November 11, 2003JAMA
Effect of Improving Depression Care on Pain and Functional Outcomes Among Older Adults With Arthritis
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Discussion
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Implication
Randomized trial evaluates improved depression care effects on pain and function in older adults with arthritis, suggesting significant benefits.
Key Points
- This study aims to assess whether better management of depression can improve pain and functional outcomes in older adults suffering from arthritis.
- Randomized controlled trial with 1801 depressed older adults, including 1001 with arthritis.
- Participants received antidepressant medications and/or psychotherapy (Problem-Solving Treatment in Primary Care).
- Main outcomes measured included pain intensity, activity interference, health status, and quality of life at multiple follow-ups.
- At 12 months, intervention group demonstrated lower pain intensity scores (5.62 vs 6.15, P=0.009).
- Intervention group reported less activity interference due to arthritis (4.40 vs 4.99, P=0.004).
- Overall quality of life and general health status improved significantly among those receiving enhanced depression care.
Cite This Study
Lin et al. (2003) studied this question.