Frequency of comorbid insomnia, pain, and depression in older adults with osteoarthritis: Predictors of enrollment in a randomized treatment trial
Abstract Objective This paper examines the prevalence and severity of comorbid pain, insomnia, and depression in a population sample of older adults with osteoarthritis (OA), and assesses characteristics distinguishing participants from non-participants in a randomized clinical trial to improve pain...
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description | Abstract Objective This paper examines the prevalence and severity of comorbid pain, insomnia, and depression in a population sample of older adults with osteoarthritis (OA), and assesses characteristics distinguishing participants from non-participants in a randomized clinical trial to improve pain and sleep. Methods Potential subjects were Group Health Cooperative members, aged 60+, who had an electronic medical record OA diagnosis in the prior 3 years. Participants were recruited using a low-cost mailed survey. Fifty-five percent of surveys were completed and returned ( n = 3321). Persons with Grade II–IV arthritis pain on the Graded Chronic Pain Scale and reporting sleep difficulties 3+ nights/week during the past month with daytime dysfunction ( n = 834) were invited to participate in one of three group-format behavioral self-management interventions. A total of 367 participants attended the first group class. Results One-third (36.4%) of survey respondents had clinically elevated levels of OA pain and insomnia. Group participants and non-participants did not differ in ratings of pain severity, sleep disturbance, depression, or receipt of prescription medications for pain or sleep. Participants were significantly older ( p < .001) and more likely to be retired ( p < .001) than subjects who were eligible to participate but did not. Conclusion Participation in a group-format behavioral intervention for pain and insomnia was not related to participant clinical characteristics, but only to factors associated with ability to attend a daytime class (age and retirement status). We conclude that population-based recruitment yielded randomized trial participants who are clinically generalizable to the population of OA patients with significant pain and insomnia. |
doi_str_mv | 10.1016/j.jpsychores.2011.05.012 |
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Methods Potential subjects were Group Health Cooperative members, aged 60+, who had an electronic medical record OA diagnosis in the prior 3 years. Participants were recruited using a low-cost mailed survey. Fifty-five percent of surveys were completed and returned ( n = 3321). Persons with Grade II–IV arthritis pain on the Graded Chronic Pain Scale and reporting sleep difficulties 3+ nights/week during the past month with daytime dysfunction ( n = 834) were invited to participate in one of three group-format behavioral self-management interventions. A total of 367 participants attended the first group class. Results One-third (36.4%) of survey respondents had clinically elevated levels of OA pain and insomnia. Group participants and non-participants did not differ in ratings of pain severity, sleep disturbance, depression, or receipt of prescription medications for pain or sleep. Participants were significantly older ( p < .001) and more likely to be retired ( p < .001) than subjects who were eligible to participate but did not. Conclusion Participation in a group-format behavioral intervention for pain and insomnia was not related to participant clinical characteristics, but only to factors associated with ability to attend a daytime class (age and retirement status). We conclude that population-based recruitment yielded randomized trial participants who are clinically generalizable to the population of OA patients with significant pain and insomnia.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2011.05.012</identifier><identifier>PMID: 21999972</identifier><identifier>CODEN: JPCRAT</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Chronic pain ; Comorbidity ; Depression ; Depression - epidemiology ; Diseases of the osteoarticular system ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Female ; Geriatrics ; Humans ; Insomnia ; Male ; Medical sciences ; Middle Aged ; Mood disorders ; Nervous system (semeiology, syndromes) ; Neurology ; Osteoarthritis ; Osteoarthritis - epidemiology ; Pain ; Pain - epidemiology ; Pain Measurement ; Patient Selection ; Prevalence ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Randomized Controlled Trials as Topic ; Recruitment ; Sleep ; Sleep Initiation and Maintenance Disorders - epidemiology ; Sleep problems</subject><ispartof>Journal of psychosomatic research, 2011-11, Vol.71 (5), p.296-299</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-1b2209d7f6f06a8a72f6de4af468941e864e85d38beea4ae3e0dad0e7e885cc43</citedby><cites>FETCH-LOGICAL-c540t-1b2209d7f6f06a8a72f6de4af468941e864e85d38beea4ae3e0dad0e7e885cc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2011.05.