Within-Person Pain Variability and Mental Health in Older Adults With Osteoarthritis: An Analysis Across 6 European Cohorts
| Autor: | M.V. Castell, M. Denkinger, Marianna Noale, Maria Victoria Castell, Federica Limongi, Tessa N. van den Kommer, Erik J. Timmermans, Paul Lips, Rocío Queipo, Natasja M. van Schoor, C Cooper, Stefania Maggi, Suzan van der Pas, Thorsten Nikolaus, D.J.H. Deeg, Dorly J. H. Deeg, P. Siviero, E M Dennison, Ana Otero, Elaine M. Dennison, Mercedes Sánchez-Martínez, Raphael Simon Peter, Brendon Stubbs, N.M. van Schoor, F. Limongi, S Zambon, Laura A. Schaap, M. Sanchez-Martinez, Paola Siviero, Mark H. Edwards, Florian Herbolsheimer, Cyrus Cooper, S. van der Pas, N.L. Pedersen, Erik Timmermans, Nancy L. Pedersen, Michael Denkinger, Elisa J. de Koning |
|---|---|
| Přispěvatelé: | Epidemiology and Data Science, APH - Personalized Medicine, APH - Aging & Later Life, Internal medicine, APH - Health Behaviors & Chronic Diseases, Clinical Neuropsychology, Sociology, Nutrition and Health, Sociology and Social Gerontology, Amsterdam Movement Sciences |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
030203 arthritis & rheumatology
medicine.medical_specialty business.industry Osteoarthritis medicine.disease Hospital Anxiety and Depression Scale Mental health Confidence interval 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Neurology SDG 3 - Good Health and Well-being Joint pain medicine Physical therapy Anxiety Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Depression (differential diagnoses) Cohort study |
| Zdroj: | Journal of Pain, 19(6), 690-698. Churchill Livingstone EPOSA Group 2018, ' Within-Person Pain Variability and Mental Health in Older Adults With Osteoarthritis : An Analysis Across 6 European Cohorts ', Journal of Pain, vol. 19, no. 6, pp. 690-698 . https://doi.org/10.1016/j.jpain.2018.02.006 de Koning, E J, Timmermans, E J, van Schoor, N M, Stubbs, B, van den Kommer, T N, Dennison, E M, Limongi, F, Castell, M V, Edwards, M H, Queipo, R, Cooper, C, Siviero, P, van der Pas, S, Pedersen, N L, Sánchez-Martínez, M, Deeg, D J H, Denkinger, M D, Nikolaus, T, Denkinger, M, Peter, R, Herbolsheimer, F, Maggi, S, Zambon, S, Limongi, F, Noale, M, Siviero, P, Deeg, D J H, van der Pas, S, van Schoor, N M, Schaap, L A, Timmermans, E J, Lips, P, Otero, Á, Castell, M V, Sanchez-Martinez, M, Pedersen, N L, Dennison, E M, Cooper, C & Edwards, M H 2018, ' Within-Person Pain Variability and Mental Health in Older Adults With Osteoarthritis: An Analysis Across 6 European Cohorts ', Journal of Pain, vol. 19, no. 6, pp. 690-698 . https://doi.org/10.1016/j.jpain.2018.02.006 |
| ISSN: | 1528-8447 1526-5900 |
| Popis: | Pain is a key symptom of osteoarthritis (OA) and has been linked to poor mental health. Pain fluctuates over time within individuals, but a paucity of studies have considered day-to-day fluctuations of joint pain in relation to affective symptoms in older persons with OA. This study investigated the relationship of pain severity as well as within-person pain variability with anxiety and depression symptoms in 832 older adults with OA who participated in the European Project on OSteoArthritis (EPOSA): a 6-country cohort study. Affective symptoms were examined with the Hospital Anxiety and Depression Scale, pain severity was assessed with the Western Ontario and McMaster Universities OA Index and the Australian/Canadian Hand Osteoarthritis Index, and intraindividual pain variability was measured using pain calendars assessed at baseline, 6, and 12 to 18 months. Age-stratified multiple linear regression analyses adjusted for relevant confounders showed that more pain was associated with more affective symptoms in older-old participants (74.1–85 years). Moreover, older-old participants experienced fewer symptoms of anxiety (ratio = .85, 95% confidence interval [CI], .77–.94), depression (ratio = .90, 95% CI, .82–.98), and total affective symptoms (ratio = .87, 95% CI, .79–.94) if their pain fluctuated more. No such association was evident in younger-old participants (65–74.0 years). These findings imply that stable pain levels are more detrimental to mental health than fluctuating pain levels in older persons. Perspective This study showed that more severe and stable joint pain levels were associated with anxiety and depressive symptoms in older persons with OA. These findings emphasize the importance of measuring pain in OA at multiple time points, because joint pain fluctuations may be an indicator for the presence of affective symptoms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|