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Difficult life events affect lower extremity illness.

Aresh Al Salman1, Michael Z Khatiri1, Teun Cremers1

  • 1Department of Surgery and Perioperative Care, Dell Medical School, 1601 Trinity St Bldg B, Austin, TX, 78712, US.

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Summary
This summary is machine-generated.

Difficult life events are linked to reduced activity tolerance in patients with lower extremity symptoms. Addressing life stressors may improve physical function and symptom management in specialty care settings.

Keywords:
Difficult life eventsGradual-onset diseaseLower extremity illnessPatient reported outcome measures

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Area of Science:

  • Musculoskeletal health
  • Psychological distress
  • Patient-reported outcomes

Background:

  • Psychological distress is associated with reduced activity tolerance.
  • Stressful life events may decrease coping abilities, increase symptoms, and lead to seeking specialty care.
  • This study investigates the link between difficult life events and activity intolerance/pain intensity.

Purpose of the Study:

  • To determine if difficult life events are associated with greater activity intolerance.
  • To determine if difficult life events are associated with greater pain intensity.
  • To identify factors associated with activity intolerance and pain intensity in patients seeking specialty care.

Main Methods:

  • 127 patients with lower extremity symptoms completed questionnaires on life events (Holmes Rahe Life Stress Inventory), pain intensity, activity tolerance (PROMIS CAT), anxiety (GAD-2), depression (PROMIS Depression CAT), and self-efficacy.
  • Clinicians noted if the disease was established or new.
  • Bivariate and multivariable analyses were performed.

Main Results:

  • Difficult life events were associated with greater activity intolerance (p=0.04).
  • Pain intensity was not associated with difficult life events.
  • Pain intensity was associated with established disease, greater anxiety symptoms, and less education (p<0.01).

Conclusions:

  • Reduced activity tolerance in musculoskeletal patients may indicate difficult life events.
  • Addressing life stressors can potentially improve symptoms and physical capability.
  • Specialists should be prepared to offer support resources to patients experiencing significant life stress.