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

BioPsychoSocial Medicine
Sally MustafaMurray Baron

Abstract

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). 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. 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 releva...Continue Reading

References

Aug 1, 1987·Pain·Ronald Melzack
Jul 22, 2008·Journal of Advanced Nursing·Mary-Beth Coty, Kenneth A Wallston
Oct 27, 2009·Annals of the Rheumatic Diseases·Stephanie NikolausMart A F J van de Laar
Mar 20, 2010·BMC Musculoskeletal Disorders·Mary J BellGeorge A Wells
Dec 24, 2010·BMJ : British Medical Journal·Naomi B KlarenbeekCornelia F Allaart
Jan 5, 2011·BMJ : British Medical Journal·Chris Deighton, David L Scott
Jun 15, 2011·Nature Reviews. Rheumatology·Johanna M W Hazes, Jolanda J Luime
Jul 28, 2011·Annals of the Rheumatic Diseases·Aileen M DavisMonique A Gignac

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