Cited by 157Musculoskeletal pain and rehabilitationPain Mechanisms and TreatmentsOsteoarthritis Treatment and Mechanisms

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Psychological Profiles and Pain Characteristics of Older Adults With Knee Osteoarthritis

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Cruz‐Almeida, Yenisel, King, Christopher D., Goodin, Burel R., Sibille, Kimberly T., Glover, Toni L., Riley, Joseph L., Sotolongo, Adriana, Herbert, Matthew S., Schmidt, Jessica, Fessler, Barri J., Redden, David T., Staud, Roland, Bradley, Laurence A., Fillingim, Roger B.·2013·Arthritis Care & Research

DOI 10.1002/acr.22070PMC PMC3922880

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Abstract

Objective: To identify psychological profiles in persons with knee osteoarthritis (OA) and to determine the relationship between these profiles and specific pain and sensory characteristics, including temporal summation and conditioned pain modulation. Methods: Individuals with knee OA (n = 194) completed psychological, health, and sensory assessments. Hierarchical cluster analysis was used to derive psychological profiles that were compared across several clinical pain/disability and experimental pain responses. Results: Cluster 1 had high optimism with low negative affect, pain vigilance, anger, and depression, along with the lowest self‐reported pain/disability and the lowest sensitivity to mechanical, pressure, and thermal pain ( P < 0.01 for all). Cluster 2 had low positive affect with high somatic reactivity, while cluster 3 showed high pain vigilance with low optimism. Clusters 2 and 3 had intermediate levels of self‐reported pain/disability and cluster 3 experienced central sensitization to mechanical stimuli. Participants in cluster 3 also displayed significant pain facilitation ( P < 0.05). Cluster 4 exhibited the highest pain vigilance, reactivity, negative affect, anger, and depression. These individuals experienced the highest self‐reported pain/disability, including widespread pain ( P < 0.001 for all). Cluster 4 was most sensitive to mechanical, pressure, and thermal stimuli, and showed significant central sensitization to mechanical and thermal stimuli ( P < 0.001 for all). Conclusion: Our findings demonstrate the existence of homogeneous psychological profiles displaying unique sets of clinical and somatosensory characteristics. Multidisciplinary treatment approaches consistent with the biopsychosocial model of pain should provide significant advantages if targeted to profiles such as those in our OA sample.

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Authors: Cruz‐Almeida, Y., King, C. D., Goodin, B. R., Sibille, K. T., Glover, T. L., Riley, J. L., Sotolongo, A., Herbert, M. S., Schmidt, J., Fessler, B. J., Redden, D. T., Staud, R., Bradley, L. A., & Fillingim, R. B.
Affiliations: University of Florida (US)
University of Alabama at Birmingham (US)
ORCID: Cruz‐Almeida, Yenisel
King, Christopher D.
Goodin, Burel R.
Sibille, Kimberly T.
Glover, Toni L.
Riley, Joseph L.
Herbert, Matthew S.
Redden, David T.
Staud, Roland
Bradley, Laurence A.
Fillingim, Roger B.
Venue: Arthritis Care & Research
Publisher: Wiley
Published: 2013-11
Volume: 65
Issue: 11
Pages: 1786-1794
ISSN: 0893-7524 (ISSN-L)
2151-464X
2151-4658
DOI: 10.1002/acr.22070
PMC: PMC3922880
OpenAlex: W1680632626
Cited by: 157
References: 38
Citations by year: 2026: 2 · 2025: 6 · 2024: 17 · 2023: 18 · 2022: 11 · 2021: 11 · 2020: 15 · 2019: 15 · 2018: 19 · 2017: 14 · 2016: 12 · 2015: 11 · 2014: 4 · 2013: 1
FWCI: 6.85
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Arthritis Care & Research (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r01ag033906-10, UL1TR000064, UL1TR000165)
National Institute on Aging (L30 AG040467, R-01-AG-033906, AG033906, R37AG033906, L30 AG043172, R01AG039659, P30AG028740)
National Institute of Dental and Craniofacial Research (T90DE021990)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
Keywords: knee osteoarthritis, psychological profile, pain characteristics, temporal summation, conditioned pain modulation, central sensitization, pain vigilance, optimism, negative affect, depression, anger, widespread pain, pain sensitivity, biopsychosocial model of pain, older adults
MeSH terms: Aged, Aged, 80 and over, Depression, Disability Evaluation, Female, Humans, Male, Middle Aged, Pain Measurement, Prognosis, Psychometrics, Surveys and Questionnaires, Severity of Illness Index, United States, Prevalence, Disease Progression, Arthralgia, Osteoarthritis, Knee

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Psychological Profiles and Pain Characteristics of Older Adults With Knee Osteoarthritis

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