Social support and health-related quality of life in hip and knee osteoarthritis

[en] Objective: To document the association between social support and health-related quality of life (HRQoL) in hip and knee osteoarthritis (OA). Methods: A prospective survey including the SF-36 and the Social Support questionnaire (SSQ) was administered to 108 hip and knee OA patients attending an outpatient physical rehabilitation and rheumatology clinic. Multiple regression analysis were performed to study the relation between social support and each dimension of the SF-36, controlling for age, sex, body mass index, number of comorbid conditions, socioeconomic status, site of survey completion and severity of OA which was gauged with the pain dimension of the WOMAC, an OA-specific health status instrument. Results: Greater social companionship transactions were associated with higher physical functioning ( standardized regression coefficients: beta = 0.26, p < 0.01), general health (β = 0.32, p < 0.001), mental health (beta = 0.25, p < 0.01), social functioning (β = 0.20, p < 0.05) and vitality ( b = 0.25, p < 0.05). Satisfaction with problem-oriented emotional support was related to better physical functioning (β = 0.22, p < 0.01), mental health (beta = 0.38, p < 0.001), role-emotional (B = 0.23, p < 0.01), social functioning (beta = 0.19, p < 0.05) and vitality ( b = 0.26, p < 0.01). Conclusion: Social support components significantly account for HRQoL. Health interventions in OA, primary dedicated to pain and physical disability, could be supplemented with social support component to enhance health outcomes.

Disciplines :

Public health, health care sciences & services

Author, co-author :

Ethgen, Olivier ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique : aspects spécifiques

Vanparijs, Philippe ; Université de Liège - ULiège > Département des sciences de la santé publique > Médecine légale - Criminalistique

Delhalle, S.

Rosant, Séverine ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation

Bruyère, Olivier ; Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie et santé publique

Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie et santé publique

Language :

English

Title :

Social support and health-related quality of life in hip and knee osteoarthritis

Publication date :

March 2004

Journal title :

Quality of Life Research

ISSN :

0962-9343

eISSN :

1573-2649

Publisher :

Kluwer Academic Publ, Dordrecht, Netherlands

Volume :

Issue :

Pages :

