Cited by 142Musculoskeletal pain and rehabilitationOsteoarthritis Treatment and MechanismsResilience and Mental Health

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Adaptation to Early Knee Osteoarthritis: The Role of Risk, Resilience, and Disease Severity on Pain and Physical Functioning

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Wright, Lisa Johnson, Zautra, Alex J., Going, Scott·2008·Annals of Behavioral Medicine

DOI 10.1007/s12160-008-9048-5PMC PMC2613296

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Abstract

BACKGROUND: Radiographic joint changes are used to diagnose osteoarthritis; however, they alone do not adequately predict who experiences symptoms. PURPOSE: To examine psychological risk and resilience factors in combination with an objective indicator of disease severity (knee X-rays) to determine what factors best account for pain and physical functioning in an early knee osteoarthritis (KOA) population. METHODS: Structural equation modeling was used to analyze data from 275 men and women with early KOA. RESULTS: Structural equation modeling yielded a fair to good fit of the data, suggesting that both risk and resilience were important in predicting pain and physical functioning over and above disease severity in the expected directions. Resilience's effect on pain was mediated through self-efficacy, suggesting that higher self-efficacy was linked to lower pain and better physical functioning. CONCLUSIONS: Results provide an integrative model of adjustment to early KOA and may be important to the prevention of disability in this population.

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Authors: Wright, L. J., Zautra, A. J., & Going, S.
Affiliations: University of California San Diego (US)
Arizona State University (US)
University of Arizona (US)
Corresponding author: Wright, Lisa Johnson
ORCID: Going, Scott
Venue: Annals of Behavioral Medicine
Publisher: Oxford University Press (OUP)
Published: 2008-08
Volume: 36
Issue: 1
Pages: 70-80
ISSN: 0742-5554 (ISSN-L)
0883-6612
1532-4796
DOI: 10.1007/s12160-008-9048-5
PMC: PMC2613296
OpenAlex: W2169351650
Cited by: 141
References: 65
Citations by year: 2026: 1 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 8 · 2021: 8 · 2020: 8 · 2019: 9 · 2018: 10 · 2017: 12 · 2016: 15 · 2015: 5 · 2014: 14 · 2013: 12 · 2012: 7
FWCI: 2.81
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Annals of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR047595)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords: knee osteoarthritis, early osteoarthritis, psychological adjustment, resilience, psychological risk factors, self-efficacy, pain, physical function, disease severity, knee radiographs, disability prevention
MeSH terms: Adaptation, Psychological, Adult, Affect, Depressive Disorder, Factor Analysis, Statistical, Female, Humans, Knee Joint, Male, Middle Aged, Models, Psychological, Radiography, Self-Assessment, Severity of Illness Index, Chi-Square Distribution, Cost of Illness, Pain Threshold, Risk Assessment, Osteoarthritis, Knee, Self Efficacy

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Adaptation to Early Knee Osteoarthritis: The Role of Risk, Resilience, and Disease Severity on Pain and Physical Functioning

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