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Osteoarthritis

from Medical topics

Published online by Cambridge University Press:  18 December 2014

By
Isidro Villanueva  and
Alex Zautra
Edited by
Susan Ayers ,
Andrew Baum ,
Chris McManus ,
Stanton Newman ,
Kenneth Wallston ,
John Weinman  and
Robert West
Isidro Villanueva
Affiliation:
Arizona State University
Alex Zautra
Affiliation:
Arizona State University
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
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Summary

Osteoarthritis (OA) is the most common rheumatic disease and most prevalent form of arthritis (Centers for Disease Control and Prevention, 1990). OA is described as a degenerative non-inflammatory type of arthritis that mainly affects the joint cartilage; however, in a proportion of subjects, some mild inflammation can occur. OA is characterized by softening and disintegration of articular cartilage, with reactive phenomena such as vascular congestion and osteoblastic activity in the subarticular bone, new growth of cartilage and bone (i.e. osteophytes) at the joint margins and capsular fibrosis.

Epidemiology of osteoarthritis

Moderate-to-severe OA affects more than 12% of the adults between the ages of 25 and 74 years (CDC, 1990). Estimates of the prevalence of OA based on radiographic evidence range from 30–90%, depending on age group (Lawrence et al., 1998). In women, for example, OA is currently the most prevalent chronic condition and the rate of self-reported cases is projected to increase in the next decades. A population-based study showed incident rates of 2/1000 per year for knee OA (Wilson et al., 1990). Advancing age, female gender and obesity constitute some of the identified risk factors for OA (see ‘Obesity’). Symptomatic OA affects roughly 6% of the adult population, 10% of persons over 65 years of age (Felson et al., 1987). Among those individuals between the ages of 55–64, the rate is estimated at 7.5% for women and 4.3% for men (Davis et al., 1991).

Type
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Information
Cambridge Handbook of Psychology, Health and Medicine , pp. 803 - 807
Publisher: Cambridge University Press
Print publication year: 2007

