Pain Catastrophizing and Pain-Related Fear in Osteoarthritis Patients: Relationships to Pain and Disability

被引：224

作者：

Somers, Tamara J. ^{[1
]}

Keefe, Francis J. ^{[1
]}

Pells, Jennifer J. ^{[1
]}

Dixon, Kim E. ^{[1
]}

Waters, Sandra J. ^{[1
]}

Riordan, Paul A. ^{[1
]}

Blumenthal, James A. ^{[1
]}

Mckee, Daphne C. ^{[1
]}

LaCaille, Lara ^{[1
]}

Tucker, Jessica N. ^{[1
]}

Schmitt, Daniel ^{[1
]}

Caldwell, David S. ^{[1
]}

Kraus, Virginia B. ^{[1
]}

Sims, Ershela L. ^{[1
]}

Shelby, Rebecca A. ^{[1
]}

Rice, John R. ^{[1
]}

机构：

[1] Duke Univ, Med Ctr, Durham, NC 27708 USA

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 2009年 / 37卷 / 05期

关键词：

Pain catastrophizing; pain-related fear; osteoarthritis; LOW-BACK-PAIN; IMPACT MEASUREMENT SCALES; EXPOSURE IN-VIVO; HEALTH-STATUS; BEHAVIORAL TREATMENT; KNEE OSTEOARTHRITIS; RHEUMATIC-DISEASES; COPING STRATEGIES; ARTHRITIS; AGE;

D O I：

10.1016/j.jpainsymman.2008.05.009

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

This study examined the degree to which pain catastrophizing and pain-related fear explain pain, psychological disability, physical disability, and walking speed in patients with osteoarthritis (OA) of the knee. Participants in this study were 106 individuals diagnosed as having OA of at least one knee, who reported knee pain persisting for six months or longer Results suggest that pain catastrophizing explained a significant proportion (all Ps <= 0.05) of variance in measures of pain (partial r(2) [pr(2)] = 0.10), psychological disability (pr(2) = 0.20), physical disability (pr(2) = 0.11), and gait velocity at normal (pr(2) = 0.04), fast (pr(2) = 0.04), and intermediate speeds (pr(2) = 0.04). Pain-related fear explained a significant Proportion of the variance in measures of psychological disability (pr(2) = 0.07) and walking at a fast speed (pr(2) = 0.05). Pain cognitions, particularly pain catastrophizing, appear to be important variables in understanding pain, disability, and walking at normal, fast., and intermediate speeds in knee OA patients. Clinicians interested in understanding variations in pain and disability in this population may benefit by expanding the focus of their inquiries beyond traditional medical and demographic variables to include an assessment of pain catastrophizing and pain-related fear. J Pain Symptom Manage 2009;37:863-872. (C) 2009 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

引用

页码：863 / 872

页数：10

共 31 条

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Anthropometric measures, body composition, body fat distribution, and knee osteoarthritis in women [J].