Correlation among pain catastrophizing, depressive symptom, and activity of daily living in older Thai Buddhist monks with knee osteoarthritis

Authors

  • Thanakrit Jeamjitvibool Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Suparb Aree-Ue Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Phichpraorn Youngcharoen Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Viroj Kawinwonggowit Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Keywords:

Activity of daily living, depressive symptom, knee OA, older Thai Buddhist monk, pain catastrophizing

Abstract

Background: Older Thai Buddhist monks are usually accustomed to a unique lifestyle that potentially relates to knee osteoarthritis (OA) such as long-standing kneeling on the hard surface. Understanding the association among pain catastrophizing, depressive symptoms, and activity of daily living (ADL) in this population with knee OA may help reduce the psychosocial problems and promote their sacred activities.

Objective: To determine the relationship between pain catastrophizing, depressive symptoms, and ADL in older Thai Buddhist monks with knee OA.

Methods: In all, 105 older monks with knee OA were recruited in this study. Data were collected by using a set of questionnaires and analyzed with descriptive statistics and Pearson’s product-moment coefficient correlations.

Results: Accordingly, 2.86% and 27.62% of the subjects experienced pain catastrophizing and depressive symptoms, respectively. There was a moderate positive correlation between pain catastrophizing and depressive symptoms (r = 0.43, P = 0.01). Interestingly, pain catastrophizing and depressive symptoms had a strong negative correlation with ADL (r = - 0.65; P = 0.01, and r = - 0.52; P = 0.01, respectively).

Conclusion: The significant correlation between pain catastrophizing and depressive symptoms was demonstrated among older Thai monks with knee OA. Pain catastrophizing and depressive symptoms had a strong reverse correlation with ADL. Further studies are required to develop nursing care that potentially reduces psychosocial threats and promotes ADL in the at-risk population with knee OA.

Downloads

Download data is not yet available.

References

Prashansanie Hettihewa A, Gunawardena NS, Atukorala I, Hassan F, Lekamge IN, Hunter DJ. Prevalence of knee osteoarthritis in a suburban, Srilankan, adult female population: a populationbased study. Int J Rheum Dis 2018;21:394-401. https://doi.org/10.1111/1756-185X.13225

Barbour KE, Helmick CG, Boring M, Brady TJ. Vital signs: prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation-United States, 2013-2015. MMWR Morb Mortal Wkly Rep 2017;66:246-53. https://doi.org/10.15585/mmwr.mm6609e1

Department of Health, Ministry of Public Health. Roport of health survey in Thai older adults in 2013 under the health promotion plan for the older adults and disabled peoples. BKK: Vatcharin Printing; 2013.

Verbeek J, Mischke C, Robinson R, Ijaz S, Kuijer P, Kievit A, et al. Occupational exposure to knee loading and the risk of osteoarthritis of the knee: a systematic review and a dose-response meta-analysis. Saf Health Work 2017;8:130-42. https://doi.org/10.1016/j.shaw.2017.02.001

Phrakrusuvithanpatthanabundit, Daengharn T, Vapuchavitee S. Model development of monk's holistic health care in Khon Kaen province through the network participation. Journal of the Office of DPC 6 Khonkaen 2016; 22:117-29.

Pihl K, Englund M, Lohmander LS, Jørgensen U, Nissen N, Schjerning J, et al. Signs of knee osteoarthritis common in 620 patients undergoing arthroscopic surgery for meniscal tear. Acta Orthop 2017;88:90-5. https://doi.org/10.1080/17453674.2016.1253329

Conaghan PG, Peloso PM, Everett SV, Rajagopalan S, Black CM, Mavros P, et al. Inadequate pain relief and large functional loss among patients with knee osteoarthritis: evidence from a prospective multinational longitudinal study of osteoarthritis real-world therapies. Rheumatology 2014;54:270-7.

https://doi.org/10.1093/rheumatology/keu332

Vaughan MW, LaValley MP, Felson DT, Orsmond GI, Niu J, Lewis CE, et al. Affect and incident participation restriction in adults with knee osteoarthritis. Arthritis Care Res 2018;70:542-9.

https://doi.org/10.1002/acr.23308

Skoufa L, Givissis PK, Simos G. Pain catastrophizing, depression and their impact on pain intensity. Int J Novel Res Healthcare Nurs 2015;2:59-65.

Ikemoto T, Miyagawa H, Shiro Y, Arai YC, Akao M, Murotani K, et al. Relationship between biological factors and catastrophizing and clinical outcomes for female patients with knee osteoarthritis. World J Orthop 2017;8:278-85. https://doi.org/10.5312/wjo.v8.i3.278

Sharma A, Kudesia P, Shi Q, Gandhi R. Anxiety and depression in patients with osteoarthritis: impact and management challenges. Open Access Rheumatol 2016; 8:103-13.

https://doi.org/10.2147/OARRR.S93516

Odole A, Ekediegwu E, Ekechukwu EN, Uchenwoke C. Correlates and predictors of pain intensity and physical function among individuals with chronic knee osteoarthritis in Nigeria. Musculoskelet Sci Pract 2019;39:150-6. https://doi.org/10.1016/j.msksp.2018.11.014

Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of minicog, a brief cognitive screening test. Geriatr Gerontol Int 2015;15:594-600.

https://doi.org/10.1111/ggi.12318

Sullivan MJ. The pain catastrophizing scale: user manual. Montreal: McGill University 2009:1-36.

