Adaptation to early knee osteoarthritis: the role of risk, resilience, and disease severity on pain and physical functioning.
Adaptation to early knee osteoarthritis: the role of risk, resilience, and disease severity on pain and physical functioning.
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DOI：
10.1007/s12160-008-9048-5
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发表时间：
2008-08
影响因子：
3.8
通讯作者：
Going, Scott
中科院分区：
文献类型：
--
作者：
Wright, Lisa Johnson;Zautra, Alex J.;Going, Scott
影像学关节变化用于诊断骨关节炎;然而，它们本身并不能充分预测谁会出现症状。结合疾病严重程度的客观指标（膝关节X线检查）检查心理风险和弹性因素，以确定哪些因素最能解释早期膝关节骨关节炎（KOA）人群的疼痛和身体功能。采用结构方程模型分析了275名早期KOA男性和女性的数据。结构方程模型产生了一个公平到良好的数据拟合，这表明风险和弹性都是重要的预测疼痛和身体功能超过疾病的严重程度在预期的方向。弹性对疼痛的影响是通过自我效能来介导的，这表明更高的自我效能与更低的疼痛和更好的身体功能有关。结果提供了一个综合模型的调整，早期KOA，并可能是重要的残疾预防在这一人群。
Radiographic joint changes are used to diagnose osteoarthritis; however, they alone do not adequately predict who experiences symptoms. To examine psychological risk and resilience factors in combination with an objective indicator of disease severity (knee X-rays) to determine what factors best account for pain and physical functioning in an early knee osteoarthritis (KOA) population. Structural equation modeling was used to analyze data from 275 men and women with early KOA. Structural equation modeling yielded a fair to good fit of the data, suggesting that both risk and resilience were important in predicting pain and physical functioning over and above disease severity in the expected directions. Resilience’s effect on pain was mediated through self-efficacy, suggesting that higher self-efficacy was linked to lower pain and better physical functioning. Results provide an integrative model of adjustment to early KOA and may be important to the prevention of disability in this population.
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