Joint trajectories of pain, depression and frailty and associations with adverse outcomes among community-dwelling older adults: A longitudinal study

•Four distinct joint trajectories of pain, depression and frailty were identified.•Heterogeneous associations were found between joint trajectories and adverse outcomes.•Physical and psychological care for older adults should be integrated. This study aimed to examine joint trajectories of pain, dep...

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Veröffentlicht in:Geriatric nursing (New York) 2024-09, Vol.59, p.26-32
Hauptverfasser: Liu, Qinqin, Huang, Yuli, Wang, Binlin, Li, Yanyan, Zhou, Wendie, Yu, Jiaqi, Chen, Hejing, Wang, Cuili
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container_start_page 26
container_title Geriatric nursing (New York)
container_volume 59
creator Liu, Qinqin
Huang, Yuli
Wang, Binlin
Li, Yanyan
Zhou, Wendie
Yu, Jiaqi
Chen, Hejing
Wang, Cuili
description •Four distinct joint trajectories of pain, depression and frailty were identified.•Heterogeneous associations were found between joint trajectories and adverse outcomes.•Physical and psychological care for older adults should be integrated. This study aimed to examine joint trajectories of pain, depression and frailty and their associations with adverse outcomes. Four waves of national data from the China Health and Retirement Longitudinal Study (CHARLS 2011–2018) were used, involving 4217 participants aged ≥60 years. Joint trajectories were fit using parallel-process latent class growth analysis, and their associations with adverse outcomes were evaluated using modified Poisson regression. Four joint trajectories were identified. Compared with most favorable group, other three joint trajectory groups had higher risk of functional disability and hospitalization. Slowly progressive pain, depression and frailty and persistent combination of pain, depression and frailty were also associated with cognitive decline, while slowly reduced pain and depression but persistent frailty was associated with all-cause mortality. The findings highlight unique characteristics and health impacts of concurrent changes in pain, depression and frailty over time, implicating the integrated physical and psychological care for older adults.
doi_str_mv 10.1016/j.gerinurse.2024.06.039
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subjects Adverse outcomes
Aged
Aged, 80 and over
China - epidemiology
Depression
Female
Frail Elderly - psychology
Frailty
Frailty - complications
Hospitalization
Humans
Independent Living
Joint trajectory
Longitudinal Studies
Male
Middle Aged
Pain
title Joint trajectories of pain, depression and frailty and associations with adverse outcomes among community-dwelling older adults: A longitudinal study
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