Hopman-Rock M, Kraaimaat F W, Bijlsma J W
TNO Prevention and Health, Division Public Health and Prevention, Leiden, The Netherlands.
Qual Life Res. 1997 Jan;6(1):67-76. doi: 10.1023/a:1026421629416.
This study examines the quality of life (QOL) of community living elderly people aged 55-74 with chronic, episodic or sporadic pain in the hip or knee and of a reference group without pain (total n = 306). Firstly, it was hypothesized that the experienced QOL is lower in people with more chronic pain. Secondly, the potential mediating and moderating roles of disability and of coping with problems in general on the relationship between pain chronicity and QOL were assessed. A Visual Analogue Scale was used to assess global QOL. Physical as well as psychological disability was assessed with problems in general was assessed with the Utrecht Coping List. As expected, a significantly lower QOL was found in people with more chronic pain (n = 0.045). The difference in QOL between the group with chronic pain and a reference group without pain was 10%. A multivariate regression model showed that physical and especially psychological disability are mediators in the relationship between pain chronicity and QOL and that seeking social support as a coping style is a more important predictor of the experienced QOL than either pain chronicity or physical disability. No moderating role of the style of coping with problems was found.
本研究调查了55至74岁患有髋部或膝部慢性、发作性或散发性疼痛的社区老年人以及无疼痛对照组（共306人）的生活质量（QOL）。首先，研究假设慢性疼痛程度越高的人，其生活质量越低。其次，评估了残疾以及一般应对问题在疼痛慢性程度与生活质量关系中可能起到的中介和调节作用。使用视觉模拟量表评估总体生活质量。通过一般问题评估身体和心理残疾状况，使用乌得勒支应对清单评估应对问题的情况。正如预期的那样，慢性疼痛程度较高的人（n = 0.045）的生活质量显著较低。慢性疼痛组与无疼痛对照组之间的生活质量差异为10%。多元回归模型表明，身体残疾尤其是心理残疾是疼痛慢性程度与生活质量关系的中介因素，并且作为一种应对方式，寻求社会支持比疼痛慢性程度或身体残疾更能预测生活质量。未发现应对问题方式的调节作用。
