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Quality of life in elderly subjects with pain in the hip or knee

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Abstract

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 psychosocial disability was assessed with the Sickness Impact Profile (SIP). Coping 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 (p=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 psychosocial 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.

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References

  1. Valkenburg HA. Epidemiologic considerations of the geriatric population. Gerontology 1988; 34 (Suppl 1): 2-10.

    Article  PubMed  Google Scholar 

  2. Bagge E, Bjelle A, Eden S, Svanborg A. A longitudinal study of the occurrence of joint complaints in elderly people. Age Ageing 1992; 21: 160-167.

    Article  CAS  PubMed  Google Scholar 

  3. Woo J, Ho SC, Lau J, Leung CP. Musculoskeletal complaints and associated consequences in elderly Chinese aged 70 years and over. J Rheumatol 1994; 21: 1927-1931.

    CAS  PubMed  Google Scholar 

  4. McAlindon TE, Cooper C, Kirwan JR, Dieppe PA. Knee pain and disability in the community. B J Rheumatol 1992; 31: 189-192.

    Article  CAS  Google Scholar 

  5. Odding E, Valkenburg HA, Algra D, Vandenouweland FA, Grobbee DE, Hofman A. Association of locomotor complaints and disability in the Rotterdam study. Ann Rheum Dis 1995; 54: 721-725.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Bagge E, Bjelle A, Eden S, Svanborg A. Osteoarthritis in the elderly: clinical and radiographic findings in 79 and 85 year olds. Ann Rheum Dis 1991; 50: 535-539.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Dekker J, Boot B, van der Woude LHV, Bijlsma JWJ. Pain and disability in osteoarthritis: A review of biobehavioral mechanisms. J Behav Med 1992; 15: 189-214.

    Article  CAS  PubMed  Google Scholar 

  8. Moskowitz RW. Clinical and laboratory findings in osteoarthritis. In: MacCarty DJ. Arthritis and Allied Conditions: A Text Book of Rheumatology. London UK: Lea and Febiger, 1989: 1605-1630

    Google Scholar 

  9. Cobb S, Merchant WR, Rubin T. The relationship of symptoms to osteoarthritis. J Chron Dis 1957; 5: 197-204.

    Article  CAS  PubMed  Google Scholar 

  10. Lawrence JS, Bremmer JM, Bier F. Osteoarthritis: prevalence in the population and relationship between symptoms and x-ray changes. Ann Rheum Dis 1966; 25: 1-24.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Hochberg MC, Lawrence RC, Everett DF, Cornoni-Huntley JC. Epidemiologic associations of pain in osteoarthritis of the knee: data from the national health and nutrition examination survey and the national health and nutrition examination–I. Epidemiologic follow-up survey. Semin Arthritis Rheum 1989; 18 (Suppl 2): 4-9.

    Article  CAS  PubMed  Google Scholar 

  12. Folkman S, Lazarus RS. An analysis of coping in a middle aged community sample. J Health Soc Behav 1980; 21: 219-239.

    Article  CAS  PubMed  Google Scholar 

  13. Bock GH de, Kaptein AA, Touw-Otten FAW, Mulder JD. Quality of life in patients with osteoarthritis in a family practice setting. Arthritis Care Res 1995; 8: 88-93.

    Article  PubMed  Google Scholar 

  14. Burckhardt CS. Quality of life for women with arthritis. Health Care Women Intern 1988; 9: 229-238.

    Article  CAS  Google Scholar 

  15. Downe-Wamboldt B. Coping and life satisfaction in elderly women with osteoarthritis. J Adv Nurs 1991; 16: 1328-1335.

    Article  CAS  PubMed  Google Scholar 

  16. Burke M, Flaherty MJ. Coping strategies and health status of elderly arthritic women. J Adv Nurs 1993; 18: 7-13.

    Article  CAS  PubMed  Google Scholar 

  17. Haes JCJM de, van Knippenberg FCE, Trijsburg RW. —Epiloog. Een theorie over kwaliteit van leven bij patiënten? [summary in English] Ned Tijdschr Psychol 1991; 46: 146- 150.

    Google Scholar 

  18. Knippenberg FCE van, de Haes JCJM, Trijsburg RW. —Kwaliteit van leven in de medische setting [summary in English]. Ned Tijdschr Psycholog 1991; 46: 93-96.

    Google Scholar 

  19. Rejeski WJ, Shumaker S. Knee osteoarthritis and health related quality of life. Med Sci Sports Exerc 1994; 26: 1441-1445.

    Article  CAS  PubMed  Google Scholar 

  20. Szalaï A. The meaning of comparative research on the quality of life. In: Szalaï A, Andrews FM. The Quality of Life, Comparative Studies.London, UK: Sage, 1980: 7-21.

    Google Scholar 

  21. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psy 1986; 51: 1173-1182.

    Article  CAS  Google Scholar 

  22. Hofman A, Grobbee DE, de Jong PTVM, van den Ouweland FA. Determinants of disease and disability in the elderly: The Rotterdam Elderly Study. Eur J Epidemiol 1991; 7: 403-422.

