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Chronic pain conditions and depression in the Ibadan Study of Ageing

Published online by Cambridge University Press:  18 January 2011

Bibilola D. Oladeji ,
Victor A. Makanjuola ,
Oluyomi B. Esan  and
Oye Gureje
Bibilola D. Oladeji*
Affiliation:
Department of Psychiatry, University College Hospital, College of Medicine, University of Ibadan, Ibadan, Nigeria
Victor A. Makanjuola
Affiliation:
Department of Psychiatry, University College Hospital, College of Medicine, University of Ibadan, Ibadan, Nigeria
Oluyomi B. Esan
Affiliation:
Department of Psychiatry, University College Hospital, College of Medicine, University of Ibadan, Ibadan, Nigeria
Oye Gureje
Affiliation:
Department of Psychiatry, University College Hospital, College of Medicine, University of Ibadan, Ibadan, Nigeria
*
Correspondence should be addressed to: Bibilola Oladeji, Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria. Phone: +234 802 332 4989; Fax: +234-2-2413545. Email: bibideji@yahoo.com.
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Abstract

Background: Chronic pain is quite common in the elderly and is often associated with comorbid depression, limitation of functioning and reduced quality of life. The aim of this study was to ascertain whether there is a differential risk of depression among persons with pain in different anatomical sites and to determine which pain conditions are independent risk factors for depression.

Methods: Data are from the Ibadan Study of Ageing (ISA), a community-based longitudinal survey of persons aged 65 years and older from eight contiguous Yoruba-speaking states in Nigeria (n = 2152). Data were collected in face-to-face interviews; depression was assessed using the World Mental Health initiative version of the Composite International Diagnostic Interview (CIDI) while chronic pain was assessed by self-report (response rate = 74%).

Results: Estimates of persistent pain (lasting more than six months), in different anatomical sites range from 1.3% to 12.8%, with the commonest being joint pains (12.8%), neck or back (spinal) pain (7.6%) and chest pain (3.0%). Significantly more pain conditions were reported by females and by respondents who were aged over 80 years. The risk for depression was higher in respondents with spinal, joint and chest pain. However, only chest pain was independently associated with depression after adjustments were made for pains at other sites and for functional disability.

Conclusion: Our data suggests that, among elderly persons, there is a differential association of depression with chronic pain that is related to the anatomical site of the pain.

