role overload, pain and physical dysfunction in early rheumatoid or undifferentiated inflammatory arthritis in canada角色超载,疼痛和身体功能障碍早期风湿性或未分化类风湿性关节炎在加拿大.pdfVIP

Mustafa et al. BioPsychoSocial Medicine 2012, 6:13 /content/6/1/13 RESEARCH Open Access Role overload, pain and physical dysfunction in early rheumatoid or undifferentiated inflammatory arthritis in Canada 1 1,4* 1 2 SallySabry Mustafa , KarlJulian Looper , Phyllis Zelkowitz , Margaret Purden , McGill Early Arthritis Research Group and Murray Baron3 Abstract 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 b