Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty
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...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2023-12-01
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100245&tlng=en |
| _version_ | 1797386362411810816 |
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| author | Flávia Silva Arbex Borim Daniela de Assumpção Mônica Sanches Yassuda Henrique Trajano de Moraes Costa Samila Sathler Tavares Batistoni Anita Liberalesso Neri Richard C. Oude Voshaar Ivan Aprahamian |
| author_facet | Flávia Silva Arbex Borim Daniela de Assumpção Mônica Sanches Yassuda Henrique Trajano de Moraes Costa Samila Sathler Tavares Batistoni Anita Liberalesso Neri Richard C. Oude Voshaar Ivan Aprahamian |
| author_sort | Flávia Silva Arbex Borim |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T22:09:14Z |
| format | Article |
| id | doaj.art-3bb0dcc896b446329a19f0fbc6d3bf6a |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-03-08T22:09:14Z |
| publishDate | 2023-12-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-3bb0dcc896b446329a19f0fbc6d3bf6a2023-12-19T07:44:16ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852023-12-012110.31744/einstein_journal/2023ao0284Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailtyFlávia Silva Arbex Borimhttps://orcid.org/0000-0001-7316-1145Daniela de Assumpçãohttps://orcid.org/0000-0003-1813-996XMônica Sanches Yassudahttps://orcid.org/0000-0002-9182-2450Henrique Trajano de Moraes Costahttps://orcid.org/0000-0003-1854-9520Samila Sathler Tavares Batistonihttps://orcid.org/0000-0002-8587-8298Anita Liberalesso Nerihttps://orcid.org/0000-0002-6833-7668Richard C. Oude Voshaarhttps://orcid.org/0000-0003-1501-4774Ivan Aprahamianhttps://orcid.org/0000-0003-3806-7895ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100245&tlng=enPainChronic diseaseDepressionDisability evaluationFrailtyFrail elderly |
| spellingShingle | Flávia Silva Arbex Borim Daniela de Assumpção Mônica Sanches Yassuda Henrique Trajano de Moraes Costa Samila Sathler Tavares Batistoni Anita Liberalesso Neri Richard C. Oude Voshaar Ivan Aprahamian Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty Einstein (São Paulo) Pain Chronic disease Depression Disability evaluation Frailty Frail elderly |
| title | Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty |
| title_full | Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty |
| title_fullStr | Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty |
| title_full_unstemmed | Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty |
| title_short | Relationship between chronic pain, depressive symptoms, and functional disability in community-dwelling older adults: mediating role of frailty |
| title_sort | relationship between chronic pain depressive symptoms and functional disability in community dwelling older adults mediating role of frailty |
| topic | Pain Chronic disease Depression Disability evaluation Frailty Frail elderly |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100245&tlng=en |
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