Reciprocal relationship between pain and depression in older adults : evidence from the English longitudinal study of ageing

Kee Lee CHOU

    Research output: Journal PublicationsJournal Article (refereed)

    86 Citations (Scopus)

    Abstract

    Background: Previous cross-sectional studies have shown an association between pain and depression, but it is unclear which comes first. Our objectives were to determine the temporal relationship between pain and depression, and to investigate whether these two syndromes share predictors. Methods: A 2-year, population-based, prospective, observational study of 3654 older adults aged 65 and above selected from the English Longitudinal Study of Ageing Waves 1 and 2. Pain, 8-item CES-D, socio-economic variables, health indicators, and social support were assessed. Results: Logistic regression analyses revealed that pain at baseline was an independent predictor of becoming depressed 2 years later and depression at baseline was a predictor of developing pain at 2 years. Individuals with mobility disability and poor sight were at risk of becoming depressed as well as developing pain. Moreover, older age, poor sight and mobility disability were common predictors for pain and depression after baselines of both syndromes were adjusted. Conclusion: Individuals who develop pain or depression are at risk for developing the other, with a spiraling risk of pain and depression. Because pain and depression share predictors, individuals who are at high risk of developing these two outcomes can be identified by aged care service practitioners.
    Original languageEnglish
    Pages (from-to)115-123
    Number of pages9
    JournalJournal of Affective Disorders
    Volume102
    Issue number1-3
    DOIs
    Publication statusPublished - 1 Sep 2007

    Fingerprint

    Longitudinal Studies
    Depression
    Pain
    varespladib methyl
    Social Support
    Observational Studies
    Cross-Sectional Studies
    Logistic Models
    Regression Analysis
    Economics
    Prospective Studies
    Health
    Population

    Bibliographical note

    The data was made available by the Institute of Fiscal Studies, United Kingdom.

    Keywords

    • Depression
    • Older adults
    • Pain
    • Reciprocal relation

    Cite this

    @article{0b43135e6c9e45f09fd696a0c262c8dc,
    title = "Reciprocal relationship between pain and depression in older adults : evidence from the English longitudinal study of ageing",
    abstract = "Background: Previous cross-sectional studies have shown an association between pain and depression, but it is unclear which comes first. Our objectives were to determine the temporal relationship between pain and depression, and to investigate whether these two syndromes share predictors. Methods: A 2-year, population-based, prospective, observational study of 3654 older adults aged 65 and above selected from the English Longitudinal Study of Ageing Waves 1 and 2. Pain, 8-item CES-D, socio-economic variables, health indicators, and social support were assessed. Results: Logistic regression analyses revealed that pain at baseline was an independent predictor of becoming depressed 2 years later and depression at baseline was a predictor of developing pain at 2 years. Individuals with mobility disability and poor sight were at risk of becoming depressed as well as developing pain. Moreover, older age, poor sight and mobility disability were common predictors for pain and depression after baselines of both syndromes were adjusted. Conclusion: Individuals who develop pain or depression are at risk for developing the other, with a spiraling risk of pain and depression. Because pain and depression share predictors, individuals who are at high risk of developing these two outcomes can be identified by aged care service practitioners.",
    keywords = "Depression, Older adults, Pain, Reciprocal relation",
    author = "CHOU, {Kee Lee}",
    note = "The data was made available by the Institute of Fiscal Studies, United Kingdom.",
    year = "2007",
    month = "9",
    day = "1",
    doi = "10.1016/j.jad.2006.12.013",
    language = "English",
    volume = "102",
    pages = "115--123",
    journal = "Journal of Affective Disorders",
    issn = "0165-0327",
    publisher = "Elsevier",
    number = "1-3",

    }

    Reciprocal relationship between pain and depression in older adults : evidence from the English longitudinal study of ageing. / CHOU, Kee Lee.

    In: Journal of Affective Disorders, Vol. 102, No. 1-3, 01.09.2007, p. 115-123.

    Research output: Journal PublicationsJournal Article (refereed)

    TY - JOUR

    T1 - Reciprocal relationship between pain and depression in older adults : evidence from the English longitudinal study of ageing

    AU - CHOU, Kee Lee

    N1 - The data was made available by the Institute of Fiscal Studies, United Kingdom.

    PY - 2007/9/1

    Y1 - 2007/9/1

    N2 - Background: Previous cross-sectional studies have shown an association between pain and depression, but it is unclear which comes first. Our objectives were to determine the temporal relationship between pain and depression, and to investigate whether these two syndromes share predictors. Methods: A 2-year, population-based, prospective, observational study of 3654 older adults aged 65 and above selected from the English Longitudinal Study of Ageing Waves 1 and 2. Pain, 8-item CES-D, socio-economic variables, health indicators, and social support were assessed. Results: Logistic regression analyses revealed that pain at baseline was an independent predictor of becoming depressed 2 years later and depression at baseline was a predictor of developing pain at 2 years. Individuals with mobility disability and poor sight were at risk of becoming depressed as well as developing pain. Moreover, older age, poor sight and mobility disability were common predictors for pain and depression after baselines of both syndromes were adjusted. Conclusion: Individuals who develop pain or depression are at risk for developing the other, with a spiraling risk of pain and depression. Because pain and depression share predictors, individuals who are at high risk of developing these two outcomes can be identified by aged care service practitioners.

    AB - Background: Previous cross-sectional studies have shown an association between pain and depression, but it is unclear which comes first. Our objectives were to determine the temporal relationship between pain and depression, and to investigate whether these two syndromes share predictors. Methods: A 2-year, population-based, prospective, observational study of 3654 older adults aged 65 and above selected from the English Longitudinal Study of Ageing Waves 1 and 2. Pain, 8-item CES-D, socio-economic variables, health indicators, and social support were assessed. Results: Logistic regression analyses revealed that pain at baseline was an independent predictor of becoming depressed 2 years later and depression at baseline was a predictor of developing pain at 2 years. Individuals with mobility disability and poor sight were at risk of becoming depressed as well as developing pain. Moreover, older age, poor sight and mobility disability were common predictors for pain and depression after baselines of both syndromes were adjusted. Conclusion: Individuals who develop pain or depression are at risk for developing the other, with a spiraling risk of pain and depression. Because pain and depression share predictors, individuals who are at high risk of developing these two outcomes can be identified by aged care service practitioners.

    KW - Depression

    KW - Older adults

    KW - Pain

    KW - Reciprocal relation

    UR - http://commons.ln.edu.hk/sw_master/7047

    U2 - 10.1016/j.jad.2006.12.013

    DO - 10.1016/j.jad.2006.12.013

    M3 - Journal Article (refereed)

    VL - 102

    SP - 115

    EP - 123

    JO - Journal of Affective Disorders

    JF - Journal of Affective Disorders

    SN - 0165-0327

    IS - 1-3

    ER -