Evidence map›Paper›PMID 19638205›Full record

Trial reportBMC family practice2009

The relationship between pain intensity and severity and depression in older people: exploratory study.

Steve Iliffe, Kalpa Kharicha, Claudia Carmaciu, Danielle Harari, Cameron Swift, Gerhard Gillman, Andreas E Stuck

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04789590 (Determining the Effectiveness of the Geriatric Pain Measure ın Older Adults Attending a Gynecology Clinic), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04789590 completednot on this mapstarted 2018, after this paper: background citation

Determining the Effectiveness of the Geriatric Pain Measure ın Older Adults Attending a Gynecology Clinic

TypeobservationalSponsorUludag UniversityRan2018 to 2019Enrolled100ConditionsPain
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Factors Correlating with Functional Capacity in Older People with Chronic Pain.International journal of environmental research and public health · 2023
    Article
  4. Article
  5. Article
  6. Symptomatic and functional recovery in depression in later life.Social psychiatry and psychiatric epidemiology · 2018
    Article
  7. Review
  8. Article
  9. Article
  10. Beyond Ockham's razor: redefining problem-solving in clinical sleep medicine using a "five-finger" approach.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2010
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Steve IliffeDepartment of Primary Care & Population Sciences, University College London, London, UK. s.iliffe@pcps.ucl.ac.uk
Kalpa Kharicha
Claudia Carmaciu
Danielle Harari
Cameron Swift
Gerhard Gillman
Andreas E Stuck
University College London · GBUniversity of Bern · CHKing's College Hospital · GBSt Thomas' Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain and depression are known to be associated in later life, and both have a negative effect on physical performance both separately and in combination. The nature of the relationships between pain intensity and depression in elderly persons experiencing pain is less clear. The objectives of this study were to explore which factors are associated with depressed mood in older people experiencing pain, and to test the hypothesis that older people experiencing pain are at risk of depressed mood according to the severity or frequency of their pain. In addition we explored whether other potentially modifiable factors might increase the risk of depressed mood in these persons.

methodsThe study is a secondary analysis of baseline data for four hundred and six community-dwelling non-disabled people aged 65 and over registered with three group practices in suburban London who had experienced pain in the past 4 weeks. Intensity and frequency of pain was measured using 24 item Geriatric Pain Measure (GPM) and the presence of depressive symptoms using the 5 item Mental Health Inventory. Risk for social isolation was measured using the 6 item Lubben Social Network scale and instrumental activities of daily living (IADL) were also measured.

resultsOverall 76 (19%) had depressed mood. Pain frequency and severity were not statistically significantly associated with depressed mood in this population. In multivariate analyses, significant predictors of the presence of depressive symptoms were difficulties with basic ADLs (OR 2.8, 95% CI 1.1.7.8), risk for social isolation (OR 4.1, 95% CI 1.8-9.3), and basic education only (OR 2.2, 95% CI 1.1-4.4).

conclusionOlder people experiencing pain are also likely to experience depression. Among those experiencing pain, social network and functional status seem to be more important predictors of depressive symptoms than the severity of pain. Further studies should evaluate whether improvement of social network and functional status might reduce depressive symptoms in older patients.

Indexed as

AgedComorbidityDepressionEducational StatusFamily PracticeFemaleGeriatric AssessmentHealth BehaviorHealth StatusHealth Status IndicatorsHumansLondonMaleMemory DisordersPainPain Measurement

Identifiers

PMID19638205
PMCPMC2724387
OpenAlexW1963810709

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.