RADIOGRAPHIC ASSESSMENT AND PSYCHOLOGIC VARIABLES AS PREDICTORS OF PAIN AND FUNCTIONAL IMPAIRMENT IN OSTEO-ARTHRITIS OF THE KNEE OR HIP
RADIOGRAPHIC ASSESSMENT AND PSYCHOLOGIC VARIABLES AS PREDICTORS OF PAIN AND FUNCTIONAL IMPAIRMENT IN OSTEO-ARTHRITIS OF THE KNEE OR HIP
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DOI：
10.1002/art.1780310208
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发表时间：
1988-02-01
影响因子：
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通讯作者：
ALARCON, GS
中科院分区：
文献类型：
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作者：
SUMMERS, MN;HALEY, WE;ALARCON, GS
65例膝关节和/或髋关节骨关节炎门诊患者进行了评估，采用放射学评分的疾病严重程度，心理应对措施，疼痛程度和功能障碍的多维临床结局。疾病严重程度对临床结果的个体差异性影响很小。即使在控制了疾病的严重程度后，心理变量仍然是功能障碍和疼痛的个体差异的强预测因子。心理过程作为疾病严重程度和临床结果之间的潜在中介，值得临床和研究给予更大的关注。
Sixty-five outpatients with osteoarthritis of the knee and/or hip were assessed using radiographic ratings of disease severity, measures of psychologic coping, and multidimensional clinical outcomes of degree of pain and functional impairment. Disease severity accounted for little of the individual variability in clinical outcomes. Even after controlling for disease severity, psychologic variables remained strong predictors of individual differences in functional impairment and pain. Psychologic processes deserve greater clinical and research attention as potential mediators between disease severity and clinical outcome.