Assessment of Affective Temperament in Knee Osteoarthritis Patients and Its Effects on Physical Therapy Response

Abstract

A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : To de ter mi ne the most com mon do mi nant af fec ti ve tem pe ra ment and its ef fects on the physi cal the rapy out co mes in pa ti ents with kne e os te o art hri tis (OA). M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : One hun dred and fi ve pri mary kne e OA pa ti ents re fer red with kne e pa in we re as sessed for eli gi bi lity. Eighty-six pa ti ents who met inc lu si on and exc lu si on cri te ri a we re inc lu ded in this study. Physi cal the rapy was app li ed on ce da ily, fi ve days a we ek, a to tal of 15 ses si ons to the both kne es of the pa ti ents. Tre at ment res pon se was eva lu a ted by vi su al ana log sca le be fo re and af ter the the rapy. Pa ti ents we re di vi ded in to two gro ups by tre at ment res pon se: Gro up 1 (pain al le vi a ti on ≥50%) and, Gro up 2 (pa in al le vi a ti on < 50%). Tur kish ver si on of the Tem pe rament Eva lu a ti on of Memp his, Pi sa, Pa ris and San Di e go Au to qu es ti on na i re (TEMPS-A) sca le was used to de ter mi ne the do mi nant af fec ti ve tem pe ra ment. R Re e s su ul lt ts s: : The fre qu ency of dep res si ve, an xi o us, ir ri tab le, cycloth ymic and hyperth ymic tem pe ra ments we re 18.6%, 17.4%, 5.8%, 3.5% and 0%, res pec ti vely. The physi cal the rapy out co me was go od in 59 pa ti ents (Gro up 1) whe reas it was po or in 27 pa ti ents (Gro up 2). The most com mon do mi nant af fec ti ve tem pe ra ment was dep res si ve tem pe ra ment in both gro ups. Pre va len ce of do mi nant af fec ti ve tem pe ra ments was not sig ni fi cantly dif fe rent bet we en Gro up 1 and Gro up 2. This study al so sho wed that physi cal the rapy out co me was not as so ci a ted with do mi nant af fec ti ve tem pe ra ment. C Co on nc c l lu u s si i o on n: : This study sug gest that dep res si ve and an xi o us tem pe ra ments are the most com mon do mi nant af fecti ve tem pe ra ments, and the re ap pe ars to be no as so ci a ti on bet we en the pa in al le vi a ti on by physi cal the rapy and do mi nant af fec ti ve tem pe ra ment in kne e OA pa ti ents. K Ke ey y W Wo or rd ds s: : Tem pe ra ment; os te o art hri tis; tre at ment out co me Ö ÖZ ZE ET T A Am ma aç ç: : Diz os te o ar trit li has ta lar da, en yay gın bas kın afek tif mi za cı ve bunun fi zik te da vi sonuç la rı nı et ki le yip et ki le me di ği ni be lir le mek. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Diz ağ rı sı ile baş vu ran 105 pri mer diz os te o ar trit li has ta de ğer len di ril di. Da hil edil me ve dış lan ma kri ter le ri ne uyan 86 hasta bu ça lış ma ya da hil edil di. Has ta la ra haf ta da beş gün gün de bir kez her iki di ze top lam 15 se ans uy gu lan dı. Te da vi den ön ce ve son ra alı nan te da vi ya nı tı vi zü el ana log ska la sı ile de ğer len di ril di. Te da vi ye alı nan ya nıt yö nün den has ta lar iki gru ba ay rıl dı lar: Grup 1 (≥%50 ağ rı da azal ma) ve grup 2 (<%50 ağ rı da azal ma). Memp his, Pi sa, Pa ris ve San Di e go Duy gu du rum Oto an ket (TEMPS-A) ...

Central Sensitization and Chronic Pain Personality Profile: Is There New Evidence? A Case-Control Study

“…Thus, if there are no differences, either between groups with OA, or groups with CS, but there are differences between FM and OA-noCS, we could assume that the HA dimension is the key. In Çidem et al's [23] knee OA research where they studied the personality profile, they found that the depressive temperament was the most frequent for these patients. This temperament has common features with the HA dimension, for example, being worried, passive, pessimistic, and anxious.…”

“…Little is known in the field of personality in OA, although it is the most prevalent musculoskeletal disease; presumably, plenty of OA patients suffer CP, and there are studies that show that the patient's personality predicts recovery after total knee arthroplasty [22]. Çidem, Rezvani, and Karacan [23] studied personality in patients with knee OA, defined as affective temperament (depressive, hyperthymic, cyclothymic, irritable, and anxious), which describes the attitudes and behavior of individuals based on the constitutional, genetic, and biological factors. In knee OA patients, depressive temperament (hypercritical or complaining, passive or indecisive, self-critical, pessimistic, incapable of fun, and becoming worried) was the most common dominant affective temperament.…”