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. 2022 Mar 24;22(1):246.
doi: 10.1186/s12877-022-02926-7.

Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain

Natasja M van Schoor #  1 , Erik J Timmermans #  1 , Martijn Huisman  2   3 , Alicia Gutiérrez-Misis  4   5 , Willem Lems  6 , Elaine M Dennison  7 , Maria Victoria Castell  5   8 , Michael D Denkinger  9 , Nancy L Pedersen  10 , Stefania Maggi  11 , Dorly J H Deeg  2
Affiliations

Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain

Natasja M van Schoor et al. BMC Geriatr. .

Abstract

Background: Resilience refers to the process in which people function well despite adversity. Persistent severe pain may be considered an adversity in people with lower limb osteoarthritis (LLOA). The objectives of this study are: (1) to identify what proportion of older adults with LLOA and persistent severe pain show good functioning; and (2) to explore predictors of resilience.

Methods: Data from the European Project on OSteoArthritis (EPOSA) were used involving standardized data from six European population-based cohort studies. LLOA is defined as clinical knee and/or hip osteoarthritis. Persistent severe pain is defined as the highest tertile of the pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index both at baseline and follow-up. Resilience is defined as good physical, mental or social functioning at follow-up despite having LLOA with persistent severe pain.

Results: In total, 95 (14.9%) out of 638 individuals with LLOA had persistent severe pain. Among these, 10 (11.0%), 54 (57.4%) and 49 (53.8%) had good physical, mental and social functioning, respectively. Only 4 individuals (4.5%) were resilient in all three domains of functioning. Younger age, male sex, higher education, higher mastery, smoking and alcohol use, higher physical activity levels, absence of chronic diseases, and more contacts with friends predicted resilience in one or more domains of functioning.

Conclusions: Few people with LLOA and persistent severe pain showed good physical functioning and about half showed good mental or social functioning. Predictors of resilience differed between domains, and might provide new insights for treatment.

Keywords: Older Adults; Osteoarthritis; Pain; Predictors; Resilience.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

References

    1. Altman RD. Classification of disease: osteoarthritis. Semin Arthritis Rheum. 1991;20(6):40–47. - PubMed
    1. Bartley EJ, Palit S, Staud R. Predictors of Osteoarthritis Pain: the Importance of Resilience. Curr Rheumatol Rep. 2017;19(9):57. - PMC - PubMed
    1. Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011;9:8. - PMC - PubMed
    1. Huisman M, Klokgieters SS, Beekman ATF. Successful ageing, depression and resilience research; a call for a priori approaches to investigations of resilience. Epidemiol Psychiatr Sci. 2017;26(6):574–578. - PMC - PubMed
    1. Kok AAL, Huisman, M, Cosco TD, & Melis RJF. In: Resilience and Aging Risk, Systems and Decisions Edited by Wister AV, Cosco TD: Cham, Springer Nature; 2020.

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