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,31000,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25251387$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21999972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McCurry, Susan M</creatorcontrib><creatorcontrib>Von Korff, Michael</creatorcontrib><creatorcontrib>Vitiello, Michael V</creatorcontrib><creatorcontrib>Saunders, Kathleen</creatorcontrib><creatorcontrib>Balderson, Benjamin H</creatorcontrib><creatorcontrib>Moore, Amy L</creatorcontrib><creatorcontrib>Rybarczyk, Bruce D</creatorcontrib><title>Frequency of comorbid insomnia, pain, and depression in older adults with osteoarthritis: Predictors of enrollment in a randomized treatment trial</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Abstract Objective This paper examines the prevalence and severity of comorbid pain, insomnia, and depression in a population sample of older adults with osteoarthritis (OA), and assesses characteristics distinguishing participants from non-participants in a randomized clinical trial to improve pain and sleep. Methods Potential subjects were Group Health Cooperative members, aged 60+, who had an electronic medical record OA diagnosis in the prior 3 years. Participants were recruited using a low-cost mailed survey. Fifty-five percent of surveys were completed and returned ( n = 3321). Persons with Grade II–IV arthritis pain on the Graded Chronic Pain Scale and reporting sleep difficulties 3+ nights/week during the past month with daytime dysfunction ( n = 834) were invited to participate in one of three group-format behavioral self-management interventions. A total of 367 participants attended the first group class. Results One-third (36.4%) of survey respondents had clinically elevated levels of OA pain and insomnia. Group participants and non-participants did not differ in ratings of pain severity, sleep disturbance, depression, or receipt of prescription medications for pain or sleep. Participants were significantly older ( p < .001) and more likely to be retired ( p < .001) than subjects who were eligible to participate but did not. Conclusion Participation in a group-format behavioral intervention for pain and insomnia was not related to participant clinical characteristics, but only to factors associated with ability to attend a daytime class (age and retirement status). We conclude that population-based recruitment yielded randomized trial participants who are clinically generalizable to the population of OA patients with significant pain and insomnia.</description><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Chronic pain</subject><subject>Comorbidity</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Diseases of the osteoarticular system</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - epidemiology</subject><subject>Pain</subject><subject>Pain - epidemiology</subject><subject>Pain Measurement</subject><subject>Patient Selection</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Recruitment</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders - epidemiology</subject><subject>Sleep problems</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNks-KFDEQhxtR3HH1FSQX8bLTVtL_0h4EXVwVFhRU8BYySTWTtjsZUxllfAyf2LQzuuBFT4Hkq1-F-qooGIeSA2-fjOW4o4PZhohUCuC8hKYELm4VKy67fs2rFm4XKwAh1lXf92fFPaIRANpeNHeLM8HzZd-JVfHjKuKXPXpzYGFgJswhbpxlzlOYvdMXbKedv2DaW2Zxl9uRCz4_szBZjEzb_ZSIfXNpywIlDDqmbXTJ0VP2LqJ1JoVISzT6GKZpRp-Was1ijgyz-46WpYg6_XpJ0enpfnFn0BPhg9N5Xny8evnh8vX6-u2rN5fPr9emqSGt-UYI6G03tAO0WupODK3FWg91K_uao2xrlI2t5AZR1xorBKstYIdSNsbU1Xnx-Ji7iyGPgJKaHRmcJu0x7En1eUgdF3X1T1L2UtYAFWRSHkkTA1HEQe2im3U8KA5qUadGdaNOLeoUNCqry6UPT032mxntn8LfrjLw6ARoMnoa8gSNoxuuEQ2vZJe5F0cO8_C-OoyKjMuGs42IJikb3P_85tlfIWZy3uW-n_GANIZ99FmO4oqEAvV-WbVl0ziHnNt9qn4ClpfVpA</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>McCurry, Susan M</creator><creator>Von Korff, Michael</creator><creator>Vitiello, Michael V</creator><creator>Saunders, Kathleen</creator><creator>Balderson, Benjamin H</creator><creator>Moore, Amy L</creator><creator>Rybarczyk, Bruce D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope></search><sort><creationdate>20111101</creationdate><title>Frequency of comorbid insomnia, pain, and depression in older adults with osteoarthritis: Predictors of enrollment