Jessica M Brooks1,2, Courtney A Polenick3, William Bryson4, John A Naslund5, Brenna N Renn4, Nicole M Orzechowski6, Margaret Almeida1, Stephen J Bartels1,5. 1. a Department of Psychiatry, Geisel School of Medicine and Centers for Health and Aging , Dartmouth College , Lebanon , NH , USA. 2. b Department of Rehabilitation and Health Services , University of North Texas , Denton , TX , USA. 3. c Department of Psychiatry , University of Michigan , Ann Arbor , MI , USA. 4. d Department of Psychiatry and Behavioral Sciences , University of Washington School of Medicine , Seattle , WA , USA. 5. e The Dartmouth Institute for Health Policy and Clinical Practice , Dartmouth College , Lebanon , NH , USA . 6. f 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.
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.
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