Prognostic value of coping strategies in a community-based sample of persons with chronic symptomatic knee osteoarthritis.
Prognostic value of coping strategies in a community-based sample of persons with chronic symptomatic knee osteoarthritis.
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DOI：
10.1016/j.pain.2013.08.012
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发表时间：
2013-12
期刊：
影响因子：
7.4
通讯作者：
Riddle DL
中科院分区：
文献类型：
--
作者：
Alschuler KN;Molton IR;Jensen MP;Riddle DL
放射学膝关节骨关节炎（OA）是一种高度流行的疾病，已成为许多研究的重点，这些研究确定了持续或恶化的疼痛和功能的预后因素。尽管先前的预后研究已经确定了一些人口统计学、身体和心理因素可预测结局，但很少关注疼痛应对技能作为预后因素，尽管横断面证据表明疼痛应对技能与膝关节OA的疼痛和功能相关。本研究报告的使用疼痛应对技能作为预后因素的变化，疼痛和/或功能超过1年的时间。参与者来自骨关节炎倡议，这是一项前瞻性纵向队列研究，研究对象是从社区招募的膝关节OA患者或膝关节OA高危人群。将应对策略问卷的数据与1年内疼痛、功能或两者的变化进行比较，使用既定标准定义患者在1年内是否好转、恶化或保持不变。结果显示，祈祷/希望，增加的行为活动，和疼痛灾难化作为疼痛预后的显着效果;忽视疼痛和祈祷/希望功能预后;和增加的行为活动和疼痛灾难化的预测组合疼痛和功能的结果。这些发现提供了重要的新证据，关于一些疼痛应对反应的潜在临床相关性，假设这些反应会影响关节炎患者未来的疼痛和功能。
Radiographic knee osteoarthritis (OA) is a highly prevalent condition that has been the focus of a number of studies identifying factors that are prognostic of continued or worsening pain and function. Although prior prognostic studies have identified a number of demographic, physical, and psychological factors that are predictive of outcome, minimal focus has been placed on pain coping skills as prognostic factors, despite cross-sectional evidence suggesting that pain coping skills are associated with pain and function in knee OA. The present study reports on the use of pain coping skills as prognostic factors for changes in pain and/or function over a 1-year period. Participants were drawn from the Osteoarthritis Initiative, a prospective longitudinal cohort study of persons recruited from the community who either had knee OA or were at high risk for developing knee OA. Data from the Coping Strategies Questionnaire were compared against 1-year change in pain, function, or both, using established criteria for defining whether the patient got better, worse, or stayed the same over the 1-year period. Results revealed a significant effect for praying/hoping, increased behavioral activities, and pain catastrophizing as prognostic of pain outcomes; ignoring pain and praying/hoping were prognostic of function outcomes; and increased behavioral activities and pain catastrophizing were prognostic of a combined pain and function outcome. The findings provide important new evidence regarding the potential clinical relevance of a number of pain coping responses hypothesized to influence future pain and function in persons with arthritis.
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影响因子：
--
作者：
Hawker, Gillian A.;Badley, Elizabeth M.;Sale, Joanna E. M.
通讯作者：
Sale, Joanna E. M.
影响因子：
7.4
作者：
KEEFE, FJ;CRISSON, J;WILLIAMS, DA
通讯作者：
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影响因子：
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作者：
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通讯作者：
Wolfe, Frederick
DOI：
10.1080/00207144.2011.522892
发表时间：
2011-01-01
影响因子：
1.7
作者：
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通讯作者：
Kraft, George H.
影响因子：
7.4
作者：
Jensen, MP;Keefe, FJ;Turner, JA
通讯作者：
Turner, JA