Chronic pain and depression among geriatric psychiatry inpatients

Meeks, Thomas W.; Dunn, Laura B.; Kim, Joo Young; Golshan, Shahrokh; Sewell, Daniel D.; Atkinson, J. Hampton; Lebowitz, Barry D.

doi:10.1002/gps.1954

Cited by 40 publications

(37 citation statements)

References 30 publications

(36 reference statements)

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“…52 Second, in comparison to those without chronic pain, individuals with chronic pain have twice the risk for suicide. 53 Among depressed inpatients 54 and outpatients, 51 chronic pain increases the risk of suicidal ideation. Third, comorbid chronic pain and depression is associated with more disability than either condition alone.…”

Section: Discussionmentioning

confidence: 99%

Chronic Pain and DepressionAmong Primary Care Patients Treated with Buprenorphine

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Chronic Pain and DepressionAmong Primary Care Patients Treated with Buprenorphine

et al. 2015

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“…[22,23] Depression has been reported to be a common problem in the geriatric population living in nursing homes, and has been shown to be associated with chronic pain. [5,[24][25][26] Bair et al demonstrated that moderate to severe pain was associated with more depressive symptoms and worse depression outcomes. [24] A study by Ohayon et al also showed chronic pain was associated with a higher severity of depression, longer episode duration, and a greater likelihood of certain depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

Chronic pain, depression symptoms and daily living independency level among geriatrics in nursing home

Tarakçı

Zenginler

Mutlu

2015

Agri

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SummaryObjectives: The aim of this study was to investigate pain, depression and independence in activities of daily living in geriatric residents of nursing homes, as well as to evaluate the relationship between these parameters. Methods: 186 nursing home residents, aged 65 to 90 years, were enrolled in the study. Their socio-demographic features, depression levels, pain levels and independence in activities of daily living were evaluated using a socio-demographic assessment form, the Geriatric Depression Scale (GDS), the Visual Analogue Scale (VAS) and the Nottingham Extended Activities of Daily Living Index (NEADL), respectively. For statistical analyses, participants were divided into groups with and without chronic pain. Results:The main finding of this study was that 55.9% of the participants reported chronic pain, and these participants had significantly higher GDS (p=0.001) and lower NEADL scores (p=0.01) than those who reported no chronic pain. We found a significant correlation between VAS and GDS (r=0.47, p=0.001), VAS and NEADL (r=-0.30, p=0.001), and GDS and NEADL scores (r=-0.50, p=0.001). Female gender (p=0.001), number of children (p=0.005), number of chronic diseases (p=0.009), and GDS score (p=0.001) were found to affect chronic pain in multivariate model. Conclusion: Investigation of pain, presence of depression, and independence in activities of daily living is important in determining the necessary measures to be adopted for promoting the health and well-being of the geriatric population.

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“…14 Another factor related to the presence of chronic pain is insomnia and unrefreshing sleep, which tend to worsen as the level of pain increases. 19,25 Since the elders of our study have shown a low pain level, it was expected to observe a better sleep quality, and in fact they did not complain of sleep problems.…”

Section: Discussionmentioning

confidence: 83%

“…19 It has been shown that chronic pain has impact on the psychosocial aspects, 20 and chronic (non-respondant) pain patients have higher levels of depression. 21 The relationship between pain and depression severity was the target of a paper that found an influence of personality characteristics.…”

Section: Discussionmentioning

confidence: 99%

Estudo de prevalência de Desordens Temporomandibulares (tmd) e qualidade de vida em uma população de idosos institucionalizados

Rehm¹,

Progiante²,

Ficht³

et al. 2017

PAJAR

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PurPose: This multidisciplinary prevalence study had the objective of identifying the prevalence of TMD, chronic pain and quality of life in institutionalized elderly patients in southern Brazil, including depression and somatization levels. MeThoDs: Forty subjects (55% women, mean age=75 years±s.D., 80% Caucasian) in need of dental treatment were selected from two long-term elderly institutions in the city of Porto alegre. The World health organization Quality of Life (WhoQoL) questionnaire was used for assessing quality of life, the research Diagnostic Criteria for Temporomandibular Disorders (rDC/TMD) for TMD signs and symptoms as well as depression and somatization levels, and the North York Dental health survey (NYDhs) for the oral health status. resuLTs: approximately 60% completed elementary school. It was also a low income population (85%, $75 to $500 american dollars per month). Most (56.4%) were born in the countryside. Ten percent had high intensity pain, with 2.5% accompanied by moderate limitation. These severe signs and symptoms of TMD were associated with significant disability in daily functions and had a negative impact in the level of psychological stress and quality of life in institutionalized patients. In addition, almost 97.5% of the elderly has shown some degree of depression, and 57.5% had moderate to strong somatization levels. CoNCLusIoNs: The proportion of elderly with severe TMD signs and symptoms was low; however, the great frequency of depression and somatization, with a good number of them in actual treatment need, highlights the importance of evaluating the elderly in all aspects.Keywords: temporomandibular disorder; orofacial pain; depression; somatization; quality of life; elderly.RESUmO oBjeTIVo: esse estudo multidisciplinar de prevalência teve como objetivo identificar a prevalência de TMD, dor crônica e qualidade de vida de pacientes idosos institucionalizados no sul do Brasil, incluindo depressão e níveis de somatização. MéToDos: 40 sujeitos (55% mulheres, idade média de 75 anos, 80% Caucasiana com necessidade de tratamento dentário foram selecionados de duas instituições de longa permanência para idosos em Porto alegre. o Questionário de Qualidade de Vida da organização Mundial da saúde (WhoQoL) foi utilizado para avaliar a qualidade de vida, o questionário para Critério Diagnóstico de Desordens Temporomandibulares (rDC/TMD) para sinais e sintomas de DTM bem como depressão e níveis de somatização e o Inventário de saúde Dental de North York (NYDhs) para o estado de saúde oral. resuLTaDos: aproximadamente 60% completou ensino fundamental. População de baixa renda (85% 75 a 500 dólares por mês). a maioria (56,4%) nasceram no campo. Dez por cento possuem alta intensidade de dor com 2,5% acompanhada de limitação moderada. esses sinais e sintomas de DTM foram associados com deficiência significativa nas funções diárias e tiveram um impacto negativo no nível de estresse psicológico e qualidade de vida dos idosos institucionalizados. além disso, quase 97,5% dos idosos demo...

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Chronic pain and depression among geriatric psychiatry inpatients

Cited by 40 publications

References 30 publications

Chronic Pain and DepressionAmong Primary Care Patients Treated with Buprenorphine

Chronic Pain and DepressionAmong Primary Care Patients Treated with Buprenorphine

Chronic pain, depression symptoms and daily living independency level among geriatrics in nursing home

Estudo de prevalência de Desordens Temporomandibulares (tmd) e qualidade de vida em uma população de idosos institucionalizados

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