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Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty
Borim, Flávia Silva Arbex; Assumpção, Daniela de; Yassuda, Mônica Sanches; Costa, Henrique Trajano de Moraes; Batistoni, Samila Sathler Tavares; Neri, Anita Liberalesso; Voshaar, Richard C. Oude; Aprahamian, Ivan.
Afiliación
  • Borim, Flávia Silva Arbex; Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de pós-graduação em Gerontologia. Campinas. BR
  • Assumpção, Daniela de; Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de pós-graduação em Gerontologia. Campinas. BR
  • Yassuda, Mônica Sanches; Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de pós-graduação em Gerontologia. Campinas. BR
  • Costa, Henrique Trajano de Moraes; Faculdade de Medicina de Jundiaí. Department of Internal Medicine. Group of Investigation on Multimorbidity and Mental Health in Aging. São Paulo. BR
  • Batistoni, Samila Sathler Tavares; Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de pós-graduação em Gerontologia. Campinas. BR
  • Neri, Anita Liberalesso; Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de pós-graduação em Gerontologia. Campinas. BR
  • Voshaar, Richard C. Oude; University Medical Center Groningen. Department of Psychiatry. Groningen. NL
  • Aprahamian, Ivan; Faculdade de Medicina de Jundiaí. Department of Internal Medicine. Group of Investigation on Multimorbidity and Mental Health in Aging. São Paulo. BR
Einstein (Säo Paulo) ; 21: eAO0284, 2023. tab, graf
Article en En | LILACS-Express | LILACS | ID: biblio-1528563
Biblioteca responsable: BR1.1
ABSTRACT
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.
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Texto completo: 1 Bases de datos: LILACS Tipo de estudio: Diagnostic_studies / Prognostic_studies Idioma: En Revista: Einstein (Säo Paulo) Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article / Project document País de afiliación: Brasil / Países Bajos

Texto completo: 1 Bases de datos: LILACS Tipo de estudio: Diagnostic_studies / Prognostic_studies Idioma: En Revista: Einstein (Säo Paulo) Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article / Project document País de afiliación: Brasil / Países Bajos