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Pain intensity,depressive symptoms,and functional limitations among older adults with serious mental illness |
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| Authors: | Jessica M. Brooks Courtney A. Polenick William Bryson John A. Naslund Brenna N. Renn Nicole M. Orzechowski |
| Affiliation: | 1. Department of Psychiatry, Geisel School of Medicine and Centers for Health and Aging, Dartmouth College, Lebanon, NH, USA;2. Department of Rehabilitation and Health Services, University of North Texas, Denton, TX, USA;3. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA;4. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA;5. The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, USA.;6. Section of Rheumatology, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth College, Lebanon, NH, USA |
| Abstract: | Objective: To examine pain-related activity interference as a mediator for the relationship between pain intensity and depressive symptoms among older adults with serious mental illness (SMI). Method: Ordinary least-squares regressions were used to investigate the mediation analysis among older adults with SMI (n = 183) from community mental health centers. Analyses used secondary data from the HOPES intervention study. Results: Higher pain intensity was associated with greater pain-related activity interference. Higher pain intensity and pain-related activity interference were also associated with elevated depressive symptoms. Finally, greater pain-related activity interference significantly mediated the association between higher pain intensity and elevated depressive symptoms. Conclusions: These findings demonstrate that pain and depressive symptoms may be linked to functional limitations. Clinicians and researchers in the mental health field should better address pain-related activity interference among older adults with SMI, especially among those with higher pain intensity and elevated depressive symptoms. |
| Keywords: | Depressive symptoms physical disorders functional status |