Change in instrumental activities of daily living disability in female senior patients with musculosceletal pain: a prospective, randomized, controlled trial.
Previous studies found that depressive symptoms and low functional self-efficacy are associated with the occurrence of disabling musculoskeletal pain, and diminished quality of life in elderly people. The target of this study was to consider the change in instrumental activities of daily living (IADL) disability and health related quality of life after integrative psychotherapeutic treatment program of depressive symptoms in senior female patients with musculoskeletal pain. In an 8-week outpatient-based, random, prospective, controlled trial, 36 female patients between 70 and 79 with a history of clinically evident musculoskeletal pain and afflicted with depressive symptoms, but who were able to bathe, walk, dress, and transferring inside the house were evaluated. The study was performed using the Center for Epidemiological Studies Depression Scale (CES-D), IADL, and the Health Survey (SF-36). In comparison with the untreated group, according to the intent-to-treat principle, significant changes on the CES-D (P < 0.01), IADL (P < 0.01), and all scales of SF-36 were observed after eight weeks in the treated subjects. The treatment of moderate depression with integrative psychotherapy may be efficacious in improving of IADL disability and health related quality of life in affected senior female patients with musculoskeletal pain.
Nickel
Marius K
MK
Clinic for Psychiatry and Psychosomatic Medicine, Inntalklinik, D-84359 Simbach/Inn, Germany. m.nikel@inntalklinik.de
Lahmann
Claas
C
Muehlbacher
Moritz
M
Nickel
Cerstin
C
Pedrosa Gil
Francisco
F
Buschmann
Wiebke
W
Rother
Nadine
N
Fartacek
Reinhold
R
Leiberich
Peter K
PK
Tritt
Karin
K
Mitterlehner
Ferdinand O
FO
Kettler
Christian
C
Egger
Christoph
C
Rother
Wolfhardt K
WK
Loew
Thomas H
TH
D000203:Activities of Daily Living; D000368:Aged; D000928:Antidepressive Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003863:Depression / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D009140:Musculoskeletal Diseases / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D010146:Pain / Q000503:physiopathology*; D010147:Pain Measurement; D010919:Placebos; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D020377:Self Efficacy
D000928:Antidepressive Agents; D010919:Placebos