    Article  CAS  PubMed  Google Scholar 

  23. Odding E. Locomotor disability in the elderly. An epidemiological study of its occurrence and determinants in a general population of 55 years and over (Dissertation). Rotterdam the Netherlands: Erasmus University, 1994: 200.

    Google Scholar 

  24. Kellgren JH, Lawrence JS. Atlas of Standard Radiographs. The Epidemiology of Chronic Rheumatism, Volume 2.Oxford, UK: Blackwell Scientific Publications, 1963.

    Google Scholar 

  25. World Health Organization. International Classification of Impairments, Disabilities, and Handicaps.Geneva: ILO, 1980.

    Google Scholar 

  26. Bergner M, Bobbitt RA, Carter WB, Gilson BS. The Sickness Impact Profile: development and final revision of a health status measure. Med Care 1981; 19: 787-805.

    Article  CAS  PubMed  Google Scholar 

  27. Jacobs HM, Luttik A, Touw-Otten FWMM, de Melker RA. The Sickness Impact Profile: Results of a validation study of the Dutch version [De "sickness Impact Profile’; resultaten van een valideringsonderzoek van de Nederlandse versie]. Ned Tijdschr Geneeskd 1990; 134: 1950-1954.

    CAS  PubMed  Google Scholar 

  28. Schreurs PJG, van den Willige G, Brosschot JF, Tellegen B, Graus GMH. The Utrecht Coping List: UCL [De Utrechtse Coping Lijst: UCL, herziene handleiding]. Lisse the Netherlands: Swets & Zeitlinger, 1993.

    Google Scholar 

  29. Haes JCJM de. Quality of life of patients with cancer [Kwaliteit van leven van kankerpatiënten] (Dissertation). Leiden, The Netherlands: University of Leiden, 1988: 211.

    Google Scholar 

  30. Witte LP de, Tilli DJP, Ticheler AJG, Winants BAC, van der Horst FG, van der Linden SJ. Living with a rheumatic disease: A study about quality of life of 372 people with a rheumatic disease. [Leven met een reumatische aandoening: een onderzoek naar de ervaren kwaliteit van het leven bij 372 mensen met een reumatische aandoening]. Hoensbroek the Netherlands: Instituut voor Revalidatievraagstukken, 1989.

    Google Scholar 

  31. SPSSx. User's Guide. Chicago, IL: SPSS Inc, 1990.

    Google Scholar 

  32. Cohen J. Statistical Power Analysis for the Behavioral Sciences.Hillsdale NJ: Lawrence Erlbaum, 1988.

    Google Scholar 

  33. Downe-Wamboldt B. Stress, emotions, and coping: A study of elderly women with osteoarthritis. Health Care Wom Intern 1991; 12: 85-98.

    Article  CAS  Google Scholar 

  34. Hopman-Rock M, Odding E, Hofman A, Kraaimaat FW, Bijlsma JWJ. Physical and psychological disability in elderly subjects in relation to pain in the hip and/or knee. J Rheumatol 1996; 23: 1037-1044.

    CAS  PubMed  Google Scholar 

  35. Wade DT. Measurement in neurological rehabilitation. Oxford, UK: Oxford Medical Publications, 1992.

    Google Scholar 

  36. Shaar K, McCarthy M. Definitions and determinants of handicap in people with disabilities. Epidemiol Rev 1994; 16: 228-242.

    Article  CAS  PubMed  Google Scholar 

  37. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 1983; 16: 87-101.

    Article  PubMed  Google Scholar 

  38. Tennant A, McKenna SP. Conceptualizing and defining outcome. B J Rheumatol 1995; 34: 899-900.

    Article  CAS  Google Scholar 

  39. Browne JP, O'Boyle CA, McGee HM, et al. Individual quality of life in the healthy elderly. Qual Life Res 1994; 3: 235-244.

    Article  CAS  PubMed  Google Scholar 

  40. Laborde JM, Powers MJ. Life satisfaction, health control orientation, and illness-related factors in persons with osteoarthritis. Res Nurs Health 1985; 8: 183-190.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division Public Health and Prevention, TNO Prevention and Health, Leiden, The Netherlands

    M. Hopman-Rock

  2. Department of Medical Psychology, University of Nijmegen, Nijmegen, The Netherlands

    F. W. Kraaimaat

  3. Department of Rheumatology and Clinical Immunology, University of Utrecht, Utrecht, The Netherlands

    J. W. J. Bijlsma

Authors
  1. M. Hopman-Rock
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  2. F. W. Kraaimaat
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  3. J. W. J. Bijlsma
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Hopman-Rock, M., Kraaimaat, F.W. & Bijlsma, J.W.J. Quality of life in elderly subjects with pain in the hip or knee. Qual Life Res 6, 67–76 (1997). https://doi.org/10.1023/A:1026421629416

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  • DOI: https://doi.org/10.1023/A:1026421629416

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