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http://dx.doi.org/10.13066/kspm.2020.15.3.109

Effects of Activity Limitations on the Health-Related Quality of Life and Depression in Osteoarthritis Patients  

Lee, Do-Youn (Department of Physical Therapy, Daegu University)
Nam, Seung-Min (Department of Physical Therapy, Daegu University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.15, no.3, 2020 , pp. 109-116 More about this Journal
Abstract
PURPOSE: The objective of this study was to provide a basis for the need to apply psychological factors-based rehabilitation programs to osteoarthritis patients by understanding how the limitations on the activities of osteoarthritis patients relate to the health-related quality of life and depression. METHODS: This study assessed 1,994 osteoarthritis patients from the 7th Korea National Health and Nutrition Examination Survey (KNHANES, 2016-2018). The subjects were divided into two categories: with activity limitation and without activity limitation. A Chi-square test and logistic regression analysis were conducted. RESULTS: The EQ-5D index of subjects with activity limitation was .84 ± .16, it was .94 ± .12 in those with no activity limitation (p < .05). The diagnosis of depression was 16.8% and; 8.3% in those with and without activity limitation, respectively (p < .05). There was a significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with an activity limitation was 2.171 (1.512 - 3.118) compared with no activity limitation. CONCLUSION: The activity limitation of osteoarthritis patients reduces the health-related quality of life significantly and increases the probability of depression. Therefore, the treatment of osteoarthritis patients should be approached considering the psychological conditions. Moreover, early diagnosis of depressive symptoms is needed to prevent symptom deterioration and increase the compliance with rehabilitation therapy.
Keywords
Activity limitation; Depression; Quality of life; Osteoarthritis;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 Na H, Bae SH, Kim M. Suicidal ideation in older adults with osteoarthritis: Data from the Korea National Health and Nutrition Examination survey. Journal of Muscle and Joint Health. 2015;22(2):138-47.
2 Yang S, An J. Health status, health behavior and quality of life in the elderly with osteoarthritis. Nurs Sci. 2011;23(2):23-33.
3 Vennu V, Bindawas SM. Relationship between falls, knee osteoarthritis, and health-related quality of life: data from the Osteoarthritis Initiative study. Clin Interv Aging. 2014;9:793.   DOI
4 Kilinc H, Karahan S, Atilla B, et al. Can Fear of Movement, Depression and Functional Performance be a Predictor of Physical Activity Level in Patients With Knee Osteoarthritis? Archives of rheumatology. 2019;34(3):274.   DOI
5 Broderick JE, Junghaenel DU, Schneider S, et al. Treatment expectation for pain coping skills training: relationship to osteoarthritis patients' baseline psychosocial characteristics. The Clinical journal of pain. 2011;27(4):315.   DOI
6 Park JH, Kim DJ, Kim SJ. Is arthritis associated with suicidal ideation and quality of life? Psychol Health Med. 2019;24(2):144-54.   DOI
7 Yoo IY. EQ-5D and EQ-VAS by Oral Health and Visual/Hearing Functional Status of the Elderly Women using Senior Centers, J.KSLES. 2019;26(4):482-91.   DOI
8 Marks R. Prevalence of Anxiety Symptoms and it Impact in People with Osteoarthritis: An Update. J Ost Arth. 2016;1(110):2.   DOI
9 Song HY, Park MH. Comparable influencing factors for quality of health-life in osteoarthritis patients in urban and rural areas. Journal of the Korea Convergence Society. 2017;8(6):311-23.   DOI
10 Nakajima A, Kamitsuji S, Saito A, et al. Disability and patient's appraisal of general health contribute to depressed mood in rheumatoid arthritis in a large clinical study in Japan. Mod Rheumatol. 2006;16(3):151-7.   DOI
11 Lee SH, Oh KO, Kang MH. A study on factors affecting the suicidal ideation in older adults with osteoarthritis. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011;20(1):103-10.   DOI
12 Niti M, Ng TP, Kua EH, et al. Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences. 2007;22(11):1087-94.   DOI
13 daCosta DiBonaventura M, Gupta S, McDonald M, et al. Evaluating the health and economic impact of osteoarthritis pain in the workforce: results from the National Health and Wellness Survey. BMC Musculoskelet Disord. 2011;12(1):83.   DOI
14 Choi IS, Park K. The effects of pain, sleep, and depression on quality of life in elderly people with chronic pain. Journal of Digital Convergence. 2017;15(8):289-99.   DOI
15 Bitton R. The economic burden of osteoarthritis. The American Journal of Managed Care. 2009;15(8 Suppl):S230-5.
16 Berenbaum F. Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage. 2013;21(1):16-21.   DOI
17 Lee E. Impact of aging on elderly health care expenditure in Korea. Korea Institute of Public Finance. 2011.
18 Park HJ, Lee SK. The association between osteoarthritis and health-related quality of life in women aged 50 years and over: Using the Korea national health and nutrition examination survey (KNHANES) data. Korean Journal of Health Education and Promotion. 2012;29(2):23-32.
19 Kim HR, Kim EJ. Prevalence of osteoarthritis and its affecting factors among a Korean population aged 50 and over. Journal of Korean Public Health Nursing. 2013;27(1):27-39.   DOI
20 Kim M, Bae SH. Factors influencing health-related quality of life in older adults with osteoarthritis: Based on the 2010-2011 Korea national health and nutrition examination survey. Journal of Muscle and Joint Health. 2014;21(3):195-205.   DOI
21 Salaffi F, Carotti M, Stancati A, et al. Health-related quality of life in older adults with symptomatic hip and knee osteoarthritis: a comparison with matched healthy controls. Aging Clin Exp Res. 2005;17(4):255-63.   DOI
22 Sadosky AB, Bushmakin AG, Cappelleri JC, et al. Relationship between patient-reported disease severity in osteoarthritis and self-reported pain, function and work productivity. Arthritis Res Ther. 2010;12(4):R162.   DOI
23 Hunter DJ, Riordan EA. The impact of arthritis on pain and quality of life: an A ustralian survey. Int J Rheum Dis. 2014;17(2):149-55.   DOI