Bidirectional relationship between chronic pain and depressive symptoms in middle-aged and older adults.
Gen Hosp Psychiatry
; 89: 49-54, 2024.
Article
em En
| MEDLINE
| ID: mdl-38761582
ABSTRACT
OBJECTIVE:
To assess the bidirectional association between chronic pain and depressive symptoms among middle-aged and older adults from two prospective cohort studies.METHODS:
We used prospective data (12y of follow-up) from the English Longitudinal Study of Ageing (n = 9149, 5018 women, 65.0 ± 10.2y) and the Health and Retirement Study (n = 16,883, 9810 women, 66.9 ± 10.3y), including data from seven waves of each cohort between 2006 and 2018/2019. Depressive symptoms were assessed using the Centre of Epidemiological Studies Depression scale, while chronic pain was estimated using questions about the frequency of being troubled with pain. We used random-intercept cross-lagged panel models to assess the bidirectional association between pain and depressive symptoms, adjusting for potential confounders.RESULTS:
There was a cross-lagged effect of chronic pain on depressive symptoms (ELSA ß 0.038; 95%CI 0.011-0.066. Standardized coefficient (B) 0.021. SHARE ß 0.044; 95%CI 0.023-0.065. B 0.023-0.024) as well as depressive symptoms on pain (ELSA ß 0.010; 95%CI 0.002-0.018. B 0.017-0.019. SHARE 0.011; 95%CI 0.005-0.017. B 0.020-0.021). Moreover, there were auto-regressive effects of both chronic pain (ELSA ß 0.149; 95%CI 0.128-0.171. SHARE ß 0.129; 95%CI 0.112-0.145) and depressive symptoms (ELSA ß 0.149; 95%CI 0.130-0.168. SHARE ß 0.169; 95%CI 0.154-0.184).CONCLUSION:
We identified a modest bidirectional association between depressive symptoms and chronic pain, using two large prospective ageing cohorts.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Depressão
/
Dor Crônica
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article