Abstract:
OBJECTIVES:To explore whether the psychologic variables anxiety, depression, and fear-avoidance beliefs, and interactions between these variables, are associated with physical function in patients with knee osteoarthritis (OA). We hypothesized lower levels of function would be related to higher anxiety, higher depression, and higher fear-avoidance beliefs, and that high levels of 2 of these factors simultaneously might interact to have a greater adverse effect on physical function. DESIGN:Cross-sectional, correlational design. SETTING:Institutional practice. PARTICIPANTS:Subjects included patients with knee OA (N=182; age, mean +/- SD, 63.9+/-8.8y; 122 women). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Self-report measures of function included the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, the Lower Extremity Function Scale (LEFS), and the Knee Outcome Survey-Activity of Daily Living Scale. The Get Up and Go test was used as a physical performance measure of function. Self-report measures for psychologic variables included the Beck Anxiety Inventory, the Center for Epidemiological Studies Depression Scale, and the Fear Avoidance Belief Questionnaire-Physical Activity Scale modified for the knee. RESULTS:Higher anxiety was related to poorer function on the WOMAC physical function. Both high anxiety and fear-avoidance beliefs were related to poorer function on the LEFS and Knee Outcome Survey-Activity of Daily Living Scale. There was no association between the psychologic variables and the Get Up and Go test. The anxiety x depression interaction was associated with the LEFS. CONCLUSIONS:Anxiety and fear-avoidance beliefs are associated with self-report measures of function in patients with knee OA. Depression may influence scores on the LEFS under conditions of low anxiety.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Scopaz KA,Piva SR,Wisniewski S,Fitzgerald GKdoi
10.1016/j.apmr.2009.06.012subject
Has Abstractpub_date
2009-11-01 00:00:00pages
1866-73issue
11eissn
0003-9993issn
1532-821Xpii
S0003-9993(09)00613-3journal_volume
90pub_type
杂志文章abstract:OBJECTIVE:To examine the system of connections among traumatic brain injury (TBI) patient social functioning, family functioning, and caregiver depression and burden in Mexico. DESIGN:Cross-sectional survey. SETTING:A public medical facility. PARTICIPANTS:Mexican TBI patient-caregiver dyads (N=84) participated in th...
journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.11.016
更新日期:2009-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2016-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2016-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2013-10-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2010-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2004-10-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2018-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2008-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:1991-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25077
更新日期:2001-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2017-04-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-10-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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doi:
更新日期:1990-04-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2001-06-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2009-01-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2000-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.05.020
更新日期:2012-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2019-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2014-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2012-10-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.05.010
更新日期:2006-08-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2005-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:1998-03-01 00:00:00