Bidirectional mediation of depression and pain intensity on their associations with upper extremity physical function.
Pain intensity and symptoms of depression are correlated and individually associated with decreased physical function. We compared two explanatory mediation models; one with depression as mediator of the association of pain intensity with physical function and the other one with pain intensity as th...
| Publicado en: | Journal of Behavioral Medicine Vol. 41; no. 3; pp. 309 - 318 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129344387&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129344387 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Jun2018 vid: 41 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 129344387 129344387 129344387 10.1007/s10865-017-9891-6 129344387 ppf: 309 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Bidirectional mediation of depression and pain intensity on their associations with upper extremity physical function. aug: au: Talaei-Khoei, Mojtaba Fischerauer, Stefan F. Jha, Ragini Ring, David Chen, Neal Vranceanu, Ana-Maria affil: Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA sug: subj: Depression Pain Measurement Upper Extremity Physiopathology Musculoskeletal Diseases Human Cross Sectional Studies kappa Statistic Effect Size Reinforcement (Psychology) ab: Pain intensity and symptoms of depression are correlated and individually associated with decreased physical function. We compared two explanatory mediation models; one with depression as mediator of the association of pain intensity with physical function and the other one with pain intensity as the mediator of the effect of depression on physical function. In a cross-sectional study, 102 patients with upper extremity musculoskeletal illness completed measures of pain intensity, PROMIS depression CAT, PROMIS physical function-upper extremity CAT and demographics. We determined that pain intensity and symptoms of depression were partial mediators of their respective and independent effects on physical function. While depression had a larger standardized mediation effect and a bigger kappa-squared (<italic>κ</italic>2) effect size compared to pain intensity, the actual proportion of variance in physical function that could be explained by the mediated effects (i.e., <italic>R</italic>2 mediation effect size) was equal in both models suggesting that the two mediation models have equal ability to explain variations in physical function. The bidirectional mediation effect suggests a reinforcement mechanism, in which, pain intensity and symptoms of depression reciprocally influence their negative impacts on physical function among patients with musculoskeletal illness. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|