Pain intensity, depressive symptoms, and functional limitations among older adults with serious mental illness

被引：19

作者：

Brooks, Jessica M. ^{[1
,2
,3
]}

Polenick, Courtney A. ^{[4
]}

Bryson, William ^{[5
]}

Naslund, John A. ^{[6
]}

Renn, Brenna N. ^{[5
]}

Orzechowski, Nicole M. ^{[7
,8
]}

Almeida, Margaret ^{[1
,2
]}

Bartels, Stephen J. ^{[1
,2
,6
]}

机构：

[1] Dartmouth Coll, Geisel Sch Med, Dept Psychiat, 1 Med Ctr Dr, Lebanon, NH 03756 USA

[2] Dartmouth Coll, Ctr Hlth & Aging, 1 Med Ctr Dr, Lebanon, NH 03756 USA

[3] Univ North Texas, Dept Rehabil & Hlth Serv, Denton, TX 76203 USA

[4] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA

[5] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA

[6] Dartmouth Coll, Dartmouth Inst Hlth Policy & Clin Practice, 1 Med Ctr Dr, Lebanon, NH 03756 USA

[7] Dartmouth Hitchcock Med Ctr, Sect Rheumatol, Lebanon, NH 03766 USA

[8] Dartmouth Coll, Geisel Sch Med, 1 Med Ctr Dr, Lebanon, NH 03756 USA

来源：

AGING & MENTAL HEALTH | 2019年 / 23卷 / 04期

关键词：

Depressive symptoms; physical disorders; functional status; HEALTH-STATUS; SHORT-FORM; INTERFERENCE; PREVALENCE;

D O I：

10.1080/13607863.2017.1423025

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective: To examine pain-related activity interference as a mediator for the relationship between pain intensity and depressive symptoms among older adults with serious mental illness (SMI). Method: Ordinary least-squares regressions were used to investigate the mediation analysis among older adults with SMI (n = 183) from community mental health centers. Analyses used secondary data from the HOPES intervention study. Results: Higher pain intensity was associated with greater pain-related activity interference. Higher pain intensity and pain-related activity interference were also associated with elevated depressive symptoms. Finally, greater pain-related activity interference significantly mediated the association between higher pain intensity and elevated depressive symptoms. Conclusions: These findings demonstrate that pain and depressive symptoms may be linked to functional limitations. Clinicians and researchers in the mental health field should better address pain-related activity interference among older adults with SMI, especially among those with higher pain intensity and elevated depressive symptoms.

引用

页码：470 / 474

页数：5

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