Age differences in the pain-depression link for women with osteoarthritis. Functional impairment and personal control as mediators.

Full Abstract

PURPOSE:
This study examines functional impairment and personal control as mediators between pain and depressive symptoms in middle-aged and older women with osteoarthritis (OA).

METHOD:
Ninety-nine middle-aged and older women with OA completed face-to-face interviews to assess pain, functional impairment, personal control, depressive symptoms, and self-rated health.

RESULTS:
Controlling for self-rated health, functional impairment mediated the relationship between pain and depressive symptoms for middle-age women but not for older women. Alternately, personal control was a mediator for older women but not for middle-aged women.

CONCLUSIONS:
Functional limitations at least partially explain the relationship between pain and depression for middle-aged women who are juggling many roles and do not expect trouble with daily activities. For older women, functional limitations are expected, but personal control becomes more important. Implications for intervention are discussed.

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Author information

Author/s: McIlvane, Jessica M (JM); Schiaffino, Kathleen M (KM); Paget, Stephen A (SA);

Affiliation: School of Aging Studies, University of South Florida, Tampa, Florida 33620, USA. mcilvane(-atsign-)cas.usf.edu

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Women's health issues : official publication of the Jacobs Institute of Women's Health (Womens Health Issues), published in United States. (Language: eng)

Reference: -2007 Jan-Feb; vol 17 (issue 1) : pp 44-51

Dates: Created 2007/02/26; Completed 2007/04/11;

PMID: 17321947, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Activities of Daily Living
Age Factors
Aged
Female
Humans
Middle Aged
Osteoarthritis - complications; prevention & control; psychology
Pain - etiology; prevention & control; psychology

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