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Reciprocal relationship between pain and depression in elderly Chinese primary care patients
Author(s)Kee-Lee Chou, Iris Chi
Journal titleInternational Journal of Geriatric Psychiatry, vol 20, no 10, October 2005
Pagespp 945-952
Sourcehttp://www.interscience.wiley.com
KeywordsDepression ; Pain ; Patients ; General practice ; Hong Kong.
AnnotationThe relationship between pain and depressive symptoms in community-dwelling older people has been demonstrated in previous studies. The present study examines the reciprocal relationship between pain and depression, and aims to identify whether social support, functional disability of social functioning mediated the link between pain and depression in older Hong Kong Chinese primary care patients. Subjects were 318 patients assessed by a trained assessor with MD-HC at baseline; these patients were assessed one year later as well. Multiple regression analyses revealed that pain at baseline significantly predicted depression at 12 month follow-up assessment when age, gender, marital status, education and depression at baseline were adjusted for, but depression at baseline was not associated with pain at 12-months after baseline measures while controlling for age, gender, marital status, education and pain at baseline. However, depression did predict the onset of pain. Moreover, social support, physical disability or social functioning did not mediate the impact of pain on depression. Since pain is an important predictor of depression, this risk factor needs to be borne in mind for preventive intervention and treatment for psychological well-being. (RH).
Accession NumberCPA-051108218 A
ClassmarkENR: CT7: LF: L5: 7DR

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