Razmjou Helen, Robarts Susan, Denis Suzanne, Wainwright Amy, Dickson Patricia, Murnaghan John
Sunnybrook Health Sciences Centre, Canada.
University of Toronto, Canada.
J Health Psychol. 2025 Apr;30(5):1017-1027. doi: 10.1177/13591053241253895. Epub 2024 May 27.
The purpose of this study was to examine the role of psychosocial factors in the discordance between perceived and observed physical disability in patients with osteoarthritis of the hip or knee joint. This was a cross-sectional study of patients seen for consideration of joint arthroplasty surgery. Patients completed a psychosocial outcome measure, a patient self-reported functional scale, and two performance-based tests. Data of 121 patients, mean age, 67 (8), 81 (67%) females were used for analysis. The fear avoidance and positive affect domains had the strongest association with the discordance between the self-report and both performance outcome measures. Age, gender, and severity of osteoarthritis were associated with discordance in relation to walking. Fear avoidance beliefs and positive affect play important roles in perception of pain and function. Age, gender, and severity of arthritis should be taken into consideration for a more holistic approach to arthritis care.
本研究的目的是探讨心理社会因素在髋或膝关节骨关节炎患者感知到的身体残疾与观察到的身体残疾之间不一致中所起的作用。这是一项针对因考虑关节置换手术而就诊患者的横断面研究。患者完成了一项心理社会结局测量、一项患者自我报告的功能量表以及两项基于表现的测试。对121例患者的数据进行了分析，这些患者的平均年龄为67岁（标准差8岁），其中81例（67%）为女性。恐惧回避和积极情感领域与自我报告和两项表现结局测量之间的不一致关联最强。年龄、性别和骨关节炎严重程度与步行方面的不一致有关。恐惧回避信念和积极情感在疼痛和功能感知中起着重要作用。为了更全面地进行关节炎护理，应考虑年龄、性别和关节炎严重程度。
