Role overload, pain and physical dysfunction in early rheumatoid or undifferentiated inflammatory arthritis in Canada

BioPsychoSocial Medicine

Sally Sabry Mustafa³  Karl Julian Looper¹  Phyllis Zelkowitz³  Margaret Purden²  Murray Baron⁴ 

[1] Department of Psychiatry, McGill UniversityJewish General Hospital 3755 Chemin de la Côte-Ste-CatherineMontreal, Quebec H3T 1E2, Canada

[2] Department of Nursing, McGill University, Montreal, Quebec, Canada

[3] Department of Psychiatry, McGill University, Montreal, Quebec, Canada

[4] Department of Rheumatology, McGill University, Montreal, Quebec, Canada

关键词: Pain;    Physical functioning;    Role overload;    Arthritis;   

Others  :  1082374
DOI  :  10.1186/1751-0759-6-13

 received in 2011-10-10, accepted in 2012-03-13,  发布年份 2012

【 摘 要 】

Background

Inflammatory arthritis impairs participation in societal roles. Role overload arises when the demands by a given role set exceed the resources; time and energy, to carry out the required tasks. The present study examines the association between role overload and disease outcomes in early inflammatory arthritis (EIA).

Methods

Patients (n = 104) of 7.61 months mean duration of inflammatory arthritis completed self-report questionnaires on sociodemographics, disease characteristics and role overload. Pain was assessed using the Short Form McGill Pain Questionnaire (MPQ) and physical functioning was measured with the Medical Outcomes Study Short Form 36 (SF-36) physical functioning score. Role overload was measured by the Role Overload Scale. Patients indicated the number of social roles they occupied from a total of the three typical roles; marital, parental and paid work.

Results

Participants’ mean age was 56 years and 70.2% were female. Role overload was not correlated to the number of social roles, however, it was positively associated with pain (p = 0.004) and negatively associated with physical functioning (p = 0.001). On multivariate analysis, role overload was negatively associated with physical functioning after controlling for the relevant sociodemographic variables.

Conclusion

This study identifies a possible reciprocal relationship between role overload and physical functioning in patients with EIA.

【 授权许可】

   
2012 Mustafa et al.; licensee BioMed Central Ltd.

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