – sequence: 4 givenname: Henrique Trajano de Moraes orcidid: 0000-0003-1854-9520 surname: Costa fullname: Costa, Henrique Trajano de Moraes organization: Group of Investigation on Multimorbidity and Mental Health in Aging, Department of Internal Medicine, Faculdade de Medicina de Jundiaí, São Paulo, SP, Brazil – sequence: 5 givenname: Samila Sathler Tavares orcidid: 0000-0002-8587-8298 surname: Batistoni fullname: Batistoni, Samila Sathler Tavares organization: Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brazil – sequence: 6 givenname: Anita Liberalesso orcidid: 0000-0002-6833-7668 surname: Neri fullname: Neri, Anita Liberalesso organization: Programa de pós-graduação em Gerontologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil – sequence: 7 givenname: Richard C Oude orcidid: 0000-0003-1501-4774 surname: Voshaar fullname: Voshaar, Richard C Oude organization: University of Groningen, Groningen, The Netherlands – sequence: 8 givenname: Ivan orcidid: 0000-0003-3806-7895 surname: Aprahamian fullname: Aprahamian, Ivan organization: Department of Psychiatry, University Medical Center Groningen, Groningen, The Netherlands |
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| Keywords | Depression Frailty Pain Frail elderly Chronic disease Disability evaluation |
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| Snippet | Borim et al. showed that older adults with chronic pain exhibited more depressive symptoms and frailty components. Depressive symptoms were associated with... BACKGROUNDBorim et al. showed that older adults with chronic pain exhibited more depressive symptoms and frailty components. Depressive symptoms were... ABSTRACT Objective To evaluate the direct and indirect effects of chronic pain, depressive symptoms, frailty components, and functional disability through a... |
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| SubjectTerms | Activities of Daily Living Aged Aged, 80 and over Chronic disease Chronic Pain Depression Disability evaluation Female Frail elderly Frailty Geriatric Assessment Humans Independent Living Male MEDICINE, GENERAL & INTERNAL Pain |
| Title | Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty |
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