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References

American Physical Therapy Association. (1997). Guide to physical therapist practice. Physical Therapy, 77, 1163–5.
Baker, K. & McAlindon, T.E. (2000). Exercise for knee osteoarthritis. Curr Op Rheum, 12, 456–63.Google Scholar
Bell, M.J., Lineker, S.C., Wilkins, A.L., Goldsmith, C.H. & Badley, E.M. (1998). A randomized controlled trial to evaluate the efficacy of community based physical therapy in the treatment of people with rheumatoid arthritis. The Journal of Rheumatology, 25, 231–7.Google Scholar
Centers for Disease Control and Prevention., (1995). Estimated number of US population with physician-diagnosed osteoarthritis, 1990. Atlanta, USA: Centers for Disease Control and Prevention.
Craig, A.D. (2003). Pain mechanisms: labeled lines versus convergence in central processing. Annual Review of Neuroscience, 26, 1–30.Google Scholar
Creamer, P., Lethbridge-Cejku, M. & Hochberg, M.C. (1999). Determinants of pain severity in knee osteoarthritis: effect of demographic and psychosocial variables using 3 pain measures. The Journal of Rheumatology, 26, 1785–92.Google Scholar
Davis, M.E., Zautra, A.J. & Smith, B.W. (2004). Dynamic model of affect relationships within interpersonal relation. Journal of Personality, 72, 1133–60.Google Scholar
Davis, M.A., Ettinger, W.H., Neuhaus, J.M. & Mallon, K.P. (1991). Knee osteoarthritis and physical functioning: evidence from the NHANES I epidemiologic follow-up study. The Journal of Rheumatology, 18, 591–8.Google Scholar
Department of Health and Human Services. (1996). Physical activity and health: a Report of the Surgeon General, US Department of Health and Human Services Center for Disease Control and Prevention. Atlanta, Ga: National Center for Chronic Disease Prevention and Health Promotion.
Felson, D.T., Naimark, A., Anderson, J.J.et al. (1987). The prevalence of knee osteoarthritis in the elderly: the Framingham Osteoarthritis Study. Arthritis and Rheumatism, 30, 914–18.Google Scholar
Felts, W. & Yelin, E. (1989). The economic impact of the rheumatic diseases in the United States. The Journal of Rheumatology, 16, 867–84.Google Scholar
Guccione, A.A., Felson, D.T., Anderson, J.J.et al. (1994). The effects of specific medical conditions on the functional limitations of elders in the Framingham study. American Journal of Public Health, 84, 351–8.Google Scholar
Hamilton, N., Zautra, A.J. & Reich, J. (in press). Affect and pain in rheumatoid arthritis: do individual differences in affective regulation and affective intensity predict emotional recovery from pain. Annals of Behavioral Medicine.Google Scholar
Hawley, D. (1995). Psycho-educational interventions in the treatment of arthritis. Bailliere's Clinical Rheumatology, 9, 803–23.Google Scholar
Hirano, P., Laurent, D. & Lorig, K. (1994). Arthritis patient education studies, 1987–1991: a review of the literature. Patient Ed Couns, 24, 49–54.Google Scholar
Hochberg, M.C., Altman, R.D., Brandt, K.D.et al. (1995). Guidelines for the Medical Management of Osteoathritis Part II. Osteoarthritis of the Knee. Arthritis and Rheumatism, 38, 1541–6.Google Scholar
Hurley, V.M., Mitchell, H.L. & Walsh, N. (2003). In osteoarthritis, the psychosocial benefits of exercise are as important as physiological improvements. Exercise and Sport Sciences Reviews, 31, 138–43.Google Scholar
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell.
Keefe, F.J., KashikarZuck, S. & Opiteck, J. (1996). Pain in arthritis and musculoskeletal disorders: the role of coping skills training and exercise interventions. The Journal of Orthopedic and Sports Physical Theraphy, 24, 279–90.Google Scholar
Lane, N.E. & Thompson, J.M. (1997). Management of osteoarthritis in the primary-care setting: an evidence-based approach to treatment. The American Journal of Medicine, 103, 25–30.Google Scholar
Lawrence, R.C., Helmick, C.G., Arnett, F.C.et al. (1998). Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis and Rheumatism, 41, 778–99.Google Scholar
Lorig, K. & Gonzalez, V. (1992). The integration of theory with practice: a twelve year case study. Health Ed Q, 19, 355–68.Google Scholar
Lorig, K. & Holman, H. (1993). Arthritis self-management studies: a twelve years review. Health Ed Q, 20, 17–28.Google Scholar
Lorig, K., Mazonson, P. & Holman, H. (1993). Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis and Rheumatism, 36, 439–46.Google Scholar
Manek, N.J. (2000). Osteoarthritis: current concepts in diagnosis and management. American Family Physician, 61, 1795–804.Google Scholar
Mazzuca, S.A., Brandt, K.D., Katz, B.P., Hanna, M.P. & Melfi, C.A. (1999). Reduced utilization and cost of primary care clinic visits resulting from self-care education for patients with osteoarthritis of the knee. Arthritis and Rheumatism, 42, 1267–73.Google Scholar
