Pain and depression in older people: Comorbidity and patterns of help seeking

Bonnewyn, Anke; Katona, Cornelius; Bruffærts, Ronny; Haro, Josep María; Graaf, Ron de; Alonso, Jordi; Demyttenaere, Koen

doi:10.1016/j.jad.2009.01.012

Cited by 48 publications

(42 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…But our sample had mild depressive symptoms according to the GDS. Although there have been some finding indicating that chronic musculoskeletal pain increases depressive symptoms in older adults, our results did not support this idea26, 27 ) .…”

Section: Discussioncontrasting

confidence: 95%

How Does Pain Localization Affect Physical Functioning, Emotional Status and Independency in Older Adults with Chronic Musculoskeletal Pain?

Yağcı

Duymaz²,

Cavlak

2014

J Phys Ther Sci

View full text Add to dashboard Cite

[Purpose] The aim of this study was to show the impact of chronic musculoskeletal pain of the spinal column and lower extremities on physical functioning, emotional status, and independency in older adults. [Subjects] In this cross-sectional study, 258 older adults (mean age, 71.98±5.86 years, 50.8% males, 49.2% females) living in their own residences were evaluated. [Methods] Pain intensity was analyzed using a visual analogue scale. Physical functioning was evaluated with the Timed Up and Go Test (TUG) and a Six-Minute Walk Test. The Geriatric Depression Scale was used to determine emotional status. The independency in daily living of the participants was evaluated using the Lawton Brody IADL Scale. All participants were divided into two groups in accordance with the pain localization: the (1) spinal pain and (2) lower extremity pain groups. [Results] When the pain scores were compared, no significant differences between the two groups were found. The same results were found in terms of TUG scores. The spinal pain group had higher scores in terms of aerobic capacity than the lower extremity pain group. [Conclusion] The results indicate that chronic musculoskeletal pain in the lower extremities decreased aerobic capacity much more than spinal pain in older adults.

show abstract

Section: Discussioncontrasting

confidence: 95%

How Does Pain Localization Affect Physical Functioning, Emotional Status and Independency in Older Adults with Chronic Musculoskeletal Pain?

Yağcı

Duymaz²,

Cavlak

2014

J Phys Ther Sci

View full text Add to dashboard Cite

show abstract

“…Major depression is associated with high numbers of medically unexplained symptoms 28-30 , such as pain and fatigue, and poor general health outcomes 1, 31 . Untreated depression is independently associated with morbidity 31-34 , delayed recovery and negative prognosis among those with medical illness, elevated premature mortality associated with comorbid medical illness 35 and increased health care costs 36-38 . Depression also increases functional impairment 39-44 and decreases work productivity 45 .…”

Section: Interaction Of Depression With Other Chronic Illnessesmentioning

confidence: 99%

Strategies to Improve the Management of Depression in Primary Care

Unützer

Park

2012

Primary Care: Clinics in Office Practice

174

124

View full text Add to dashboard Cite

Depression is one of the most common mental health problems encountered in primary care and a leading cause of disability worldwide. In many cases, depression is a chronic or recurring disease, and as such, it is best managed like a chronic illness. Moreover, medically ill patients with depressive disorder are at greater risk for a chronic course of depression or less complete recovery. Antidepressant medications and psychotherapies can help many if not most depressed individuals, but millions of primary care patients do not receive effective treatment. Effective management of depression in the primary care setting requires a systematic, population-based approach which entails systematic case finding and diagnosis, patient engagement and education, use of evidence-based treatments including medications and / or psychotherapy, close follow-up to make sure patients are improving and a commitment to keep adjusting treatments or consult with mental health specialists until depression is significantly improved. Programs in which primary care providers and mental health specialists collaborate effectively using principles of measurement-based stepped care and treatment to target can substantially improve patients’ health and functioning while reducing overall health care costs.

show abstract

“…Pain can give rise to physical incapacitation followed by depression due to reduced physical and social activities [5, 6]. Bonnewyn et al [7] found that painful physical symptoms are associated with major depressive disorder and influence help seeking as well as use of medication. Suen and Tusaie [8] reported that depressed persons exhibited guilt, sadness, anger, resentment, loneliness, helplessness, hopelessness, inability to enjoy activities, and anhedonia.…”

Section: Introductionmentioning

confidence: 99%

Living with Stigma: Depressed Elderly Persons’ Experiences of Physical Health Problems

Holm

Lyberg

Severinsson

2014

Nursing Research and Practice

View full text Add to dashboard Cite

The aim of this paper is to deepen the understanding of depressed elderly persons' lived experiences of physical health problems. Individual in-depth interviews were conducted with 15 depressed elderly persons who suffer from physical health problems. A hermeneutic analysis was performed, yielding one main theme, living with stigma, and three themes: longing to be taken seriously, being uncertain about whether the pain is physical or mental, and a sense of living in a war zone. The second theme comprised two subthemes, feeling like a stranger and feeling dizzy, while the third had one subtheme: afraid of being helpless and dependent on others. Stigma deprives individuals of their dignity and reinforces destructive patterns of isolation and hopelessness. Nurses should provide information in a sensitive way and try to avoid diagnostic overshadowing. Effective training programmes and procedures need to be developed with more focus on how to handle depressive ill health and physical problems in older people.

show abstract

Pain and depression in older people: Comorbidity and patterns of help seeking

Abstract: The cross-sectional nature of this study does not allow determination of direction of causality.

Cited by 48 publications

References 18 publications

How Does Pain Localization Affect Physical Functioning, Emotional Status and Independency in Older Adults with Chronic Musculoskeletal Pain?

How Does Pain Localization Affect Physical Functioning, Emotional Status and Independency in Older Adults with Chronic Musculoskeletal Pain?

Strategies to Improve the Management of Depression in Primary Care

Living with Stigma: Depressed Elderly Persons’ Experiences of Physical Health Problems

Contact Info

Product

Resources

About