PMID- 15101880
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20040519
LR  - 20190513
IS  - 1526-2375 (Print)
IS  - 1526-2375 (Linking)
VI  - 1
IP  - 4
DP  - 2000 Dec
TI  - The effects of pain and depression on physical functioning in elderly residents 
      of a continuing care retirement community.
PG  - 340-50
AB  - OBJECTIVE. Explore the relationships between pain, depression, and functional 
      disability in elderly persons. DESIGN: A cross-sectional, observational study of 
      228 independently living retirement community residents. METHODS: Self-report 
      measures of pain (adaptation of McGill Pain Questionnaire), depression (Geriatric 
      Depression Scale [GDS]) and physical functioning (Physical performance 
      difficulties, activities of daily living [ADL], independent activities of daily 
      living [IADL], and 3-meter walking speed) were employed. OUTCOME MEASURES: 
      Physical functioning variables were dichotomized. Individuals in the lowest 
      quartiles of functional performance and of walking speed were contrasted to all 
      others; for ADL and IADL, those needing some help were compared with those 
      independent in activities. RESULTS: Pain and depression levels were strongly 
      related to physical performance; depression levels were related to ADL and 
      walking speed. In multivariate analyses, an interaction effect was observed where 
      the effects of pain were a function of level of depression. Individuals reporting 
      activity-limiting pain and slightly elevated depressive symptom levels, 
      sub-threshold depression, or major depression were significantly more likely (AOR 
      7.8; 95% CI, 3.07-20.03) than non-depressed persons to be in the lowest quartile 
      of self-reported physical performance. CONCLUSIONS: While both pain and 
      depression level affect physical performance, depressive symptoms rather than 
      pain appear the more influential factor. When seeing elderly patients, 
      identifying, evaluating, and treating both pain complaints and depressive 
      symptoms and disorders may reduce functional impairment.
FAU - Mossey, J M
AU  - Mossey JM
AD  - Center for Epidemiology and Biostatistics, School of Public Health, MCP Hahnemann 
      University, Philadelphia, Pennsylvania 19102-1192, USA. jana.mossey@drexel.edu
FAU - Gallagher, R M
AU  - Gallagher RM
FAU - Tirumalasetti, F
AU  - Tirumalasetti F
LA  - eng
PT  - Journal Article
PL  - England
TA  - Pain Med
JT  - Pain medicine (Malden, Mass.)
JID - 100894201
EDAT- 2004/04/23 05:00
MHDA- 2004/04/23 05:01
CRDT- 2004/04/23 05:00
PHST- 2004/04/23 05:00 [pubmed]
PHST- 2004/04/23 05:01 [medline]
PHST- 2004/04/23 05:00 [entrez]
AID - PME00040 [pii]
AID - 10.1046/j.1526-4637.2000.00040.x [doi]
PST - ppublish
SO  - Pain Med. 2000 Dec;1(4):340-50. doi: 10.1046/j.1526-4637.2000.00040.x.