Salaffi F, Cavalieri F, Nolli M, Ferraccioli G
Rheumatic Disease Unit, University Hospital of Parma, Italy.
J Rheumatol. 1991 Oct;18(10):1581-6.
Sixty-one women with symptomatic knee osteoarthritis were given the Italian version of Arthritis Impact Measurement Scale which showed a good construct through the factorial analysis. The disability index was then related to the body mass index, the anatomical/radiographic damage, to the severity of pain assessed either through the McGill Pain Questionnaire or a visual analog scale, and finally to the degree of anxiety and depression as obtained from the Zung depression and anxiety inventory scores. A statistically significant relationship was found between radiographic damage and body weight, while disability correlated with the degree of psychological involvement and with the age of the patients. Through the stepwise multiple regression analysis we demonstrated that the pain experience and disability scores are strongly influenced by psychological impact. Our data may have important therapeutic implications.
61名有症状的膝关节骨关节炎女性接受了意大利语版的关节炎影响测量量表，通过因子分析显示该量表结构良好。然后将残疾指数与体重指数、解剖学/影像学损伤、通过麦吉尔疼痛问卷或视觉模拟量表评估的疼痛严重程度，以及最终从zung抑郁和焦虑量表得分得出的焦虑和抑郁程度相关联。发现影像学损伤与体重之间存在统计学上的显著关系，而残疾与心理影响程度和患者年龄相关。通过逐步多元回归分析，我们证明疼痛体验和残疾评分受心理影响很大。我们的数据可能具有重要的治疗意义。
