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Coping, pain, and disability in osteoarthritis: a longitudinal study
M P Steultjens1, J Dekker, J W Bijlsma
1The Netherlands Institute of Health Services Research (Nivel), Utrecht. m.steultjens@nivel.nl
The Journal of Rheumatology
|May 22, 2001
Summary
For knee osteoarthritis (OA), resting predicts future disability, while transforming pain increases pain. These coping styles did not significantly impact hip OA outcomes.
Area of Science:
- Rheumatology
- Pain Management
- Psychosocial Factors in Health
Background:
- Osteoarthritis (OA) is a prevalent degenerative joint disease causing pain and disability.
- Coping styles are psychological strategies individuals use to manage stressful situations, including chronic pain.
- Understanding how coping influences OA progression is crucial for effective management.
Purpose of the Study:
- To investigate the prospective relationship between coping styles and outcomes in patients with knee and hip osteoarthritis.
- To determine if active and passive coping strategies predict future pain and disability levels.
Main Methods:
- Regression analysis was employed to examine data from 71 hip OA and 119 knee OA patients.
- Coping styles (active vs. passive) were assessed and correlated with pain and disability at a 36-week follow-up.
- Baseline disability levels were controlled for in the analysis.
Main Results:
- In knee OA, a passive coping style (resting) predicted increased disability at 36 weeks.
- For knee OA, an active coping style (transforming pain) predicted increased pain at 36 weeks.
- No significant associations between coping styles and pain or disability were found in hip OA patients.
Conclusions:
- Resting is a significant predictor of disability in knee OA, consistent with findings in other chronic conditions.
- Transforming pain emerged as a risk factor for increased pain severity in knee OA.
- Coping styles appear to have differential impacts on knee versus hip OA outcomes.