Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis

Lisa Hoogendam; Mark J.W. van der Oest; Jonathan Tsehaie; Robbert M. Wouters; Guus M. Vermeulen; Harm Slijper; Ruud Selles; Jarry Porsius; the Hand-Wrist Study Group

doi:10.1080/09638288.2019.1685602

Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis

Lisa Hoogendam^*, Mark J.W. van der Oest, Jonathan Tsehaie, Robbert M. Wouters, Guus M. Vermeulen, Harm Slijper, Ruud Selles, Jarry Porsius, the Hand-Wrist Study Group

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Background: The aim of this study was to investigate to what extent psychological factors are related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint.

Methods: We included patients (n = 255) at the start of non-invasive treatment for osteoarthritis of the first carpometacarpal joint who completed the Michigan Hand Outcome Questionnaire. Psychological distress, pain catastrophizing behavior and illness perception was measured. X-rays were scored on presence of scaphotrapeziotrapezoid osteoarthritis. We used hierarchical linear regression analysis to determine to what extent pain levels could be explained by patient characteristics, X-ray scores, and psychological factors.

Results: Patient characteristics and X-ray scores accounted for only 6% of the variation in pre-treatment pain levels. After adding the psychological factors to our model, 47% of the variance could be explained.

Conclusions: Our results show that psychological factors are more strongly related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint than patient characteristics and X-ray scores, which implies the important role of these factors in the reporting of symptoms. More research is needed to determine whether psychological factors will also affect treatment outcomes for patients treated non-invasively for osteoarthritis of the first carpometacarpal joint.

IMPLICATIONS FOR REHABILITATION Pain is the most important complaint for patients with osteoarthritis of the first carpometacarpal joint. Psychological factors are strongly associated with pain levels prior to treatment. Pain catastrophizing behavior appears to be a promising target for complementary treatment in patients with osteoarthritis of the first carpometacarpal joint.

Original language	English
Pages (from-to)	1897-1902
Number of pages	6
Journal	Disability and Rehabilitation
Volume	43
Issue number	13
Early online date	8 Nov 2019
DOIs	https://doi.org/10.1080/09638288.2019.1685602
Publication status	Published - 2021

Bibliographical note

Funding Information:
The authors thank all patients who participated and allowed their data to be anonymously used for the present study. The members of the Hand-Wrist Study Group are Arjen Blomme, Berbel Sluijter, Corinne Schouten, Dirk-Jan van der Avoort, Erik Walbeehm, Gijs van Couwelaar, Guus Vermeulen, Hans de Schipper, Hans Temming, Jeroen van Uchelen, Luitzen de Boer, Nicoline de Haas, Oliver Z?phel, Reinier Feitz, Sebastiaan Souer, Steven Hovius, Thybout Moojen, Xander Smit, Rob van Huis, Pierre-Yves Pennehouat, Karin Schoneveld, Yara van Kooij, Robbert Wouters, Paul Zagt, Folkert van Ewijk, Frederik Moussault, Rik van Houwelingen, Joris Veltkamp, Arenda te Velde, Alexandra Fink, Harm Slijper, Ruud Selles, Jarry Porsius, Kim Spekreijse, Chao Zhou, Jonathan Tsehaie, Ralph Poelstra, Miguel Janssen, Mark van der Oest, Stefanie Evers, Jak Dekker, Matijs de Jong, Jasper van Gestel, Marloes ter Stege, Menno Dekker, Roel Faber, Frank Santegoets, Monique Sieber-Rasch, and Ton Gerritsen.

