Background: Older Thai Buddhist monks are usually accustomed to a unique lifestyle that potentially relates to knee osteoarthritis (OA) such as long-standing kneeling on the hard surface. Understanding the association among pain catastrophizing, depressive symptoms, and activity of daily living (ADL) in this population with knee OA may help reduce the psychosocial problems and promote their sacred activities. Objective: To determine the relationship between pain catastrophizing, depressive symptoms, and ADL in older Thai Buddhist monks with knee OA. Methods: In all, 105 older monks with knee OA were recruited in this study. Data were collected by using a set of questionnaires and analyzed with descriptive statistics and Pearson’s product-moment coefficient correlations. Results: Accordingly, 2.86% and 27.62% of the subjects experienced pain catastrophizing and depressive symptoms, respectively. There was a moderate positive correlation between pain catastrophizing and depressive symptoms (r = 0.43, P = 0.01). Interestingly, pain catastrophizing and depressive symptoms had a strong negative correlation with ADL (r = - 0.65; P = 0.01, and r = - 0.52; P = 0.01, respectively). Conclusion: The significant correlation between pain catastrophizing and depressive symptoms was demonstrated among older Thai monks with knee OA. Pain catastrophizing and depressive symptoms had a strong reverse correlation with ADL. Further studies are required to develop nursing care that potentially reduces psychosocial threats and promotes ADL in the at-risk population with knee OA.
Faculty of Medicine, Chulalongkorn University
Jeamjitvibool, Thanakrit; Aree-Ue, Suparb; Youngcharoen, Phichpraorn; and Kawinwonggowit, Viroj
"Correlation among pain catastrophizing, depressive symptom, and activity of daily living in older Thai Buddhist monks with knee osteoarthritis,"
Chulalongkorn Medical Journal: Vol. 65:
3, Article 10.
Available at: https://digital.car.chula.ac.th/clmjournal/vol65/iss3/10