Depressive symptoms as a risk factor for disabling back pain in community-dwelling older persons. Academic Article uri icon

Overview

MeSH

  • Aged
  • Body Mass Index
  • Disability Evaluation
  • Female
  • Health Status
  • Humans
  • Logistic Models
  • Male
  • Prospective Studies
  • Risk Factors

MeSH Major

  • Activities of Daily Living
  • Back Pain
  • Depression
  • Geriatric Assessment

abstract

  • To determine whether the presence of depressive symptoms is an independent risk factor for disabling back pain in community-dwelling older persons. Prospective cohort study with a 12-month follow-up period. General community. Seven hundred forty-four members of a large health plan who were aged 70 and older and independent in bathing, walking, dressing, and transferring at baseline. The presence of depressive symptoms, defined as a score of 16 or greater on the Center for Epidemiologic Studies-Depression Scale, was documented during a comprehensive baseline assessment that also included information regarding participants' demographic, medical, and physical/cognitive status. The occurrence of disabling back pain was ascertained during monthly telephone interviews. Depressive symptoms were present in 153 (20.6%) participants at baseline. Over the 12-month follow-up period, 186 participants (25.0%) reported disabling back pain during 1 to 2 months and 91 (12.2%) during 3 or more months. After adjustment for potential confounders, the presence of depressive symptoms was independently associated with the occurrence of disabling back pain (adjusted odds ratio (AOR)=2.3 (95% confidence interval (CI)=1.2-4.4) for 1 to 2 months with disabling back pain; AOR=7.8 (95% CI=3.7-16.4) for 3 or more months with disabling back pain). The presence of depressive symptoms is a strong, independent, and highly prevalent risk factor for the occurrence of disabling back pain in community-dwelling older persons.

publication date

  • December 2003

has subject area

  • Activities of Daily Living
  • Aged
  • Back Pain
  • Body Mass Index
  • Depression
  • Disability Evaluation
  • Female
  • Geriatric Assessment
  • Health Status
  • Humans
  • Logistic Models
  • Male
  • Prospective Studies
  • Risk Factors

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed ID

  • 14687348

Additional Document Info

start page

  • 1710

end page

  • 1717

volume

  • 51

number

  • 12