Psychological Strengths and Burden Among Osteoarthritis Patient

Osteoarthritis, Knee Clinical Trial

Official title:

Positive and Negative Affects Among Osteoarthritis Patient

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03899272
• Other study ID #: 2018.113
• Status: Completed
• Start date: June 1, 2018
• Est. completion date: December 1, 2019

Study information

• Verified date: January 2020
• Source: Chinese University of Hong Kong
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Osteoarthritis (OA) is a common and debilitating disease, For the majority of patients, pain in OA is episodic in nature.

The experience of pain is generated or modified by nociception, neuropathic symptoms, psychological and personality factors, genetic influences, past painful experiences, comorbid conditions, and expectations related to future pain Previous studies have shown psychological well-being has been significantly associated with disability in patients with OA, and anxiety has been found to be associated with knee pain in women.

Previous studies also found that there are large interindividual differences among persons with knee osteoarthritis (OA) with respect to psychological function.

Psychological strengths and weaknesses are evaluated among new patient with osteoarthritis presented to joint replacement clinic, to facilitate our understanding of those patients need, and correlating with their radiological and clinical findings. Psychological strengths and weaknesses, positive and negative affects are evaluated in form of questionaires.

Reference:

Adaptation to disability: Applying selective optimization with compensation to the behaviors of older adults with osteoarthritis.

MAM Gignac, C Cott, EM Badley - Psychology and aging, 2002

Analgesic effects of multisensory illusions in osteoarthritis C Preston, R Newport - Rheumatology, 2011

Psychological factors and their relation to osteoarthritis pain BL Wise, J Niu, Y Zhang, N Wang, JM Jordan… - Osteoarthritis Cartilage. , 2010 - Elsevier

Description:

Introduction:

Osteoarthritis (OA) is a prevalent painful condition that may cause disability among older adults (Cruz-Almeida et al., 2013). Psychological traits and emotional states of patients were found to be correlated with symptoms of OA and daily functioning of patients (Cruz-Almeida et al., 2013; Dezutter et al., 2015).

The experience of pain is generated or modified by nociception, neuropathic symptoms, psychological and personality factors, genetic influences, past painful experiences, comorbid conditions, and expectations related to future pain. Previous studies have shown psychological well-being has been significantly associated with disability in patients with OA, and anxiety has been found to be associated with knee pain in women.

Previous studies also found that there are large interindividual differences among persons with knee osteoarthritis (OA) with respect to psychological function.

Aim of project:

This research is trying to find out what psychological strengths or factors could attenuate the chronic pain of knee OA patients. The purpose of the study is to find psychological evidences that may be used in the future to help chronic pain patients for improving their daily functioning and well-being.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 150
• Est. completion date: December 1, 2019
• Est. primary completion date: December 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• all new patient present to AHNH clinic referred for osteoarthritis for considering joint replacement

• Present with knee pain (unilateral or bilateral) contributed by osteoarthritis

Exclusion Criteria:

• mentally unsound

• dialectic speaker that difficult to communicate

Related Conditions & MeSH terms

• Osteoarthritis
• Osteoarthritis, Knee
• Psychological

Locations

Country	Name	City	State
Hong Kong	Alice Ho Miu Ling Nethersole Hospital	Tai Po

Sponsors (1)

Lead Sponsor	Collaborator
Chinese University of Hong Kong

Country where clinical trial is conducted

Hong Kong, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Positive and Negative Affect Scale (PANAS)	This scale consists of a number of questions that describe different feelings and emotions.	1 day
Primary	The Centre for Epidemiologic Studies (CES-D Scale)	A list of the ways the subject might have felt or behaved.	1 day
Primary	The Chronic Pain Acceptance Questionnaire (CPAQ)	Statements on feelings on pain as it applies to the subject.	1 day
Primary	Chronic Pain Coping Inventory (CPCI-42)		1 day
Primary	VIA-72	Questions reflect statements that the subject would find desirable.	1 day
Primary	Kellgren & Lawrence (K & L) grading system	To classify the severity of knee osteoarthritis (OA)	1 day
Primary	Oxford knee scores	Consists of 12 questions that cover function and pain of the knee.	1 day