Article

OBJECTIVES: To explore whether the psychologic variables anxiety, depression, and
fear-avoidance beliefs, and interactions between these variables, are associated
with physical function in patients with knee osteoarthritis (OA).
We hypothesized
lower levels of function would be related to higher anxiety, higher depression,
and higher fear-avoidance beliefs, and that high levels of 2 of these factors
simultaneously might interact to have a greater adverse effect on physical
function. DESIGN: Cross-sectional, correlational design. SETTING: Institutional
practice. PARTICIPANTS: Subjects included patients with knee OA (N=182; age, mean
+/- SD, 63.9+/-8.8y; 122 women). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Self-report measures of function included the Western Ontario and
McMaster Universities (WOMAC) Osteoarthritis Index, the Lower Extremity Function
Scale (LEFS), and the Knee Outcome Survey-Activity of Daily Living Scale. The Get
Up and Go test was used as a physical performance measure of function.
Self-report measures for psychologic variables included the Beck Anxiety
Inventory, the Center for Epidemiological Studies Depression Scale, and the Fear
Avoidance Belief Questionnaire-Physical Activity Scale modified for the knee.
RESULTS: Higher anxiety was related to poorer function on the WOMAC physical
function. Both high anxiety and fear-avoidance beliefs were related to poorer
function on the LEFS and Knee Outcome Survey-Activity of Daily Living Scale.
There was no association between the psychologic variables and the Get Up and Go
test. The anxiety x depression interaction was associated with the LEFS.
CONCLUSIONS: Anxiety and fear-avoidance beliefs are associated with self-report
measures of function in patients with knee OA. Depression may influence scores on
the LEFS under conditions of low anxiety.

Langue : ANGLAIS