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Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis

This study investigated how physical functioning and perceived disability are related to depressive symptoms in adults with arthritis (n = 401). Participants self-reported depressive symptoms and disability. Objective measures of physical functioning included the 30-second chair stand test, 6-minute...

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Autores principales: Becofsky, Katie, Baruth, Meghan, Wilcox, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777208/
https://www.ncbi.nlm.nih.gov/pubmed/24093063
http://dx.doi.org/10.1155/2013/525761
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author Becofsky, Katie
Baruth, Meghan
Wilcox, Sara
author_facet Becofsky, Katie
Baruth, Meghan
Wilcox, Sara
author_sort Becofsky, Katie
collection PubMed
description This study investigated how physical functioning and perceived disability are related to depressive symptoms in adults with arthritis (n = 401). Participants self-reported depressive symptoms and disability. Objective measures of physical functioning included the 30-second chair stand test, 6-minute walk test, gait speed, balance, grip strength, and the seated reach test. Separate quantile regression models tested associations between each functional measure and depressive symptoms, controlling for age, gender, race, BMI, self-reported health status, and arthritis medication use. The association between perceived disability and depressive symptoms was also tested. Participants averaged 56.3 ± 10.7 years; 85.8% were women; 64.3% were white. Lower distance in the 6-minute walk test, fewer chair stands, slower gait speed, and greater perceived disability were associated with greater depressive symptoms in unadjusted models (Ps < 0.05). Fewer chair stands and greater perceived disability were associated with more depressive symptoms in adjusted models (Ps < 0.05). Balance, grip strength, and seated reach were not related to depressive symptoms. The perception of being disabled was more strongly associated with depressive symptoms than reduced physical functioning. To reduce the risk of depression in arthritic populations, it may be critical to not only address physical symptoms but also to emphasize coping skills and arthritis self-efficacy.
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spelling pubmed-37772082013-10-03 Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis Becofsky, Katie Baruth, Meghan Wilcox, Sara Arthritis Clinical Study This study investigated how physical functioning and perceived disability are related to depressive symptoms in adults with arthritis (n = 401). Participants self-reported depressive symptoms and disability. Objective measures of physical functioning included the 30-second chair stand test, 6-minute walk test, gait speed, balance, grip strength, and the seated reach test. Separate quantile regression models tested associations between each functional measure and depressive symptoms, controlling for age, gender, race, BMI, self-reported health status, and arthritis medication use. The association between perceived disability and depressive symptoms was also tested. Participants averaged 56.3 ± 10.7 years; 85.8% were women; 64.3% were white. Lower distance in the 6-minute walk test, fewer chair stands, slower gait speed, and greater perceived disability were associated with greater depressive symptoms in unadjusted models (Ps < 0.05). Fewer chair stands and greater perceived disability were associated with more depressive symptoms in adjusted models (Ps < 0.05). Balance, grip strength, and seated reach were not related to depressive symptoms. The perception of being disabled was more strongly associated with depressive symptoms than reduced physical functioning. To reduce the risk of depression in arthritic populations, it may be critical to not only address physical symptoms but also to emphasize coping skills and arthritis self-efficacy. Hindawi Publishing Corporation 2013 2013-09-05 /pmc/articles/PMC3777208/ /pubmed/24093063 http://dx.doi.org/10.1155/2013/525761 Text en Copyright © 2013 Katie Becofsky et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Becofsky, Katie
Baruth, Meghan
Wilcox, Sara
Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis
title Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis
title_full Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis
title_fullStr Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis
title_full_unstemmed Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis
title_short Physical Functioning, Perceived Disability, and Depressive Symptoms in Adults with Arthritis
title_sort physical functioning, perceived disability, and depressive symptoms in adults with arthritis
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777208/
https://www.ncbi.nlm.nih.gov/pubmed/24093063
http://dx.doi.org/10.1155/2013/525761
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