Effect of Problem-Solving Therapy Versus Supportive Management in Older Adults with Low Back Pain and Depression While on Antidepressant Pharmacotherapy

Karp, Jordan F.; Gao, Xiang; Wahed, Abdus S.; Morse, Jennifer Q.; Rollman, Bruce L.; Weiner, Debra K.; Reynolds, Charles F.

doi:10.1016/j.jagp.2018.01.004

Cited by 7 publications

(6 citation statements)

References 39 publications

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“…Chronic diseases represent one of the leading health problems of our time, and strategies need to be developed against these [28]. Studies of individuals with different types of chronic disease have reported high abilities to cope with solve problems among such people [29][30][31]. Our finding was in agreement with the existing literature, and we think that individuals with longterm chronic diseases should also receive psychological support.…”

Section: Discussionsupporting

confidence: 90%

Attitudes toward successful aging in individuals with chronic disease aged 65 or over

Aydın

Sayılan

2021

J CLIN MED KAZ

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To determine the relationship between attitudes toward aging and old age, and successful aging in individuals with chronic disease aged 65 or over.Material and methods: The Attitude Scale toward Aging and Elderliness and the Successful Aging Scale were employed in this descriptive, cross-sectional, comparative study. Data were expressed as frequency, percentage, mean, and standard deviation and were analyzed using the Kolmogorov-Smirnov test, the t test, One-Way ANOVA, and Pearson correlation analysis. p values <0.05 were regarded as significant.Results: Individuals with chronic disease had greater difficulty in accepting old age, greater social exhaustion, greater abilities to cope with problems, and higher successful aging scores. Conclusion:This study shows that despite their negative attitudes toward old age, individuals with chronic disease had greater abilities to cope with problems and aged more successfully.

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Section: Discussionsupporting

confidence: 90%

Attitudes toward successful aging in individuals with chronic disease aged 65 or over

Aydın

Sayılan

2021

J CLIN MED KAZ

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“…26 At this study, a correlation between depression and LBP was also described, more frequently among the elderly, such as in other studies. 2,4,14,18,24,27 Considering that depression has been associated with high levels of pain and small pressure pain threshold, one may assume that depression may develop after the LBP and not otherwise. [28][29][30] Researchers suggest pharmacological and nonpharmacological approaches for clinical treatment in patients with chronic suffering.…”

Section: Discussionmentioning

confidence: 99%

Emotional and disability status in patients with chronic low back pain

Santos¹,

Santos²,

Júnior³

et al. 2020

IJRRT

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Objective: to analyze the prevalence of psychological disorders (anxiety, depression, stress) and the relationship of these factors with functional disability in patients with chronic low back pain. Study design: cross-sectional descriptive and observational study. Setting: the physiotherapy outpatient clinic of the Northen University of Paraná, Londrina, Paraná, Brazil. Methods: 84 individuals were recruited, being 43 elderly (20 with low back pain and 23 control subjects) and 41 adults (21 with low back pain and 20 control subjects). In order to assess the psychological aspects, Beck Inventories of Depression and anxiety as well as Lipp Stress Inventory were used. To evaluate the funcionality, Roland Morris Questionnaire was chosen. The evaluation of the pressure pain threshold was performed using algometer emg systems®. To analyse was considered a significance level of 5% (p<0.05). Results: It was observed that people with low back pain have higher scores of depression, anxiety, stress and functional disability compared to the control group (p<0.05). Among adults, an inverse relationship between anxiety and disability (p<0.05) was observed. In subjects with low back pain positive correlation was observed between anxiety and functional disability and, between the depression and functional disability (p<0.05). In addition, no association was found between stress and functional disability in patients with low back pain (p<0.05). Conclusion: suggest that in patients with low back pain worsening of functionality is anxiety and stress and elderly people with low back pain has higher levels of stress, depression, anxiety and function disability.

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“…One additional RCT 28 and six nonrandomized controlled trials 19,24,[29][30][31][32] that were considered to have a high risk of bias were published since the time the initial reviews met inclusion criteria. Models varied across the United Kingdom and United States, demonstrated inconsistencies in the implementation of stepped care, and included a maximum of three steps to the model.…”

Section: Stepped Care In Multidisciplinary Chronic Pain Settingsmentioning

confidence: 99%

“…Other studies often incorporated decision support algorithms or focused on a limited number of interventions and did not adhere directly to the deliverance of a formalized stepped care model. 21 Overall, CADTH reported that the effects of stepped care on pain and function among individuals with chronic pain were equivocal with some, 19,25,29 but not all, 28,32 studies reporting positive effects. Evidence from the inconsistent findings confirm that data is limited, and additional rigorous trials are required that more clearly outline the model of stepped care being delivered, along with a careful identification of steps, stepping algorithms, and implementation.…”

Section: Stepped Care In Multidisciplinary Chronic Pain Settingsmentioning

confidence: 99%

Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report

Bell

Cornish

Gauthier

et al. 2020

Canadian Journal of Pain

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Background Access to multidisciplinary pain management treatment in Canada is limited, with wait times up to 4 years. Stepped care approaches to mental health treatment have led to substantial reduction and elimination of wait times and may be applicable to chronic pain settings. There is no unifying framework for stepped care chronic pain programs. A systematic review of the efficacy of stepped care in chronic pain management conducted by the Canadian Agency for Drugs and Technologies reported varied results that may be due to heterogeneous stepped care models across facilities. Aim We propose a unifying framework for multidisciplinary stepped care chronic pain programs and present its application at The Ottawa Hospital Pain Clinic. The Ottawa Hospital stepped care framework is an eight-tiered approach that allows patients the opportunity to decide collaboratively with a health care professional which treatment program will best suit their needs for the management of chronic pain. As levels of stepped care increase, the time and resource commitment to each step will also increase. Treatment is stepped up or down, depending on patient needs. Method This is a descriptive case study. Results Implementing the interprofessional model of care with the stepped care program has eliminated wait times for access to The Ottawa Hospital Pain Clinic Interprofessional Chronic Pain Management Program and has improved communication between professions of the interprofessional team, resulting in better care for patients. Conclusion More research is needed to further develop and evaluate the clinical efficacy of stepped care to manage chronic pain.

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Effect of Problem-Solving Therapy Versus Supportive Management in Older Adults with Low Back Pain and Depression While on Antidepressant Pharmacotherapy

Cited by 7 publications

References 39 publications

Attitudes toward successful aging in individuals with chronic disease aged 65 or over

Attitudes toward successful aging in individuals with chronic disease aged 65 or over

Emotional and disability status in patients with chronic low back pain

Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report

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