in a randomized treatment trial</title><author>McCurry, Susan M ; Von Korff, Michael ; Vitiello, Michael V ; Saunders, Kathleen ; Balderson, Benjamin H ; Moore, Amy L ; Rybarczyk, Bruce D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-1b2209d7f6f06a8a72f6de4af468941e864e85d38beea4ae3e0dad0e7e885cc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Chronic pain</topic><topic>Comorbidity</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Diseases of the osteoarticular system</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - epidemiology</topic><topic>Pain</topic><topic>Pain - epidemiology</topic><topic>Pain Measurement</topic><topic>Patient Selection</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Recruitment</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders - epidemiology</topic><topic>Sleep problems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McCurry, Susan M</creatorcontrib><creatorcontrib>Von Korff, Michael</creatorcontrib><creatorcontrib>Vitiello, Michael V</creatorcontrib><creatorcontrib>Saunders, Kathleen</creatorcontrib><creatorcontrib>Balderson, Benjamin H</creatorcontrib><creatorcontrib>Moore, Amy L</creatorcontrib><creatorcontrib>Rybarczyk, Bruce D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McCurry, Susan M</au><au>Von Korff, Michael</au><au>Vitiello, Michael V</au><au>Saunders, Kathleen</au><au>Balderson, Benjamin H</au><au>Moore, Amy L</au><au>Rybarczyk, Bruce D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency of comorbid insomnia, pain, and depression in older adults with osteoarthritis: Predictors of enrollment in a randomized treatment trial</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>71</volume><issue>5</issue><spage>296</spage><epage>299</epage><pages>296-299</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><coden>JPCRAT</coden><abstract>Abstract Objective This paper examines the prevalence and severity of comorbid pain, insomnia, and depression in a population sample of older adults with osteoarthritis (OA), and assesses characteristics distinguishing participants from non-participants in a randomized clinical trial to improve pain and sleep. Methods Potential subjects were Group Health Cooperative members, aged 60+, who had an electronic medical record OA diagnosis in the prior 3 years. Participants were recruited using a low-cost mailed survey. Fifty-five percent of surveys were completed and returned ( n = 3321). Persons with Grade II–IV arthritis pain on the Graded Chronic Pain Scale and reporting sleep difficulties 3+ nights/week during the past month with daytime dysfunction ( n = 834) were invited to participate in one of three group-format behavioral self-management interventions. A total of 367 participants attended the first group class. Results One-third (36.4%) of survey respondents had clinically elevated levels of OA pain and insomnia. Group participants and non-participants did not differ in ratings of pain severity, sleep disturbance, depression, or receipt of prescription medications for pain or sleep. Participants were significantly older ( p < .001) and more likely to be retired ( p < .001) than subjects who were eligible to participate but did not. Conclusion Participation in a group-format behavioral intervention for pain and insomnia was not related to participant clinical characteristics, but only to factors associated with ability to attend a daytime class (age and retirement status). We conclude that population-based recruitment yielded randomized trial participants who are clinically generalizable to the population of OA patients with significant pain and insomnia.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21999972</pmid><doi>10.1016/j.jpsychores.2011.05.012</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult and adolescent clinical studies Aged Aged, 80 and over Biological and medical sciences Chronic pain Comorbidity Depression Depression - epidemiology Diseases of the osteoarticular system Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Female Geriatrics Humans Insomnia Male Medical sciences Middle Aged Mood disorders Nervous system (semeiology, syndromes) Neurology Osteoarthritis Osteoarthritis - epidemiology Pain Pain - epidemiology Pain Measurement Patient Selection Prevalence Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Randomized Controlled Trials as Topic Recruitment Sleep Sleep Initiation and Maintenance Disorders - epidemiology Sleep problems |
title | Frequency of comorbid insomnia, pain, and depression in older adults with osteoarthritis: Predictors of enrollment in a randomized treatment trial |
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