Youngcharoen P, Aree-Ue S, Saraboon Y. Validation of pain catastrophizing scale Thai version in older adults with knee steoarthritis. Pacific Rim Int J Nurs Res 2018;22:236-47.

Wongpakaran N, Wongpakaran T, Van Reekum R. The use of GDS-15 in detecting MDD: a comparison between residents in a Thai long-term care home and geriatric outpatients. J Clin Med Res 2013;5:101-11.

https://doi.org/10.4021/jocmr1239w

Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982;17:37-49.

https://doi.org/10.1016/0022-3956(82)90033-4

Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)-development of a self-administered outcome measure. J Orthop Sports Phys Ther 1998;28:88-96. https://doi.org/10.2519/jospt.1998.28.2.88

Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. Measures of knee function: International KneeDocumentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS PS), Knee Outcome Survey Activities of Daily Living Scale (KOS ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care & Res 2011;63:S208-28.

https://doi.org/10.1002/acr.20632

Chaipinyo K. Test-retest reliability and construct validity of Thai version of Knee Osteoarthritis Outcome Score (KOOS). Thai J Phys Ther 2009; 31:67-76.

Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* power 3.1: tests for correlation and regression analyses. Behav Res Methods 2009;41:1149-60.

https://doi.org/10.3758/BRM.41.4.1149

Scopaz KA, Piva SR, Wisniewski S, Fitzgerald GK. Relationships of fear, anxiety, and depression with physical function in patients with knee osteoarthritis. Arch Phys Med Rehabil 2009;90:1866-73.

https://doi.org/10.1016/j.apmr.2009.06.012

Riddle DL, Slover JD, Ang DC, Bair MJ, Kroenke K, Perera RA, et al. Opioid use prior to knee arthroplasty in patients who catastrophize about their pain: preoperative data from a multisite randomized clinical trial. J Pain Res 2018;11:1549-57. https://doi.org/10.2147/JPR.S168251

Schutze R, Rees C, Smith A, Slater H, Campbell JM, O'Sullivan P. How can we best reduce pain catastrophizing in adults with chronic noncancer pain? a systematic review and meta-analysis. J Pain 2018;19:233-56. https://doi.org/10.1016/j.jpain.2017.09.010

Zhang DG, Peng K, Chen L, Peng J, Xing F, Wang GL. Gabapentin can decrease pain intensity for patients undergoing total knee arthroplasty: a systematic review meta-analysis. Int J Clin Exp Med 2016;9:15105-14.

Stubbs B, Aluko Y, Myint PK, Smith TO. Prevalence of depressive symptoms and anxiety in osteoarthritis: a systematic review and meta-analysis. Age Ageing 2016; 45:228-35.

https://doi.org/10.1093/ageing/afw001

Rathbun AM, Stuart EA, Shardell M, Yau MS, Baumgarten M, Hochberg MC. Dynamic effects of depressive symptoms on osteoarthritis knee pain. Arthritis Care Res 2018; 70:80-8.

https://doi.org/10.1002/acr.23239

Turakitwanakan W, Pongpaplud P, Kitporntheranunt M. The effect of home Buddhist mindfulness meditation on depressive symptom in major depressive patients. J Med Assoc Thai 2017;99:171-8.

Lazaridou A, Martel MO, Cornelius M, Franceschelli O, Campbell C, Smith M, et al. The association between daily physical activity and pain among patients with knee osteoarthritis: the moderating role of pain catastrophizing. Pain Med 2019;20:916-24. https://doi.org/10.1093/pm/pny129

Tanaka R, Hirohama K, Ozawa J. Can muscle weakness and disability influence the relationship between pain catastrophizing and pain worsening in patients with knee osteoarthritis? a cross-sectional study. Braz J Phys Ther 2019;23:266-72. https://doi.org/10.1016/j.bjpt.2018.08.011

Li N, Chen G, Zeng P, Pang J, Gong H, Han Y, et al. Prevalence and factors associated with mild cognitive impairment among Chinese older adults with depression. Geriatr Gerontol Int 2018;18:263-8.

https://doi.org/10.1111/ggi.13171

Possley D, Budiman-Mak E, O'Connell S, Jelinek C, Collins EG. Relationship between depression and functional measures in overweight and obese persons with osteoarthritis of the knee. J Rehabil Res Dev 2009;46:1091-8. https://doi.org/10.1682/JRRD.2009.03.0024

King LK, Kendzerska T, Waugh EJ, Hawker GA. Impact of osteoarthritis on difficulty walking: a population based study. Arthritis Care Res 2018;70:71-9. https://doi.org/10.1002/acr.23250

Downloads

Published

2023-07-19

How to Cite

1.
Jeamjitvibool T, Aree-Ue S, Youngcharoen P, Kawinwonggowit V. Correlation among pain catastrophizing, depressive symptom, and activity of daily living in older Thai Buddhist monks with knee osteoarthritis. Chula Med J [Internet]. 2023 Jul. 19 [cited 2024 Oct. 8];65(3). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/148