Skip to main content
Log in

Changes in instrumental activities of daily living disability after treatment of depressive symptoms in elderly women with chronic musculoskeletal pain: a double-blind, placebo-controlled trial

  • Original Articles
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background and aims: The purpose of this study was to assess the effect of antidepressant therapy on changes in instrumental activities of dailyliving disability in elderly female patients with musculoskeletal pain in a controlled study comparing active drugs with a placebo. Methods: In an 8-week double-blind, placebo-controlled outpatient trial, 30 female patients (response rate 90.0%) between 70 and 79 were examined. They all had a history of clinically evident musculoskeletal pain, were afflicted with depressive symptoms, and could independently bathe, walk, dress, and transfer (e.g., from a chair) inside the house. The study was performed using the Center for Epidemiological Studies Depression Scale (CES-D), and Instrumental Activities of Daily Living (IADL). Results: Compared with the placebo-group, significant changes in the CES-D (p<0.01) and IADL (p<0.01) scales were observed after eight weeks in the active drug-treated subjects. Conclusion: Treatment of depressive symptoms may be efficacious in reducing IADL disability in elderly female patients afflicted with musculoskeletal pain.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Pfeifer K, Ruhleder M, Brettmann K, et al. Effects of a coordination-focused physical activity programme on the maintenance of motor abilities of the elderly. Dtsch Z Sport Med 2001; 52: 129–35.

    Google Scholar 

  2. Cunningham DA, Paterson DH, Himann JF, et al. Determinants of independence in the elderly. Can J Appl Physiol 1993; 18: 243–4.

    Article  PubMed  CAS  Google Scholar 

  3. Heikkinen RL, Berg S, Avlund K, Timo T. Depressed mood: changes during a five-year follow-up in 75-year-old men and women in three Nordic localities. Aging Clin Exp Res 2002; 14: 16–28.

    PubMed  Google Scholar 

  4. Scudds RJ, Robertson JM. Empirical evidence of the association between the presence of musculoskeletal pain and physical disability in community-dwelling senior citizens. Pain 1998; 75: 229–35.

    Article  PubMed  CAS  Google Scholar 

  5. Leveille SG, Ling S, Hochberg MC, et al. Widespread musculoskeletal pain and the progression of disability in older disabled women. Ann Intern Med 2001; 135: 1038–6.

    Article  PubMed  CAS  Google Scholar 

  6. Rejeski WL, Miller ME, Foy C, et al. Self-efficacy and the progression of functional limitations and self-reported disability in older adults with knee pain. J Gerontol 2001; 56B: S261–5.

    Google Scholar 

  7. Lampinen P, Heikkinen E. Reduced mobility and physical activity as predictors of depressive symptoms among community-dwelling older adults: an eight-year follow-up study. Aging Clin Exp Res 2003; 15: 205–11.

    PubMed  Google Scholar 

  8. Reid MC, Williams CS, Gill TM. The relationship between psychological factors and disabling musculoskeletal pain in community-dwelling older persons. J Am Geriatr Soc 2003; 51: 1092–8.

    Article  PubMed  Google Scholar 

  9. Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1977; 1: 385–401.

    Article  Google Scholar 

  10. Matschinger H, Schork A, Riedel-Heller SG, et al. Employing the CES-D within a population of the elderly: dimensional structure and measurement artefacts. Diagnostica 2000; 46: 29–37.

    Article  Google Scholar 

  11. Wassertheil-Smoller S, Applegate WB, Berge K, et al. Change in depression as a precursor of cardiovascular events. SHEP Cooperative Research Group (Systolic Hypertension in the Elderly). Arch Intern Med 1996; 156: 553–61.

    PubMed  CAS  Google Scholar 

  12. Matschinger H, Schork A, Riedel-Heller SG, et al. On the application of the CES-D with the elderly: dimensional structure and artefacts resulting from oppositely worded items. Int J Method Psychiatr Res 2000; 9: 199–209.

    Article  Google Scholar 

  13. Lewinsohn PM, Seeley JR, Roberts RE, et al. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging 1997; 12: 277–87.

    Article  PubMed  CAS  Google Scholar 

  14. Pennix BW, Guralnik JM, Ferrucci L et al. Depressive symptoms and physical decline in community-dwelling older persons. JAMA 1998; 279: 1720–6.

    Article  Google Scholar 

  15. Weyerer S. Prevalence, course and treatment of depression among residents in old age homes. Clin Neuropharmacol 1992; 15S: 283A–4A.

    Article  Google Scholar 

  16. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969; 9: 179–86.

    Article  PubMed  CAS  Google Scholar 

  17. Muellner M. Evidence Based Medicine. Vienna, New York: Springer, 2002.

    Google Scholar 

  18. Bergland A, Jarnlo GB, Laake K. Predictors of falls in the elderly by location. Aging Clin Exp Res 2003; 15: 43–50.

    PubMed  Google Scholar 

  19. Tinetti ME, Mendes de Leon CF, Doucette JT, et al. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. J Gerontol 1994; 49: M140–M7.

    Article  PubMed  CAS  Google Scholar 

  20. Fava M, Mallinckrodt CH, Detke MJ, Watkin JG, Wohlreich MM. The effect of duloxetine on painful physical symptoms in depressed patients: do improvements in these symptoms result in higher remission rates? J Clin Psychiatry 2004; 65: 521–30.

    Article  PubMed  CAS  Google Scholar 

  21. Dickens C, Jayson M, Sutton C, Creed F. The relationship between pain and depression in a trial using paroxetine in sufferers of chronic low back pain. Psychosomatics 2000; 41: 490–9.

    Article  PubMed  CAS  Google Scholar 

  22. Rother W, Nickel M. A concept for the psychosomatic hospital in Bad Aussee. Wien Med Wschr 2002; 152: 516–20.

    Article  PubMed  CAS  Google Scholar 

  23. Nickel M, Nickel C, Leiberich P, et al. Psychosocial characteristics in persons who often change their psychotherapists. Wien Med Wschr 2004; 154: 163–9.

    Article  PubMed  Google Scholar 

  24. Jang Y, Haley WE, Small BJ, et al. The role of mastery and social resources in the association between disability and depression in later life. Gerontologist 2002; 42: 807–13.

    Article  PubMed  Google Scholar 

  25. Mendes de Leon CF, Glass TA, Berkman LF. Social engagement and disability in a community population of older adults. Am J Epidemiol 2003; 157: 633–42.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marius K. Nickel MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nickel, M.K., Nickel, C., Lahmann, C. et al. Changes in instrumental activities of daily living disability after treatment of depressive symptoms in elderly women with chronic musculoskeletal pain: a double-blind, placebo-controlled trial. Aging Clin Exp Res 17, 293–296 (2005). https://doi.org/10.1007/BF03324613

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03324613

Keywords

Navigation