Hopman-Rock M, Odding E, Hofman A, Kraaimaat F W, Bijlsma J W
TNO Prevention and Health, Division of Public Health and Prevention, Leiden, The Netherlands.
J Rheumatol. 1996 Jun;23(6):1037-44.
To determine physical and psychosocial disability in subjects aged 55 to 74 years living in the community, in relation to pain in the hip and/or knee, and to explore the relationships between pain, physical and psychosocial disability, and selected background variables.
A subsample from a community based study on pain, disability, and radiological osteoarthritis (ROA) was used to identify groups with sporadic, episodic, and chronic pain and a reference group. Disability was assessed with the Sickness Impact Profile. Data were available for 306 subjects (response 83%).
The mean physical disability in the group with chronic (and more severe) pain (N = 59) was 5.4 times and psychosocial disability was 3.6 times higher than those of a reference group (N = 72). The body mass index, the existence of extra mobility problems, and ROA were independently positively related to physical disability. Male sex, having extra mobility problems, and moderate ROA were independently positively related to psychosocial disability.
Subjects with more chronic (and severe) pain in the hip and/or knee had relatively high levels of physical as well as psychosocial disability, compared to a reference group without any signs of OA. Pain chronicity had no significant contribution to physical disability, if corrected for other factors. Both forms of disability in subjects with pain were better predicted by ROA and by problems other than pain in the hip or knee alone, than by the chronicity of the pain.
确定社区中年龄在55至74岁的人群中，与髋部和/或膝部疼痛相关的身体和心理社会残疾情况，并探讨疼痛、身体和心理社会残疾以及选定背景变量之间的关系。
从一项基于社区的疼痛、残疾和放射学骨关节炎（ROA）研究的子样本中，确定患有散发性、发作性和慢性疼痛的组以及一个参照组。使用疾病影响量表评估残疾情况。有306名受试者的数据可用（应答率83%）。
慢性（且更严重）疼痛组（N = 59）的平均身体残疾程度是参照组（N = 72）的5.4倍，心理社会残疾程度是参照组的3.6倍。体重指数、存在额外的活动问题以及ROA与身体残疾独立正相关。男性、存在额外的活动问题以及中度ROA与心理社会残疾独立正相关。
与无任何骨关节炎迹象的参照组相比，髋部和/或膝部有更慢性（且严重）疼痛的受试者身体和心理社会残疾水平相对较高。如果校正其他因素，疼痛慢性程度对身体残疾无显著影响。对于有疼痛的受试者，两种形式的残疾通过ROA以及除髋部或膝部疼痛之外的其他问题比通过疼痛慢性程度能得到更好的预测。