O'Grady, M., Fletcher, J. & Ortiz, S. (2000). Therapeutic and physical fitness exercise prescription for older adults with joint disease: an evidence-based approach. Rheumatic Disease Clinics of North America, 26, 617–46.Google Scholar
O'Reilly, S.C., Muir, K.R. & Doherty, M. (1998). Knee pain and disability in the Nottingham community: association with poor health status and psychological distress. British Journal of Rheumatology, 37, 870–3.Google Scholar
Pate, R.R., Pratt, M., Blair, S.N.et al. (1995). Physical activity and Public Health – a Recommendation from the Centers for Disease Control And Prevention and the American College of Sports Medicine. The Journal of the American Medical Association, 273, 402–7.Google Scholar
Persson, L.O., Berglund, K. & Sahlberg, D. (1999). Psychological factors in chronic rheumatic diseases – a review: the case of rheumatoid arthritis, current research and some problems. Scandinavian Journal of Rheumatology, 28, 137–44.Google Scholar
Radin, E.L., Yang, K.H., Riegger, C., Kish, V.L. & O'Connor, J.J. (1991). Relationship between lower limb dynamics and knee joint pain. Journal of Orthopedic Research, 9, 398–405.Google Scholar
Rejeski, W.J., Ettinger, W.H., Martin, K. & Morgan, T. (1998). Treating disability in knee osteoarthritis with exercise therapy: a central role for self-efficacy and pain. Arthritis Care and Research, 11, 94–101.Google Scholar
Salaffi, F., Cavalieri, F., Nolli, M. & Ferraccioli, G. (1991). Analysis of disability in knee osteoarthritis. Relationship with age and psychological variables but not with radiographic score. The Journal of Rheumatology, 18, 1581–6.Google Scholar
Schilke, J.M., Johnson, G.O., Housh, T.J. & O'Dell, J.R. (1996). Effects of muscle-strength training on the functional status of patients with osteoarthritis of the knee joint. Nursing Research, 45, 68–72.Google Scholar
Sharma, L., Lou, C., Felson, D.T.et al. (1999). Laxity in healthy and osteoarthritic knees. Arthritis and Rheumatism, 42, 861–70.Google Scholar
Slemenda, C., Heilman, D.K. & Brandt, K.D. (1998). Reduced quadriceps strength relative to body weight. Arthritis and Rheumatism, 41, 1951–9.Google Scholar
Summers, M.N., Haley, W.E., Reveille, J.D. & Alarcon, G.S. (1988). Radiographic assessment and psychological variables as predictors of pain and functional impairment in osteoarthritis of the knee or hip. Arthritis and Rheumatism, 31, 204–8.Google Scholar
Superio-Cabuslay, E., Ward, M. & Lorig, R. (1996). Patient education interventions in osteoarthritis and rheumatoid arthritis: a meta-analytic comparison with nonsteroidal anti-inflammatory drug treatment. Arthritis Care and Research, 9, 292–301.Google Scholar
Tenenbaum, J. (1999). The epidemiology of nonsteroidal anti-inflammatory drugs. Canadian Journal of Gastroenterology, 13, 119–22.Google Scholar
Turk, D.C. (1996). Biopsychosocial perspectives on chronic pain. In Gatchel, R.J. & Turk, D.C. (Eds.). Psychological approaches to pain management: a practitioner's handbook (pp. 3–32). New York: Guilford Press.
Baar, M.E., Dekker, J., Lemmens, J.A., Oostendorp, R.A. & Bijlsma, J.W. (1998a). Pain and disability in patients with osteoarthritis of hip or knee: the relationship with articular, kinesiological, and psychological characteristics. The Journal of Rheumatology, 25, 125–33.Google Scholar
Baar, M.E., Dekker, J., Oostendorp, R.et al. (1998b). The effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a randomized clinical trial. The Journal of Rheumatology, 25, 2432–9.Google Scholar
Van Puymbroeck, C., Zautra, A.J. & Harakas, P. (2004). Chronic pain and depression: twin burdens of adaptation. In Steptoe, A. (Ed.). Depression and physical illness. Cambridge, UK: Cambridge University Press.
Wilson, M.G., Michet, C.J., Ilstrup, D.M. & Melton, L.J. (1990). Idiopathic symptomatic osteoarthritis of the hip and knee – a population-based incidence study. Mayo Clinic Proceeding, 65, 1214–21.
Yelin, E. & Callahan, L.H. (1995). The economic cost and social and psychological impact of musculoskeletal conditions. National Arthritis Data Work Groups. Arthritis and Rheumatism, 38, 1351–62.Google Scholar
Zautra, A.J., Fasman, R., Reich, J.W., Harakas, P., Johnson, L.M., Olmstead, M. & Davis, M.C. (2005). Fibromyalgia: evidence for deficits in positive affect regulation. Psychosomatic Medicine, 67, 147–55.Google Scholar
Zautra, A.J., Johnson, L.M. & Davis, M.C. (2005). Positive affect as a source of resilience for women in chronic pain. Journal of Consulting and Clinical Psychology, 73, 212–20.Google Scholar

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