Publisher Copyright:
© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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Psychological factors are more strongly associated with pain than radiographic severity in non invasively treated first carpometacarpal osteoarthritisFinal published version, 1.76 MBLicence: CC BY-NC-ND

Cite this

Hoogendam, L., van der Oest, M. J. W., Tsehaie, J., Wouters, R. M., Vermeulen, G. M., Slijper, H., Selles, R., Porsius, J., & the Hand-Wrist Study Group (2021). Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis. Disability and Rehabilitation, 43(13), 1897-1902. https://doi.org/10.1080/09638288.2019.1685602

@article{6ccb29bb3d7b4a229267ee0b31408b39,

title = "Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis",

abstract = "Background: The aim of this study was to investigate to what extent psychological factors are related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint. Methods: We included patients (n = 255) at the start of non-invasive treatment for osteoarthritis of the first carpometacarpal joint who completed the Michigan Hand Outcome Questionnaire. Psychological distress, pain catastrophizing behavior and illness perception was measured. X-rays were scored on presence of scaphotrapeziotrapezoid osteoarthritis. We used hierarchical linear regression analysis to determine to what extent pain levels could be explained by patient characteristics, X-ray scores, and psychological factors. Results: Patient characteristics and X-ray scores accounted for only 6% of the variation in pre-treatment pain levels. After adding the psychological factors to our model, 47% of the variance could be explained. Conclusions: Our results show that psychological factors are more strongly related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint than patient characteristics and X-ray scores, which implies the important role of these factors in the reporting of symptoms. More research is needed to determine whether psychological factors will also affect treatment outcomes for patients treated non-invasively for osteoarthritis of the first carpometacarpal joint. IMPLICATIONS FOR REHABILITATION Pain is the most important complaint for patients with osteoarthritis of the first carpometacarpal joint. Psychological factors are strongly associated with pain levels prior to treatment. Pain catastrophizing behavior appears to be a promising target for complementary treatment in patients with osteoarthritis of the first carpometacarpal joint.",

author = "Lisa Hoogendam and {van der Oest}, {Mark J.W.} and Jonathan Tsehaie and Wouters, {Robbert M.} and Vermeulen, {Guus M.} and Harm Slijper and Ruud Selles and Jarry Porsius and {the Hand-Wrist Study Group} and Arjen Blomme and Berbel Sluijter and Corinne Schouten and {van der Avoort}, {Dirk Jan} and Erik Walbeehm and {van Couwelaar}, Gijs and Vermeulen, {Guus M.} and {de Schipper}, Hans and Hans Temming and {van Uchelen}, Jeroen and {de Boer}, Luitzen and {de Haas}, Nicoline and Oliver Z{\"o}phel and Reinier Feitz and Sebastiaan Souer and Steven Hovius and Thybout Moojen and Xander Smit and {van Huis}, Rob and Pennehouat, {Pierre Yves} and Karin Schoneveld and {van Kooij}, Yara and Wouters, {Robbert M.} and Paul Zagt and {van Ewijk}, Folkert and Frederik Moussault and {van Houwelingen}, Rik and Joris Veltkamp and {te Velde}, Arenda and Alexandra Fink and Harm Slijper and Ruud Selles and Jarry Porsius and Kim Spekreijse and Chao Zhou and Jonathan Tsehaie and Ralph Poelstra and Miguel Janssen and {van der Oest}, {Mark J.W.} and Stefanie Evers and Jak Dekker and Ton Gerritsen",

note = "Funding Information: The authors thank all patients who participated and allowed their data to be anonymously used for the present study. The members of the Hand-Wrist Study Group are Arjen Blomme, Berbel Sluijter, Corinne Schouten, Dirk-Jan van der Avoort, Erik Walbeehm, Gijs van Couwelaar, Guus Vermeulen, Hans de Schipper, Hans Temming, Jeroen van Uchelen, Luitzen de Boer, Nicoline de Haas, Oliver Z?phel, Reinier Feitz, Sebastiaan Souer, Steven Hovius, Thybout Moojen, Xander Smit, Rob van Huis, Pierre-Yves Pennehouat, Karin Schoneveld, Yara van Kooij, Robbert Wouters, Paul Zagt, Folkert van Ewijk, Frederik Moussault, Rik van Houwelingen, Joris Veltkamp, Arenda te Velde, Alexandra Fink, Harm Slijper, Ruud Selles, Jarry Porsius, Kim Spekreijse, Chao Zhou, Jonathan Tsehaie, Ralph Poelstra, Miguel Janssen, Mark van der Oest, Stefanie Evers, Jak Dekker, Matijs de Jong, Jasper van Gestel, Marloes ter Stege, Menno Dekker, Roel Faber, Frank Santegoets, Monique Sieber-Rasch, and Ton Gerritsen. Publisher Copyright: {\textcopyright} 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.",

year = "2021",

doi = "10.1080/09638288.2019.1685602",

language = "English",

volume = "43",

pages = "1897--1902",

journal = "Disability and Rehabilitation",

issn = "0963-8288",

publisher = "Informa Healthcare",

number = "13",

}

Hoogendam, L, van der Oest, MJW, Tsehaie, J, Wouters, RM, Vermeulen, GM, Slijper, H, Selles, R, Porsius, J & the Hand-Wrist Study Group 2021, 'Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis', Disability and Rehabilitation, vol. 43, no. 13, pp. 1897-1902. https://doi.org/10.1080/09638288.2019.1685602

Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis. / Hoogendam, Lisa; van der Oest, Mark J.W.; Tsehaie, Jonathan et al.
In: Disability and Rehabilitation, Vol. 43, No. 13, 2021, p. 1897-1902.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis

AU - Hoogendam, Lisa

AU - van der Oest, Mark J.W.

AU - Tsehaie, Jonathan

AU - Wouters, Robbert M.

AU - Vermeulen, Guus M.

AU - Slijper, Harm

AU - Selles, Ruud

AU - Porsius, Jarry

AU - the Hand-Wrist Study Group

AU - Blomme, Arjen

AU - Sluijter, Berbel

AU - Schouten, Corinne

AU - van der Avoort, Dirk Jan

AU - Walbeehm, Erik

AU - van Couwelaar, Gijs

AU - Vermeulen, Guus M.

AU - de Schipper, Hans

AU - Temming, Hans

AU - van Uchelen, Jeroen

AU - de Boer, Luitzen

AU - de Haas, Nicoline

AU - Zöphel, Oliver

AU - Feitz, Reinier

AU - Souer, Sebastiaan

AU - Hovius, Steven

AU - Moojen, Thybout

AU - Smit, Xander

AU - van Huis, Rob

AU - Pennehouat, Pierre Yves

AU - Schoneveld, Karin

AU - van Kooij, Yara

AU - Wouters, Robbert M.

AU - Zagt, Paul

AU - van Ewijk, Folkert

AU - Moussault, Frederik

AU - van Houwelingen, Rik

AU - Veltkamp, Joris

AU - te Velde, Arenda

AU - Fink, Alexandra

AU - Slijper, Harm

AU - Selles, Ruud

AU - Porsius, Jarry

AU - Spekreijse, Kim

AU - Zhou, Chao

AU - Tsehaie, Jonathan

AU - Poelstra, Ralph

AU - Janssen, Miguel

AU - van der Oest, Mark J.W.

AU - Evers, Stefanie

AU - Dekker, Jak

AU - Gerritsen, Ton

N1 - Funding Information: The authors thank all patients who participated and allowed their data to be anonymously used for the present study. The members of the Hand-Wrist Study Group are Arjen Blomme, Berbel Sluijter, Corinne Schouten, Dirk-Jan van der Avoort, Erik Walbeehm, Gijs van Couwelaar, Guus Vermeulen, Hans de Schipper, Hans Temming, Jeroen van Uchelen, Luitzen de Boer, Nicoline de Haas, Oliver Z?phel, Reinier Feitz, Sebastiaan Souer, Steven Hovius, Thybout Moojen, Xander Smit, Rob van Huis, Pierre-Yves Pennehouat, Karin Schoneveld, Yara van Kooij, Robbert Wouters, Paul Zagt, Folkert van Ewijk, Frederik Moussault, Rik van Houwelingen, Joris Veltkamp, Arenda te Velde, Alexandra Fink, Harm Slijper, Ruud Selles, Jarry Porsius, Kim Spekreijse, Chao Zhou, Jonathan Tsehaie, Ralph Poelstra, Miguel Janssen, Mark van der Oest, Stefanie Evers, Jak Dekker, Matijs de Jong, Jasper van Gestel, Marloes ter Stege, Menno Dekker, Roel Faber, Frank Santegoets, Monique Sieber-Rasch, and Ton Gerritsen. Publisher Copyright: © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

PY - 2021

Y1 - 2021

N2 - Background: The aim of this study was to investigate to what extent psychological factors are related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint. Methods: We included patients (n = 255) at the start of non-invasive treatment for osteoarthritis of the first carpometacarpal joint who completed the Michigan Hand Outcome Questionnaire. Psychological distress, pain catastrophizing behavior and illness perception was measured. X-rays were scored on presence of scaphotrapeziotrapezoid osteoarthritis. We used hierarchical linear regression analysis to determine to what extent pain levels could be explained by patient characteristics, X-ray scores, and psychological factors. Results: Patient characteristics and X-ray scores accounted for only 6% of the variation in pre-treatment pain levels. After adding the psychological factors to our model, 47% of the variance could be explained. Conclusions: Our results show that psychological factors are more strongly related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint than patient characteristics and X-ray scores, which implies the important role of these factors in the reporting of symptoms. More research is needed to determine whether psychological factors will also affect treatment outcomes for patients treated non-invasively for osteoarthritis of the first carpometacarpal joint. IMPLICATIONS FOR REHABILITATION Pain is the most important complaint for patients with osteoarthritis of the first carpometacarpal joint. Psychological factors are strongly associated with pain levels prior to treatment. Pain catastrophizing behavior appears to be a promising target for complementary treatment in patients with osteoarthritis of the first carpometacarpal joint.

AB - Background: The aim of this study was to investigate to what extent psychological factors are related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint. Methods: We included patients (n = 255) at the start of non-invasive treatment for osteoarthritis of the first carpometacarpal joint who completed the Michigan Hand Outcome Questionnaire. Psychological distress, pain catastrophizing behavior and illness perception was measured. X-rays were scored on presence of scaphotrapeziotrapezoid osteoarthritis. We used hierarchical linear regression analysis to determine to what extent pain levels could be explained by patient characteristics, X-ray scores, and psychological factors. Results: Patient characteristics and X-ray scores accounted for only 6% of the variation in pre-treatment pain levels. After adding the psychological factors to our model, 47% of the variance could be explained. Conclusions: Our results show that psychological factors are more strongly related to pain levels prior to non-invasive treatment in patients with osteoarthritis of the first carpometacarpal joint than patient characteristics and X-ray scores, which implies the important role of these factors in the reporting of symptoms. More research is needed to determine whether psychological factors will also affect treatment outcomes for patients treated non-invasively for osteoarthritis of the first carpometacarpal joint. IMPLICATIONS FOR REHABILITATION Pain is the most important complaint for patients with osteoarthritis of the first carpometacarpal joint. Psychological factors are strongly associated with pain levels prior to treatment. Pain catastrophizing behavior appears to be a promising target for complementary treatment in patients with osteoarthritis of the first carpometacarpal joint.

UR - http://www.scopus.com/inward/record.url?scp=85075067732&partnerID=8YFLogxK

U2 - 10.1080/09638288.2019.1685602

DO - 10.1080/09638288.2019.1685602

M3 - Article

C2 - 31702959

AN - SCOPUS:85075067732

SN - 0963-8288

VL - 43

SP - 1897

EP - 1902

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

IS - 13

ER -

Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis

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