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Physical disability, perceived dependence and depression in women with osteoarthritis
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 Title & Authors
Physical disability, perceived dependence and depression in women with osteoarthritis
Park, Ki-Soo; Yang, Hyeon-Su; Kim, Bokyoung; Jeon, Hye-Ji;
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Objective: This study assessed whether both physical disability and perceived dependence relate to depression or whether perceived dependence in personal care activities, household activities, community mobility and recreational activities is an intermediate step in the relationship between physical disability and depressive symptoms. Methods: Data come from a cross-sectional survey of 209 women, aged 55 or older, with osteoarthritis (OA). Mediation analyses occurred in four step and included logistic regression analyses as outlined by Baron & Kenny. Results: The results from step 1 showed that greater difficulty with each domain of physical disabilities was significantly related to greater perceived dependence. In step 2, greater perceived dependence was significantly associated with greater depressive symptoms in all domains. Step 3 analyses showed that greater physical disabilities in each domain were significantly associated with depression. The final step testing mediation indicated that personal care activities, household activities and community mobility were fully mediated by perceived dependence. That was, once dependence was taken into account, the relationship between physical disabilities and depression was no longer significant. Partial mediation was found for dependence and recreational activity limitations. Conclusion: It is important to take into account the experience of perceived dependence as a mediator in understanding the relationship between disability and depression in the domains of personal care, household, and community mobility. To conclude, these findings point to the importance of taking into account an individual`s reaction to their disability rather than just focusing on the severity of disability.
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Woo KJ, Oh KW. Prevalence of Osteoarthritis among Adults over 50 years old in Korea 2010-2013. Public Health Weekly Report 2015;8(4):82-84 (Korean)

Brooks PM. Impact of osteoarthritis on individuals and society: How much disability? Social consequences and health economic implications. Curr Opin Rheumatol 2002; 14(5):573-577 crossref(new window)

Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 2008;16(2):137-162 crossref(new window)

Huang CQ, Dong BR, Lu ZC, Yue JR, Liu QX. Chronic diseases and risk for depression in old age: a meta-analysis of published literature. Ageing Res Rev 2010;9(2):131-141 crossref(new window)

Katz PP, Yelin EH. Activity loss and the onset of depressive symptoms: do some activities matter more than others? Arthritis Rheum 2001;44(5):1194-1202 crossref(new window)

Peck JR, Smith TW, Ward JR, Milano R. Disability and depression in rheumatoid arthritis. A multi-trait, multi-method investigation. Arthritis Rheum 1989;32(9):1100-1106 crossref(new window)

An JY, Tak YR. Depressive Symptoms and Related Risk Factors in Old and Oldest-old Elderly People with Arthritis. J Korean Acad Nurs 2009;39(1):72-83 (Korean) crossref(new window)

Cott C, Gignac A. Independence and dependence for older adults with osteoarthritis or osteoporosis. Can J Aging 1999;18(1):1-25 crossref(new window)

Gignac MA, Cott C. A conceptual model of independence and dependence for adults with chronic physical illness and disability. Soc Sci Med 1998; 47(6):739-753 crossref(new window)

Westhoff G, Listing J, Zink A. Loss of physical independence in rheumatoid arthritis: Interview data from a representative sample of patients in rheumatologic care. Arthritis Care Res 2000;13(1):11-22 crossref(new window)

Sackley CM, van den Berg ME, Lett K, Patel S, Hollands K, Wright CC et al. Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomised controlled trial. BMJ 2009;339:b3123 crossref(new window)

Lubben JE. Assessing social networks among elderly populations. Health Promot Maint 1988;11(3):42-52

Lee KW, Kim SY, Chung W, Hwang GS, Hwang YW, Hwang IH. The validity and reliability of Korean version of lubben social network scale. Korean J Fam Med 2009;30(5):352-358 (Korean) crossref(new window)

Cho MJ, Kim KH. Diagnostic validity of the CES-D(Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32(3):381-399 (Korean)

Baron RM, Kenny DA. The moderatormediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol 1986;51(6):1173-1182 crossref(new window)

Lee JH, Park KS, Jeo HJ, Yang HS. The Association of Trust, Social Participation with Self-Rated Health Status-Mediating Effect of Depression- J Agric Med Community Health 2013;38(4):257-266 (Korean) crossref(new window)

Lopez-Lopez A, Gonzalez JL, Alonso-Fernandez M, Cuidad N, Matias B. Pain and symptoms of depression in older adults living in community and in nursing homes: the role of activity restriction as a potential mediator and moderator. Int Psychogeriatr 2014;26(10): 1679-1691 crossref(new window)

Hawker GA, Gignac MA, Badley E, Davis AM, French MR, Li Y, Perruccio AV, Power JD, Sale J, Lou W. A longitudinal study to explain the pain-depression link in older adults with osteoarthritis. Arthritis Care Res 2011;63(10):1382-1390 crossref(new window)

Rosemann T, Laux G, Szecsenyi J. Osteoarthritis: Quality of life, comorbidities, medication and health service utilization assessed in a large sample of primary care patients. J Orthop Surg 2007;2(12):1-9 crossref(new window)

Jakobsson U, Hallberg IR. Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: A literature review. J Clin Nurs 2002;11(4):430-443 crossref(new window)

Candow DG, Chilibeck PD. Difference in size, strength, and power of upper and lower body muscle groups in young and older men. J Gerontol A Biol Sci Med Sci 2005;60(2):148-156 crossref(new window)