Relationship between chronic pain , depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty

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Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
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Editora
INST ISRAELITA ENSINO & PESQUISA ALBERT EINSTEIN
Autores
BORIM, Flavia Silva Arbex
ASSUMPCAO, Daniela de
YASSUDA, Monica Sanches
BATISTONI, Samila Sathler Tavares
NERI, Anita Liberalesso
VOSHAAR, Richard C. Oude
APRAHAMIAN, Ivan
Citação
EINSTEIN-SAO PAULO, v.21, article ID eAO0284, 8p, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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.
Palavras-chave
Pain, Chronic disease, Depression, Disability evaluation, Frailty, Frail elderly
URI
https://observatorio.fm.usp.br/handle/OPI/58284
Referências
  1. Abdulla A, 2013, AGE AGEING, V42, pI1, DOI 10.1093/ageing/afs200
  2. Almeida OP, 1999, ARQ NEURO-PSIQUIAT, V57, P421, DOI 10.1590/S0004-282X1999000300013
  3. Brown L, 2015, REV CLIN GERONTOL, V25, P159, DOI 10.1017/S0959259815000143
  4. Brucki SMD, 2003, ARQ NEURO-PSIQUIAT, V61, P777, DOI 10.1590/S0004-282X2003000500014
  5. Chiou JH, 2018, BMJ OPEN, V8, DOI 10.1136/bmjopen-2017-018716
  6. Clegg A, 2013, LANCET, V381, P752, DOI 10.1016/S0140-6736(12)62167-9
  7. Dellaroza Mara Solange Gomes, 2013, Cad. Saúde Pública, V29, P325, DOI 10.1590/S0102-311X2013000200019
  8. Santos Franco Andrius Ache dos, 2015, Rev. bras. epidemiol., V18, P234, DOI 10.1590/1980-5497201500010018
  9. Eggermont LHP, 2014, J AM GERIATR SOC, V62, P1007, DOI 10.1111/jgs.12848
  10. Eggermont LHP, 2012, J AM GERIATR SOC, V60, P230, DOI 10.1111/j.1532-5415.2011.03829.x
  11. Fick DM, 2019, J AM GERIATR SOC, V67, P674, DOI 10.1111/jgs.15767
  12. Fried LP, 2001, J GERONTOL A-BIOL, V56, pM146, DOI 10.1093/gerona/56.3.M146
  13. GURALNIK JM, 1995, NEW ENGL J MED, V332, P556, DOI 10.1056/NEJM199503023320902
  14. Gutiérrez-Valencia M, 2018, BRIT J CLIN PHARMACO, V84, P1432, DOI 10.1111/bcp.13590
  15. Kojima G, 2018, AGE AGEING, V47, P193, DOI 10.1093/ageing/afx162
  16. LAWTON MP, 1969, GERONTOLOGIST, V9, P179, DOI 10.1093/geront/9.3_Part_1.179
  17. Ferreira KASL, 2016, ARQ NEURO-PSIQUIAT, V74, P990, DOI [10.1590/0004-282x20160156, 10.1590/0004-282X20160156]
  18. Lewinsohn PM, 1997, PSYCHOL AGING, V12, P277, DOI 10.1037/0882-7974.12.2.277
  19. Lihavainen K, 2010, J GERONTOL A-BIOL, V65, P990, DOI 10.1093/gerona/glq052
  20. Lin TP, 2020, EUR GERIATR MED, V11, P945, DOI 10.1007/s41999-020-00382-3
  21. Liu JYW, 2017, BMC GERIATR, V17, DOI 10.1186/s12877-017-0422-7
  22. Livshits G, 2018, PAIN, V159, P2565, DOI 10.1097/j.pain.0000000000001364
  23. Lohman MC, 2017, J GERONTOL A-BIOL, V72, P216, DOI 10.1093/gerona/glw212
  24. Lustosa LP, 2011, Geriatr Gerontol Aging, V5, P57
  25. Neri AL, 2022, Rev Bras Geriatr Gerontol, V25
  26. Penninx BWJH, 2013, BMC MED, V11, DOI 10.1186/1741-7015-11-129
  27. Pivetta NRS, 2020, ARCH GERONTOL GERIAT, V86, DOI 10.1016/j.archger.2019.103931
  28. Santos RL., 2008, Rev Bras em Promocao Saude, V21, P290, DOI 10.5020/18061230.2008.p290
  29. Saraiva MD, 2018, AGE AGEING, V47, P785, DOI 10.1093/ageing/afy104
  30. Schmader KE, 2010, MAYO CLIN PROC, V85, pS26, DOI 10.4065/mcp.2009.0646
  31. Soysal P, 2017, AGEING RES REV, V36, P78, DOI 10.1016/j.arr.2017.03.005
  32. Stubbs B, 2013, PAIN MED, V14, P1316, DOI 10.1111/pme.12154
  33. TAYLOR HL, 1978, J CHRON DIS, V31, P741, DOI 10.1016/0021-9681(78)90058-9
  34. Thomas E, 2007, PAIN, V129, P21, DOI 10.1016/j.pain.2006.09.027
  35. van den Berg KS, 2021, AGING MENT HEALTH, V25, P476, DOI 10.1080/13607863.2019.1699900
  36. van der Leeuw G, 2016, J GERONTOL A-BIOL, V71, P398, DOI 10.1093/gerona/glv166

Coleções
Artigos e Materiais de Revistas Científicas - HC/Outros