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Association between widespread pain and psychosocial factors in people with knee osteoarthritis: a cross-sectional study of patients from primary care in Denmark.
Peral Pérez, Javier; Mortensen, Sofie Rath; Lluch Girbés, Enrique; Grønne, Dorte T; Thorlund, Jonas B; Roos, Ewa M; Skou, Søren T.
Afiliación
  • Peral Pérez J; Department of Physiotherapy, Cardenal Herrera University CEU, CEU Universities, Valencia, Spain.
  • Mortensen SR; Department of Physiotherapy, University of Alcala, Alcala, Spain.
  • Lluch Girbés E; Department of Physiotherapy, University of Valencia, Valencia, Spain.
  • Grønne DT; Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
  • Thorlund JB; The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Naestved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.
  • Roos EM; Department of Physiotherapy, University of Valencia, Valencia, Spain.
  • Skou ST; Pain in Motion International Research Group, Brussels, Belgium.
Physiother Theory Pract ; : 1-11, 2024 Jul 01.
Article en En | MEDLINE | ID: mdl-38946473
ABSTRACT

INTRODUCTION:

The relationship between psychosocial factors and bodily pain in people with knee osteoarthritis (KOA) is unclear.

PURPOSE:

To examine whether widespread pain was associated with poorer self-efficacy, more anxiety, depression, and kinesiophobia in people with KOA.

METHODS:

This was a cross-sectional study based on data from Good Life with osteoArthritis in Denmark (GLAD®). The association between widespread pain (multiple pain sites) and self-efficacy (Arthritis Self-Efficacy Scale), anxiety and depression (item from the EQ-5D-5 L), and kinesiophobia (yes/no) was examined using multiple linear tobit or logistic regression models.

RESULTS:

Among 19,323 participants, 10% had no widespread pain, 37% had 2 pain sites, 26% had 3-4 pain sites, and 27% had ≥5 pain sites. Widespread pain was associated with poorer self-efficacy (-0.9 to -8.3 points), and the association was stronger with increasing number of pain sites (p-value <.001). Significant increasing odds ratios (ORs) were observed for having anxiety or depression with 3-4 pain sites (OR 1.29, 95% CI 1.12; 1.49) and ≥5 pain sites (OR 1.80, 95% CI 1.56; 2.07). Having 2 and 3-4 pain sites were associated with lower odds of kinesiophobia compared to having no widespread pain.

CONCLUSION:

Widespread pain was associated with lower self-efficacy and more anxiety and depression but also lower kinesiophobia in people with KOA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Physiother Theory Pract Asunto de la revista: MEDICINA FISICA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Physiother Theory Pract Asunto de la revista: MEDICINA FISICA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido