Coping styles and disability in patients with hand osteoarthritis

Liu, Rani; Damman, W.; Kaptein, Adrian A.; Rosendaal, Frits R.; Kloppenburg, Margreet

doi:10.1093/rheumatology/kev295

Cited by 16 publications

(10 citation statements)

References 23 publications

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“…The longitudinal data on the hand outlined here did not confirm the role of pain as a mediator in the OA and physical function decline association that was uncovered during one of our cross‐sectional studies (11,35–38), but showed that pain was a confounder. In accordance with our previous results, the current study found associations between the participants’ physical function and psychological factors (39–41). Anxiety, which is an emotional reaction associated to a nonspecific stimulus, could lead to preventative behaviors, such as avoidance of potentially painful stimuli or activities (39).…”

Section: Discussionsupporting

confidence: 93%

Factors Associated With Functional Decline in Hand and Hip/Knee Osteoarthritis After One Year: Data From a Population‐Based Study

Siviero

Limongi

Gesmundo

et al. 2021

Arthritis Care & Research

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Objective To investigate factors that together with hand or hip/knee osteoarthritis (OA) could contribute to functional decline over a year’s time in elderly individuals. Methods The data of 1,886 individuals between ages 65 and 85 years in a prospective, observational population‐based study with 12–18 months of follow‐up in the context of the European Project on Osteoarthritis were analyzed. The outcome measures were self‐reported hand and hip/knee functional decline, evaluated using a minimum clinically important difference of 4 on the Australian/Canadian Hand OA Index and of 2 on the Western Ontario and McMaster Universities Osteoarthritis Index hip/knee physical function subscales, both normalized to 0–100. Using regression models adjusted for sex, age, country, and education level, the baseline factors considered were clinical hand or hip/knee OA, pain, analgesic/antiinflammatory medications, comorbidities, social isolation, income, walking time, grip strength, physical activity time, and medical/social care. Results After a year, 453 participants were identified as having worse hand functionality and 1,389 as not worse. Hand OA, anxiety, walking time, and grip strength were risk factors for hand functional decline; pain was a confounder of the effect of hand OA. Analgesic/antiinflammatory medications mediated the combined effect of hip/knee OA plus pain on functional decline in the 554 individuals classified as having worse hip/knee functionality and the 1,291 persons who were not worse. Peripheral artery disease, obesity, and cognitive impairment were other baseline risk factors. Conclusion Study findings showed that together with emotional status and chronic physical and cognitive conditions, OA affects hand and hip/knee functional decline.

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Section: Discussionsupporting

confidence: 93%

Factors Associated With Functional Decline in Hand and Hip/Knee Osteoarthritis After One Year: Data From a Population‐Based Study

Siviero

Limongi

Gesmundo

et al. 2021

Arthritis Care & Research

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“…Although there is mixed evidence around the association between disease duration and progression of osteoarthritis (26), we found that those patients with newly diagnosed osteoarthritis (≤1 year) or those with long‐standing disease (≥10 years) were not at significantly increased risk of self‐harm. This finding could be due to patients with a recent diagnosis not yet having a prolonged negative experience of osteoarthritis, which could be a contributing factor to self‐harm, or those with very long‐standing osteoarthritis having developed coping mechanisms (27).…”

Section: Discussionmentioning

confidence: 99%

Rheumatic Conditions as Risk Factors for Self‐Harm: A Retrospective Cohort Study

Prior

Paskins

Whittle

et al. 2020

Arthritis Care & Research

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Objective. To examine the risk of self-harm in rheumatic conditions. Methods. We conducted a retrospective cohort study using data from the Clinical Practice Research Datalink. Patients with ankylosing spondylitis, fibromyalgia, osteoarthritis, or rheumatoid arthritis were identified from 1990 to 2016 and matched to patients without these conditions. Incident self-harm was defined by medical record codes following a rheumatic diagnosis. Incidence rates (per 10,000 person-years) were reported for each condition, both overall and year-on-year (2000-2016). Cox regression analysis determined risk (hazard ratio [HR] and 95% confidence interval [95% CI]) of self-harm for each rheumatic cohort compared to the matched unexposed cohort. Initial crude analysis was subsequently adjusted and stratified by age and sex. Due to nonproportionality over time, osteoarthritis was also stratified by disease duration (<1 year, ≥1 to <5 years, ≥5 to <10 years, and ≥10 years). Results. The incidence of self-harm was highest in patients with fibromyalgia (HR 25.12 [95% CI 22.45-28.11] per 10,000 person-years) and lowest for osteoarthritis (HR 6.48 [95% CI 6.20-6.76]). There was a crude association with each rheumatic condition and self-harm, except for ankylosing spondylitis. Although attenuated, these associations remained after adjustment for fibromyalgia (HR 2.06 [95% CI 1.60-2.65]), rheumatoid arthritis (HR 1.59 [95% CI 1.20-2.11]), and osteoarthritis (1 to <5 years HR 1.12 [95% CI 1.01-1.24]; ≥5 to <10 years HR 1.35 [95% CI 1.18-1.54]). Age and sex were weak effect modifiers for these associations. Conclusion. Primary care patients with fibromyalgia, osteoarthritis, or rheumatoid arthritis (but not ankylosing spondylitis) are at increased risk of self-harm compared to people without these rheumatic conditions. Clinicians need to be aware of the potential for self-harm in patients with rheumatic conditions (particularly fibromyalgia), explore mood and risk with them, and offer appropriate support and management.

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“…This might be explained by the contribution of psychosocial factors to self-reported disability. Examples of such factors are depression, illness perceptions, coping styles and anxiety [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Illness perceptions and their association with 2 year functional status and change in patients with hand osteoarthritis

et al. 2018

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Coping styles and disability in patients with hand osteoarthritis

Abstract: In patients with hand OA, joint-specific factors and coping styles decreasing activity and pacing were both associated with disability. Our results suggest that interventions should aim at joint-specific complaints as well as changing coping styles to improve functional outcome.

Cited by 16 publications

References 23 publications

Factors Associated With Functional Decline in Hand and Hip/Knee Osteoarthritis After One Year: Data From a Population‐Based Study

Factors Associated With Functional Decline in Hand and Hip/Knee Osteoarthritis After One Year: Data From a Population‐Based Study

Rheumatic Conditions as Risk Factors for Self‐Harm: A Retrospective Cohort Study

Illness perceptions and their association with 2 year functional status and change in patients with hand osteoarthritis

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