Discrepancy between Radiographic Damage and Functional Disability in Elderly People with Osteoarthritis: the Role of Pain Coping Strategies

• María Izal Fernández de Trocóniz ^[1] ; Almudena López López ^[2] ; Ignacio María Montorio Cerrato ^[1] ; José Luis González Gutiérrez ^[2]
  1. [1] Universidad Autónoma de Madrid

     Universidad Autónoma de Madrid

     Madrid, España

     
  2. [2] Universidad Rey Juan Carlos

     Universidad Rey Juan Carlos

     Madrid, España

     
• Localización: The Spanish Journal of Psychology, ISSN 1138-7416, Vol. 13, Nº. 2, 2010, págs. 875-885
• Idioma: inglés
• DOI: 10.1017/s1138741600002523
• Enlaces
  • Texto completo
• Resumen
  • español

    El presente trabajo persigue un doble objetivo. Primero, evaluar el grado de concordancia entre el deterioro radiológico y el nivel de capacidad funcional en las personas mayores con artrosis. En segundo lugar, analizar las fuentes de disparidad de tal concordancia, para lo que se estudia el papel de los parámetros sensoriales del dolor y de las estrategias de afrontamiento ante el mismo. Para ello se evaluaron, en una muestra de 104 personas mayores con artrosis, la capacidad funcional, el grado de deterioro físico -afectación radiológica-, las estrategias de afrontamiento al dolor y los parámetros sensoriales del dolor de intensidad, frecuencia y duración. Los resultados mostraron que la relación entre el deterioro radiológico y funcional no varía linealmente, sino que depende de los niveles de ambas variables, existiendo una concordancia máxima entre niveles bajos de deterioro funcional y de deterioro radiológico, mientras que disminuye para niveles moderados o elevados de deterioro radiológico. Ciertas estrategias cognitivas y conductuales de afrontamiento evaluadas parecen ayudar a explicar tal disparidad.

  • English

    The aim of this study is twofold. First, to assess the level of agreement between radiographic damage and functional disability in older people with osteoarthritis. And second, to assess the role of coping skills and sensory pain parameters as sources of disagreement between these variables. To achieve this objective we assess, in a sample of 104 older people with osteoarthritis, the following variables: functional capacity, radiographic damage, pain coping strategies, pain intensity, pain frequency and pain duration. The results show a non-linear relationship between radiographic damage and functional disability, modified by the levels of the two variables. There was maximum agreement between low levels of radiographic damage and of functional impairment, whilst agreement decreased for moderate and high levels of radiographic damage. Certain coping strategies may help to explain this disparity.

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