The relationships among anxiety, depression, and pain in a geriatric institutionalized sample.
This study sought to determine if depression and/or anxiety is uniquely related to pain after controlling for the strong association between anxiety and depression. Both depression and anxiety were assessed in an elderly institutionalized sample using: (1) research-based diagnoses based on Diagnostic and Statistical Manual-revised 3rd edition (DSM-IIIR) criteria, and (2) evaluations of one's recent affective states using the Profile of Moods States (POMS). Pain was assessed by pain intensity and number of pain complaints. A series of path models indicated that: (1) both research-based anxiety and depression share unique variance with pain, and (2) only POMS anxiety is uniquely related to pain. A path model using both measures of anxiety and depression indicated that only the anxiety measures are significantly related to pain. However, POMS anxiety sustained a significantly greater relationship with pain than did research-based anxiety.
Casten
Robin J
RJ
The Philadelphia Geriatric Center, Glenside, PA 19038 USA The University of Pennsylbania, Glenside, PA 19038 USA.
Parmelee
Patricia A
PA
Kleban
Morton H
MH
Lawton
Powell M
PM
Katz
Ira R
IR
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001007:Anxiety / Q000150:complications* / Q000175:diagnosis; D016022:Case-Control Studies; D003863:Depression / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D010146:Pain / Q000150:complications* / Q000175:diagnosis; D011581:Psychological Tests