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Disabling Low Back Pain and Depressive Symptoms in the Community-Dwelling Elderly: A Prospective Study
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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“Pre-existing psychopathology is a factor that promotes CP.”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [16]
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“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 Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [16]
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Metadata
- Authors
- Meyer, T., Cooper, J., & Raspe, H.
- Affiliations
- University of Lübeck (DE)
- George Washington University (US)
- Corresponding author
- Meyer, Thorsten
- Raspe, Heiner
- Venue
- Spine
- Published
- 2007-10
- Volume
- 32
- Issue
- 21
- Pages
- 2380-2386
- ISSN
- 0362-2436 (ISSN-L)
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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