Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty
Einstein (Säo Paulo)
;
21: eAO0284, 2023. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1528563
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.
Full text:
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Index:
LILACS (Americas)
Type of study:
Diagnostic study
/
Prognostic study
Language:
English
Journal:
Einstein (Säo Paulo)
Journal subject:
Medicine
Year:
2023
Type:
Article
/
Project document
Affiliation country:
Brazil
/
Netherlands
Institution/Affiliation country:
Faculdade de Medicina de Jundiaí/BR
/
Universidade Estadual de Campinas/BR
/
University Medical Center Groningen/NL
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