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Psychological Profiles and Pain Characteristics of Older Adults With Knee Osteoarthritis
Open accessAbstract
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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“It is also associated with elevated pain severity and disability among abuse victims 73, 74.”
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Metadata
- 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
- 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
- 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
- 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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