Pain Catastrophizing Is Associated With Health-Related Quality of Life in Patients With Hip Osteoarthritis: A Multicenter Cross-Sectional Study.

IF 1.5 Q3 RHEUMATOLOGY

Musculoskeletal Care Pub Date : 2025-03-01 DOI:10.1002/msc.70034

Shigeharu Tanaka, Atsushi Shinonaga, Takashi Tsuru, Yuya Sato, Masahiro Taguchi, Masashi Igarashi, Ryosuke Takane, Shawn M Robbins

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引用次数: 0

Abstract

Objective: This study aimed to examine the relationship between pain catastrophizing (PC) and health-related quality of life (HRQoL), while accounting for pain intensity and other factors in patients with hip osteoarthritis (OA).

Methods: This multicenter, cross-sectional study included a total of 160 participants and was conducted at five hospitals in Japan. The primary outcome was the HRQoL status, which was assessed using the Japanese version of the 12-item Short Form. Physical (PCS-12) and mental (MCS-12) component summary scores were used as dependent variables. Age, sex, body mass index (BMI), affected side, hip OA severity, bilateral range of motion (ROM), muscle strength, pain intensity, and PC scale scores were measured as independent variables. After screening, multiple regression analysis was performed for each outcome.

Results: Higher BMI (β = -0.17, p < 0.05), higher hip flexion ROM on the unaffected side (β = -0.26, p < 0.05), lower hip flexion ROM on the affected side (β = 0.22, p < 0.05) and higher PC scale score (β = -0.28, p < 0.05) were associated with worse PCS-12. In addition, higher BMI (β = -0.18, p < 0.05) and higher PC scale scores (β = -0.29, p < 0.05) were associated with worse MCS-12 after accounting for confounding factors.

Conclusion: This study suggested that PC is an issue in patients with hip OA and is a potential target for interventions aimed at improving HRQoL.

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髋部骨关节炎患者疼痛灾变与健康相关生活质量相关：一项多中心横断面研究

目的：探讨髋关节骨关节炎（OA）患者疼痛灾变（PC）与健康相关生活质量（HRQoL）的关系，同时考虑疼痛强度等因素。方法：这项多中心、横断面研究包括160名参与者，在日本的5家医院进行。主要结果是HRQoL状态，使用日本版的12项简短表格进行评估。身体（PCS-12）和心理（MCS-12）成分总结得分作为因变量。年龄、性别、体重指数（BMI）、患侧、髋关节OA严重程度、双侧活动范围（ROM）、肌肉力量、疼痛强度和PC量表得分作为自变量进行测量。筛选后对各结果进行多元回归分析。结果：较高的BMI （β = -0.17, p）。结论：本研究提示PC是髋关节OA患者的一个问题，是旨在改善HRQoL的干预措施的潜在目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Care RHEUMATOLOGY-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.