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BMC Geriatrics
Published in: BMC Geriatrics 1/2022

Open Access 01-12-2022 | Osteoarthrosis | Research

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

Authors: Natasja M. van Schoor, Erik J. Timmermans, Martijn Huisman, Alicia Gutiérrez-Misis, Willem Lems, Elaine M. Dennison, Maria Victoria Castell, Michael D. Denkinger, Nancy L. Pedersen, Stefania Maggi, Dorly J. H. Deeg

Published in: BMC Geriatrics | Issue 1/2022

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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.
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Metadata
Title
Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain
Authors
Natasja M. van Schoor
Erik J. Timmermans
Martijn Huisman
Alicia Gutiérrez-Misis
Willem Lems
Elaine M. Dennison
Maria Victoria Castell
Michael D. Denkinger
Nancy L. Pedersen
Stefania Maggi
Dorly J. H. Deeg
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-022-02926-7

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