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Cited by 101Musculoskeletal pain and rehabilitationAging, Health, and DisabilityHealth disparities and outcomes

Disabling Low Back Pain and Depressive Symptoms in the Community-Dwelling Elderly: A Prospective Study

Meyer, Thorsten, Cooper, James, Raspe, Heiner·2007·Spine
DOI 10.1097/brs.0b013e3181557955
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Abstract

In Brief Study Design. Analytic cross-sectional and cohort study. Objective. This study examines the prevalence and associations of low back pain (LBP) and depressive symptoms in a large population of elderly (65+), community-dwelling subjects. Summary of Background Data. In adults, depression has been identified as predictive for LBP, while depression has also been found to be a possible consequence of LBP. Methods. Data of the Health Outcomes Survey that include a baseline (N = 91,347) and a follow-up survey (N = 55,690) after 2 years were analyzed cross-sectionally and prospectively. Degree of depressive symptoms and disabling LBP were described at both time points, as well as their interrelationships. An ordinal logistic regression analysis was performed to model the effects of different sociodemographic, clinical, and functional variables on LBP and depressive symptoms after 2 years. Results. Depressive symptoms were found in about 20% of the sample. Baseline depression symptoms increased the odds of disabling LBP after 2 years independently of sociodemographic characteristics, medical, and functional status. Disabling LBP at baseline increased the odds of depressive symptoms after 2 years to a similar degree. Conclusion. Among community-dwelling elderly persons, depressive symptoms and disabling LBP are widespread. Depressive symptoms predict disabling LBP and vice versa. The set of predictors and their extent of contribution to the prognosis are strikingly similar. Research is warranted to identify possible common pathogenic mechanisms or mediating factors. This analytic cross-sectional and cohort-study examines the prevalence and the associations of disabling low back pain and depressive symptoms in elderly, community-dwelling subjects. Depressive symptoms and low back pain proved to be widespread. Depressive symptoms predict low back pain and vice versa, after controlling for sociodemographic, clinical, and functional variables.

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Crossref · 10.1097/brs.0b013e3181557955

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  • Pre-existing psychopathology is a factor that promotes chronic pain.

    “Pre-existing psychopathology is a factor that promotes CP.”

    From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [16]

  • Chronic pain may be considered as a prognostic factor for depression, which in turn constitutes a prognostic factor for chronic pain, underlying the bilateral nature of psychiatric disorders and chronic pain.

    “However, according to some studies,15,16 CP may be considered as a prognostic factor for depression, which, in turn, constitutes a prognostic factor for CP, thus underlying the bilateral nature of psychiatric disorders and CP”

    From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [16]

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Authors
Meyer, T., Cooper, J., & Raspe, H.
Affiliations
  • University of Lübeck (DE)
  • George Washington University (US)
Corresponding author
  • Meyer, Thorsten
  • Raspe, Heiner
ORCID
Venue
Spine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2007-10
Volume
32
Issue
21
Pages
2380-2386
ISSN
0362-2436 (ISSN-L)
DOI
10.1097/brs.0b013e3181557955
OpenAlex
W2067065519
Cited by
100
References
28
Citations by year
2026: 1 · 2025: 4 · 2024: 1 · 2023: 3 · 2022: 7 · 2021: 9 · 2020: 5 · 2019: 6 · 2018: 7 · 2017: 9 · 2016: 6 · 2015: 10 · 2014: 2 · 2013: 4 · 2012: 6
FWCI
2.44
Type
journal article
Language
en
Open access
closed
Locations
  • Spine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Health › Health disparities and outcomes
Keywords
low back pain, depressive symptoms, depression, community-dwelling older adults, older adults, disability, prevalence, bidirectional relationship
MeSH terms
Aged, Cross-Sectional Studies, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Prospective Studies, Residence Characteristics, Cohort Studies, Low Back Pain

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