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Psychosocial factors and the pain experience of osteoarthritis patients: new findings and new directions
Abstract
PURPOSE OF REVIEW: The present paper reviews recent psychosocial research in the area of osteoarthritis pain. First, the review highlights studies of psychosocial factors that can influence osteoarthritis pain. Next, research testing the efficacy of psychosocial treatments for osteoarthritis pain is summarized. RECENT FINDINGS: Recent studies suggest that asking osteoarthritis patients to recall pain experiences may not be as accurate as having them keep daily pain records. New studies also support the notion that fatigue and increased weight are linked to higher osteoarthritis pain. Osteoarthritis patients who report higher levels of depression are more prone to report increased osteoarthritis pain. New studies also indicate that social factors such as ethnic background, ability to communicate pain to others, and participation in social activities can influence osteoarthritis pain and disability. Cognitions about pain (i.e. pain catastrophizing, acceptance, self-efficacy for pain) also have been found to relate to pain in patients with osteoarthritis. Recent, randomized controlled studies suggest that psychosocial interventions (i.e. self-management programs, exercise) can decrease osteoarthritis pain and disability. SUMMARY: Several psychosocial variables have been suggested as influencing osteoarthritis pain and disability. There is evidence that psychosocial interventions may decrease osteoarthritis pain and disability.
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“associations between catastrophizing and perceived solicitous responses 339, 340, 343, perceived instrumental support 103, and perceived critical responses to pain 106 have been observed.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [343]
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The role of psychosocial processes in the development and maintenance of chronic pain
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“In samples of obese patients with knee osteoarthritis, catastrophizing was associated with poorer weight management, with more frequent binge eating, with reduced physical capacity, and with reduced weightrelated quality of life.(210) In prospective studies in patients with acute LBP, those with high levels of negativ…”
Evaluating psychosocial contributions to chronic pain outcomes
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Metadata
- Authors
- Somers, T. J., Keefe, F. J., Godiwala, N., & Hoyler, G. H.
- Affiliations
- Duke Medical Center (US)
- Duke University (US)
- Corresponding author
- Keefe, Francis J
- Venue
- Current Opinion in Rheumatology
- Published
- 2009-09
- Volume
- 21
- Issue
- 5
- Pages
- 501-506
- ISSN
- 1040-8711 (ISSN-L)
- OpenAlex
- W1996735164
- Cited by
- 135
- References
- 57
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 6 · 2023: 2 · 2022: 5 · 2021: 10 · 2020: 7 · 2019: 3 · 2018: 13 · 2017: 11 · 2016: 9 · 2015: 9 · 2014: 12 · 2013: 12 · 2012: 10
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (P01-AR-50245, R01AR049059, P01AR050245, R01AR054626, R34AR056727)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- osteoarthritis pain, psychosocial factors, pain catastrophizing, pain acceptance, depression, fatigue, body weight, pain recall, ethnicity, social participation (health and rehabilitation), pain communication, self-management program, exercise intervention, disability
- MeSH terms
- Cognition, Fatigue, Humans, Obesity, Osteoarthritis, Pain, Psychology, Stress, Psychological, Pain Management
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