Social Determinants and Osteoarthritis Outcomes

Luong, My Linh N.; Cleveland, Rebecca J.; Nyrop, Kirsten A.; Callahan, Leigh F.

doi:10.2217/ahe.12.43

Cited by 111 publications

(103 citation statements)

References 153 publications

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“…State anxiety studies indicate that it results from the individual's dispositions and situational variables; thus there is no clarity as to the adaptability of coping style values (Luong et al, 2012;Endler, 1997;Smith & Wallston, 1996). It seems that the results presented by the authors confirm certain positive aspects of task-oriented coping and the orientation to give positive meaning to difficulties.…”

Section: Discussionmentioning

confidence: 85%

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Coping with anxiety in patients undergoing hip replacement

Stecz¹,

Kocur²

2014

Polish Journal of Applied Psychology

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Abstract:Our research aim was to answer whether temperament traits could predict the anxiety experienced by osteoarthritis patients before and after arthroplasty; we analyzed if coping styles moderated the relationship between temperament and perioperative anxiety, and examined the fluctuation of perceived stress and anxiety.In the longitudinal study (N=61, mean age 70.9) we measured temperament traits (EAS-A), coping styles (Brief-COPE) and changes of perceived anxiety (STAI) and stress (PSS-10), before and after arthroplasty. Anxiety and stress decreased significantly after the surgery. Temperament correlated with the anxiety state. Positive correlates were anger, negative affectivity, and fear while negative correlates included sociability and vigor. Regression analyses indicated the predictors of preoperative anxiety which included vigor and negative affectivity. The regression model for the variation of postsurgical anxiety indicated that negative affectivity explained the variance of this variable (R 2 =0.57). Moderation analyses confirmed that the temperament and anxiety relationship depended on: active coping, acceptance and planning. Vulnerable patients with temperamental emotionality and ineffective coping report heightened perioperative anxiety, while effective coping moderates the temperament and anxiety relationship. Keywords:anxiety, coping behavior, osteoarthritis, temperament, chronic disease Streszczenie:Celem było określenie, czy cechy temperamentu warunkują nasilenie lęku u osób z chorobą zwyrodnieniową stawu biodrowego przed i po endoprotezoplastyce, zweryfikowanie czy style copingu pośredniczą w ewentualnym związku uwarunkowań temperamentalnych z poziomem lęku oraz ocena fluktuacji lęku i stresu. W badaniu podłużnym (N=61, średnia wieku 70.9) dokonano pomiaru cech temperamentu (EAS-D), stylów radzenia ze stresem (Mini-COPE) oraz zmian w poziomie odczuwanego lęku (STAI) i stresu (PSS-10). Nasilenie lęku i odczuwanego stresu istotnie zmalały, cechy temperamentu korelowały z odczuwanym lękiem. Do dodatnich korelatów należały: złość, niezadowolenie i strach; towarzyskość i aktywność korelowały ujemnie. Metodą analizy regresji wyodrębniono predyktory lęku: aktywność i niezadowolenie. Niezadowolenie wyjaśniało znaczny procent wariancji odczuwanego lęku w czasie rehabilitacji (R 2 =0,57). Analiza moderacji wykazała, że aktywne radzenie, akceptacja i planowanie wpływały na związek związku temperamentu z lękiem. Cechy temperamentu mają umiarkowany wpływ na nasilenie lęku okołooperacyjnego, chociaż style zaradcze (planowanie, akceptacja, aktywne radzenie) łagodzą negatywny związek uwarunkowań temperamentalnych z odczuwanym lękiem w badanej grupie.

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Section: Discussionmentioning

confidence: 85%

“…However, Carver and others (1989) claim that the idea of "stable coping dispositions" is "somewhat controversial" (p.270). Apart from coping, the researchers pay attention to perceived social support as a factor supporting mental balance in OA (Luong et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Coping with anxiety in patients undergoing hip replacement

Stecz¹,

Kocur²

2014

Polish Journal of Applied Psychology

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“…As would be expected, both income and education had a protective effect on disability in this study. SES characteristics like income and education, however, do not directly affect disability, but operate through other factors such as lifestyle choices (smoking, alcohol consumption, diet, or physical exercise) or psychological factors (perceived helplessness, social support and perceived discrimination) (Everson et al 2002;Hagen et al 2006;Luong et al 2012;Newbold and Neligan 2012). For example, studies have shown that obesity and low physical exercise are associated disability (Baumgartner et al 2004;Peters et al 2005).…”

Section: Discussionmentioning

confidence: 99%

Health literacy and disability: differences between generations of Canadian immigrants

Omariba

2014

Int J Public Health

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“…Social inequity plays an important role in the prevalence of chronic diseases [1,2], but information related to rheumatic diseases is still scarce [3,4]. Few studies have identified the existence of inequities among patients with rheumatoid arthritis (RA) [4], osteoarthritis (OA) [5], and systemic lupus erythematosus [6] in any country.…”

Section: Introductionmentioning

confidence: 99%

The Social Gap Index and the prevalence of osteoarthritis in the community: a cross-sectional multilevel study in Mexico

et al. 2014

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Multilevel studies have gained importance for highlighting social inequalities in health. These associations have been reported previously in diseases such as arthritis and chronic pain. We conducted a cross-sectional study using multilevel analysis to identify individual and contextual factors associated with the variation of prevalence of osteoarthritis (OA) in the Mexican population. The sample included 17,566 individuals of which 10,666 (60.7%) were women. The relationship between individual and contextual factors and OA were analyzed with a multilevel strategy. From the total population, 1,681 individuals had OA. Multilevel analysis showed that individual variables such as female gender (odds ratio (OR) = 1.3, 95% confidence interval (CI) 1.1, 1.4), age range 55-65 years (OR = 1.6, 95% CI 1.3, 2.0), musculoskeletal pain in the last 7 days (OR = 2.6, 95% CI 2.3, 3.0), and use of pain treatments (OR = 1.4, 95% CI 1.2, 1.7) were associated with OA. At the regional level, the Social Gap Index (SGIx) was associated with the diagnosis of OA (coefficient 0.5, 95% CI 0.2-1.1). The SGIx contextual variable was positively associated with the regional prevalence of OA and the variation in prevalence of OA in different regions. The larger the social gap, the greater the variation in OA prevalence. These factors were independently associated with the prevalence of OA: female gender, pain intensity, physical limitation, and the use of pain treatments were individual variables associated with OA. The association between OA prevalence and regional variations with SGIx reflects inequities in health provisions that should be considered in health programs.

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Social Determinants and Osteoarthritis Outcomes

Cited by 111 publications

References 153 publications

Coping with anxiety in patients undergoing hip replacement

Coping with anxiety in patients undergoing hip replacement

Health literacy and disability: differences between generations of Canadian immigrants

The Social Gap Index and the prevalence of osteoarthritis in the community: a cross-sectional multilevel study in Mexico

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