321-330

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 23 October 2009

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Scopus citations^®

103

Scopus citations^®
without self-citations

103

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OpenAlex citations

117

Bibliography

Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Internal Med 1993; 118: 622-629.
Sarason IG, Levine HM, Basham RB, Sarason BR. Assessing social support: The social support questionnaire. J Pers Soc Psychol 1983; 44: 127-139.
Schaefer C, Coyne JC, Lazarus RS. The health-related functions of social support. J Behav Med 1981; 4: 381-406.
Kelsey JL, Hochberg MC. Epidemiology of chronic musculoskeletal disorders. Ann Rev Public Health 1988; 9: 379-401.
Centers for Disease Control and Prevention. Arthritis prevalence and activity limitations, United States 1990. Morb Mort Wkly Rep 1994; 43: 433-438.
Abyad A, Boyer JT. Arthritis and aging. Curr Opinion Rheum 1992; 4: 153-159.
Felson DT, Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum 1998; 41: 1343-1355.
Callahan LF, Rao J, Boutaugh M. Arthritis and woman's health: Prevalence, impact and prevention. Am J Prev Med 1996; 12: 401-409.
Hughes SL, Dunlop D. The prevalence and impact of arthritis in older persons. Arthritis Care Res 1995; 8: 257-264.
Lawrence RC, Helmick CG, Arnett Fc, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum 1998; 41: 778-799.
Badley EM, Wang PP. Arthritis and the aging population: Projections of arthritis prevalence in Canada 1991 to 2031. J Rheumatol 1998; 25: 138-144.
Yelin E, Lubeck D, Holman H, Epstein W. The impact of rheumatoid arthritis and osteoarthritis: The activities of patients with rheumatoid arthritis and osteoarthritis compared to controls. J Rheumatol 1987; 14: 710-717.
De Bock GH, Kaptein AA, Touw-Otten F, Mulder JD. Health-related quality of life in patients with osteoarthritis in a family practice setting. Arthritis Care Res 1995; 8: 88-93.
Dexter P, Brandt K. Distribution and predictors of depressive symptoms in osteoarthritis. J Rheumatol 1994; 21: 279-286.
Altman R, Asch E, Bloch D, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Arthritis Rheum 1986; 29: 1039-1049.
Altman R, Alarcon GC, Appelrouth D, et al. The American College of Rheumatology Criteria for the classification and reporting of Osteoarthritis of the hip. Arthritis Rheum 1991; 34: 505-514.
Ware JE Jr, Krinstin KS, Kosinski M, Gandek B. SF-36 health survey. Manual and Interpretation Guide. Boston: New England Medical Center, The Health Institute; 1993.
Ware JE. The SF-36 health survey. In: Spilker B, (ed), Quality of Life and Pharmacoeconomics in Clinical Trials, 2nd edn. Philadelphia: Lippincott-Raven Publishers; 1996: 337-345.
McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 1994; 32: 40-66.
Tuttleman M, Pillemer SR, Tilley BC, et al. A cross sectional assessment of health status instruments in patients with rheumatoid arthritis participating in a clinical trial. Minocycline in Rheumatoid Arthritis Trial Group. J Rheumatol 1997; 24: 1910-1915.
Ruta DA, Hurst NP, Kind P, Hunter M, Stubbings A. Measuring health status in British patients with rheumatoid arthritis: Reliability, validity and responsiveness of the short form 36-item health survey (SF-36). Br J Rheumatol 1998; 37: 425-436.
Kosinski M, Keller SD, Hatoum HT, Kong SX, Ware JE Jr. The SF-36 health survey as a generic outcome measure in clinical trials of patients with osteoarthritis and rheumatoid arthritis. Tests of data quality, scaling assumptions and score reliability. Med Care 1999; 37: MS10-22.
Kosinski M, Keller SD, Ware JE Jr, Hatoum HT, Kong SX. The SF-36 health survey as a generic outcome measure in clinical trials of patients with osteoarthritis and rheumatoid arthritis. Relative validity of scales in relation to clinical measures of arthritis severity. Med Care 1999; 37: MS23-39.
Bellamy N. WOMAC Osteoarthritis Index. A User's Guide. University of Western Ontario, London, Ontario, Canada 1995.
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988; 15: 1833-1840.
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: A health status instrument for measuring clinically-important patient-relevant outcomes following total hip or knee arthroplasty in osteoarthritis. J Orth Rheum 1988; 1: 95-108.
Bellamy N, Kean WF, Buchanan WW, Gerecz-Simon E, Campbell J. Double blind randomized controlled trial of sodium Meclofenamate (Meclomen) and Diclofenac Sodium (Voltaren): Post-validation reapplication of the WOMAC Osteoarthritis Index. J Rheumatol 1992; 19: 153-159.
Suurmeijer TPBM, Doeglas DM, Briançon S, et al. The measurement of social support in the 'European Research on Incapacitating Diseases and Social Support': The development of the social support questionnaire for transactions (SSQT). Soc Sci Med 1995; 40: 1221-1229.
Doeglas DM, Suurmeijer TPBM, Briançon S, et al. An international study on measuring social support: Interactions and satisfaction. Soc Sci Med 1996; 43: 1389-1397.
Hirsch RP, Riegelman R. Statistical Operations. Analysis of Health Research Data. Cambridge, MA: Blackwell Science; 1996.
Achat H, Kawachi I, Levine S, Berkey C, Coakley E, Colditz G. Social networks, stress and health-related quality of life. Qual Life Res 1998; 7: 735-750.
Caron J, Tempier R, Mercier C, Leouffe P. Components of social support and quality of life in severely mentally ill, low income individuals and a general population group. Community Mental Health J 1998; 34: 459-475.
Pinquart M, Sorensen S. Influences of socioeconomic status, social network, and competence on subjective well-being in later life: A meta-analysis. Psychology Aging 2000; 15: 187-224.
Michael YL, Colditz GA, Coakley E, Kawachi I. Healthy behaviors, social networks, and healthy aging: Cross-sectional evidence from the Nurses' Health Study. Qual Life Res 1999; 8: 711-722.
Sherbourne CD, Meredith LS, Rogers W, Ware JE. Social support and stressful life events: Age differences in their effects on health-related quality of life among the chronically ill. Qual Life Res 1992; 1: 235-246.
Bosworth HB, Siegler IC, Olsen MK, et al. Social support and quality of life in patients with coronary artery disease. Qual Life Res 2000; 9: 829-839.
Swindells S, Mohr J, Justis JC, et al. Quality of life in patients with human immunodeficiency virus infection: Impact of social support, coping style and hopelessness. International J STD AIDS 1999; 10: 383-391.
Courtens AM, Stevens FC, Crebolder HF, Philipsen H. Longitudinal study on quality of life and social support in cancer patients. Cancer Nursing 1996; 19: 162-169.
Cronan TA, Groessl E, Kaplan M. The effects of social support and education interventions on health care costs. Arthritis Care Res 1997; 10: 99-110.
Calfas KJ, Kaplan RM, Ingram RE. One-year evaluation of cognitive-behavioral intervention in osteoarthritis. Arthritis Care Res 1992; 54: 202-209.
Blixen CE, Kippes C. Depression, social support, and quality of life in older adults with osteoarthritis. Image - J Nurs Scholarship 1999; 31: 221-226.
Kiebzak GM, Campbell M, Mauerhan DR. The SF-36 general health status survey documents the burden of osteoarthritis and the benefits of total joint arthroplasty: But why should we use it? Am J Manag Care 2002; 8: 463-474.