Keywords

chronic paindepressiondisabilityelderlyepidemiology
Type
Research Article
Information
International Psychogeriatrics , Volume 23 , Issue 6 , August 2011 , pp. 923 - 929
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Arnow, B. A. et al. (2006). Comorbid depression, chronic pain, and disability in primary care. Psychosomatic Medicine, 68, 262–268.Google Scholar
Bair, M. J., Robinson, R. L., Katon, W. and Kroenke, K. (2003). Depression and pain comorbidity: a literature review. Archives of Internal Medicine, 163, 2433–2445.CrossRefGoogle ScholarPubMed
Bao, Y., Sturm, R. and Croghan, T. W. (2003). A national study of the effect of chronic pain on the use of health care by depressed persons. Psychiatric Services, 54, 693–697.Google Scholar
Bekibele, C. O. and Gureje, O. (2008). Self-reported visual impairment and impact on vision-related activities in an elderly Nigerian population: report from the Ibadan Study of Ageing. Ophthalmic Epidemiology, 15, 250–256.CrossRefGoogle Scholar
Blay, S. L., Andreoli, S. B., Dewey, M. E. and Gastal, F. L. (2007). Co-occurrence of chronic physical pain and psychiatric morbidity in a community sample of older people. International Journal of Geriatric Psychiatry, 22, 902–908.Google Scholar
Breivik, H., Collett, B., Ventafridda, V., Cohen, R. and Gallacher, D. (2006). Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. European Journal of Pain, 10, 287–333.Google Scholar
Brochet, B., Michel, P., Barberger-Gateau, P. and Dartigues, J. (1998). Population-based study of pain in elderly people: a descriptive survey. Age and Ageing, 27, 279–284.Google Scholar
Chou, K. L. (2007). Reciprocal relationship between pain and depression in older adults: evidence from the English Longitudinal Study of Ageing. Journal of Affective Disorders, 102, 115–123.Google Scholar
Emptage, N. P., Sturm, R. and Robinson, R. L. (2005). Depression and comorbid pain as predictors of disability, employment, insurance status, and health care costs. Psychiatric Services, 56, 468–474.Google Scholar
Ferguson, B. D., Tandon, A., Gakidou, E. et al. and (2003). Estimating permanent income using indicator variables. In Murray, C. J. L., Evans, D. B., eds. Health Systems Performance Assessment: Debates, Methods and Emiricism. Geneva: World Health Organization.Google Scholar
Gagliese, L. and Melzack, , , R. (1997). Chronic pain in elderly people. Pain, 70, 3–14.Google Scholar
Gallagher, R. M., Verma, S. and Mossey, J. (2000). Chronic pain. sources of late-life pain and risk factors for disability. Geriatrics, 55, 40–44, 47.Google Scholar
Geerlings, S. W., Twisk, J. W., Beekman, A. T., Deeg, D. J. and van Tilburg, W. (2002). Longitudinal relationship between pain and depression in older adults: sex, age and physical disability. Social Psychiatry and Psychiatric Epidemiology, 37, 23–30.CrossRefGoogle ScholarPubMed
Gureje, O., Von Korff, M., Simon, G. E. and Gater, R. (1998). Persistent pain and well-being: a World Health Organization study in primary care. JAMA, 280, 147–151.Google Scholar
Gureje, O., Ogunniyi, A., Kola, L. and Afolabi, E. (2006). Functional disability in elderly Nigerians: results from the Ibadan Study of Aging. Journal of the American Geriatrics Society, 54, 1784–1789.CrossRefGoogle ScholarPubMed
Gureje, O., Kola, , Afolabi, L., , E. (2007). Epidemiology of major depressive disorder in elderly Nigerians in the Ibadan Study of Ageing: a community-based survey. The Lancet, 370, 957–964.Google Scholar
Heeringa, S. et al. (2008). Sample designs and sampling procedures. In Kessler, R. C. and Ustun, T. B. (eds.), The WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders. Cambridge: Cambridge Unversity Press.Google Scholar
Leong, I. Y., Farrell, M. J., Helme, R. D. and Gibson, S. J. (2007). The relationship between medical comorbidity and self-rated pain, mood disturbance, and function in older people with chronic pain. Journals of Gerontology, A: Biological Sciences and Medical Sciences, 62, 550–555.Google ScholarPubMed
Mantyselka, P., Hartikainen, S., Louhivuori-Laako, K. and Sulkava, R. (2004). Effects of dementia on perceived daily pain in home-dwelling elderly people: a population-based study. Age and Ageing, 33, 496–499.Google Scholar
Melding, P. S. (2004). Who is losing the language? Persistent pain in home-dwelling elders. Age and Ageing, 33, 432–434.CrossRefGoogle ScholarPubMed
Mossey, J. and Gallagher, R. M. (2004). The longitudinal occurrence and impact of comorbid chronic pain and chronic depression over two years in continuing care retirement community residents. Pain Medicine, 5, 335–348.Google Scholar
Myers, A. M., Holliday, P. J., Harvey, K. A. and Hutchinson, K. S. (1993). Functional performance measures: are they superior to self assessments? Journal of Gerontology, 48, M196–206.CrossRefGoogle ScholarPubMed
Ohayon, M. M. (2004). Specific characteristics of the pain/depression association in the general population. Journal of Clinical Psychiatry, 65, 5–9.Google Scholar
Ohayon, M. M. and Schatzberg, A. F. (2003). Using chronic pain to predict depressive morbidity in the general population. Archives of General Psychiatry, 60, 39–47.Google Scholar
Onder, G. et al. (2005). Association between pain and depression among older adults in Europe: results from the Aged in Home Care (AdHOC) project: a cross-sectional study. Journal of Clinical Psychiatry, 66, 982–988.Google Scholar
Parmelee, P. A., Katz, I. R. and Lawton, M. P. (1991). The relation of pain to depression among institutionalized aged. Journal of Gerontology, 46, 15–21.Google Scholar
Reyes-Gibby, C. C., Aday, L. and Cleeland, C. (2002). Impact of pain on self-rated health in the community-dwelling older adults. Pain, 95, 75–82.CrossRefGoogle ScholarPubMed
Rybakowski, J. K. (2003). Depression and cardiovascular disease. WPA Bulletin on Depression, 26, 12–14.Google Scholar
Sternbach, R. A. (1986). Survey of pain in the United States: the Nuprin pain report. Clinical Journal of Pain, 2, 49–53.Google Scholar
Thomas, E., Peat, G., Harris, L., Wilkie, R. and Croft, P. R. (2004). The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain, 110, 361–368.Google Scholar
Thomas, E., Mottram, S., Peat, G., Wilkie, R. and Croft, P. R. (2007). The effect of age on the onset of pain interference in a general population of older adults: prospective findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain, 129, 21–27.CrossRefGoogle Scholar
Tsang, A. et al. (2008). Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. Journal of Pain, 9, 883–891.Google Scholar
Zanocchi, M. et al. (2008). Chronic pain in a sample of nursing home residents: prevalence, characteristics, influence on quality of life (QoL). Archives of Gerontology and Geriatrics, 47, 121–128.Google Scholar