Self-reported pain interference and symptoms of anxiety and depression in community-dwelling older adults: Can a temporal relationship be determined?

被引:96
作者
Arola, Heidi-Maria [2 ]
Nicholls, Elaine [1 ]
Mallen, Christian [1 ]
Thomas, Elaine [1 ]
机构
[1] Univ Keele, Arthrit Res Campaign Natl Primary Care Ctr, Keele ST5 5BG, Staffs, England
[2] Univ Keele, Sch Med, Keele ST5 5BG, Staffs, England
基金
英国医学研究理事会;
关键词
Pain; Anxiety; Depression; NorStOP; Aged; Primary care; LOW-BACK-PAIN; MUSCULOSKELETAL PAIN; GENERAL-POPULATION; HOSPITAL ANXIETY; PRIMARY-CARE; OSTEOARTHRITIS; ASSOCIATION; PREVALENCE; PROJECT; PEOPLE;
D O I
10.1016/j.ejpain.2010.02.012
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Pain and symptoms of depression and anxiety have been observed to co-exist in the community-dwelling elderly. While depression and pain have been suggested to be predictive of one another temporally, the longitudinal associations between anxiety and pain remain undefined. The aim of this study was to investigate the reciprocal longitudinal associations of self-reported pain interference and affective symptoms, as measured by the Hospital Anxiety and Depression Scale, in community-dwelling older adults and report the potentially modifying effect of co-morbid anxiety or depression on these relationships. The study population were adults aged over 50-years, recruited previously to the North Staffordshire Osteoarthritis project (NorStOP), who had returned a health survey at both baseline and 3-year follow-up (n = 4234). Logistic regression was used to evaluate the pain-affect associations, with associations expressed as odds ratios with 95% confidence intervals (CI). Probable depression (odds ratio = 2.42; 95% CI 1.24, 4.69) and anxiety (2.30; 1.67, 3.17) at baseline predicted new-onset pain interference at 3-year follow-up. Conversely, pain interference at baseline was a risk factor for developing possible or probable depression (2.47; 1.96, 3.11) and anxiety (2.02; 1.60, 2.55) at 3-year follow-up. Adjusting for age, gender and co-morbid anxiety or depression slightly reduced the strength of the relationships, though most remained statistically significant. In conclusion, we have found evidence for both pain-depression and pain-anxiety relationships longitudinally, and in a reciprocal manner. Such findings have important implications for the future management of primary care patients presenting with symptoms of pain, anxiety or depression. (C) 2010 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:966 / 971
页数:6
相关论文
共 44 条
[1]   UNDERSTANDING THE CO-OCCURRENCE OF ANXIETY DISORDERS AND CHRONIC PAIN: STATE-OF-THE-ART [J].
Asmundson, Gordon J. G. ;
Katz, Joel .
DEPRESSION AND ANXIETY, 2009, 26 (10) :888-901
[2]   Association of Depression and Anxiety Alone and in Combination With Chronic Musculoskeletal Pain in Primary Care Patients [J].
Bair, Matthew J. ;
Wu, Jingwei ;
Damush, Teresa M. ;
Sutherland, Jason M. ;
Kroenke, Kurt .
PSYCHOSOMATIC MEDICINE, 2008, 70 (08) :890-897
[3]   Depression and pain comorbidity - A literature review [J].
Bair, MJ ;
Robinson, RL ;
Katon, W ;
Kroenke, K .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (20) :2433-2445
[4]   Review of community prevalence of depression in later life [J].
Beekman, ATF ;
Copeland, JRM ;
Prince, MJ .
BRITISH JOURNAL OF PSYCHIATRY, 1999, 174 :307-311
[5]   The validity of the Hospital Anxiety and Depression Scale - An updated literature review [J].
Bjelland, I ;
Dahl, AA ;
Haug, TT ;
Neckelmann, D .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 52 (02) :69-77
[6]   Personality and the association of pain and depression [J].
Calabrese, Sarah K. ;
Lyness, Jeffrey M. ;
Sorensen, Silvia ;
Duberstein, Paul R. .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2006, 14 (06) :546-549
[7]   Reciprocal relationship between pain and depression in older adults: Evidence from the English Longitudinal Study of Ageing [J].
Chou, Kee-Lee .
JOURNAL OF AFFECTIVE DISORDERS, 2007, 102 (1-3) :115-123
[8]   Risk factors for depression among elderly community subjects: A systematic review and meta-analysis [J].
Cole, MG ;
Dendukuri, N .
AMERICAN JOURNAL OF PSYCHIATRY, 2003, 160 (06) :1147-1156
[9]  
Creamer P, 1999, ARTHRIT CARE RES, V12, P3, DOI 10.1002/1529-0131(199902)12:1<3::AID-ART2>3.0.CO
[10]  
2-K