Depression, Fatigue, and Physical Performance among Older Adults with Knee Osteoarthritis: A Correlational Study
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Published:
Jan 7, 2020
Keywords:
KNEE OSTEOARTHRITIS DEPRESSION FATIGUE PHYSICAL PERFORMANCE
Main Article Content
Abstract
This descriptive correlational study aimed to examine the relationship among depression, fatigue, and physical performance in older adults with knee osteoarthritis. The participants were 144 older adults with knee osteoarthritis who met the inclusion criteria including age 60 years or older, not having cognitive impairment, and being active members of six senior citizens clubs located in Bangkok. The research instruments were 1) Personal data questionnaire, 2) The Multidimensional Assessment of Fatigue, 3) the Geriatric Depression Scale-15, and 4) Time Up & Go Test. Data were collected from August to November 2017 and were analyzed using descriptive statistics, Pearson correlation coefficients and Spearman’s rank correlation coefficients. The results indicated that 29.90% of participants had depressive symptom (n = 43), and they had mild fatigue with mean score of 18.14 (SD = 8.66) and had slightly low physical performance of time get up and go test with mean of 12.60 seconds (SD = 2.22). A small positive correlation was found between depression and physical performance. Moderate positive correlations were found between fatigue and depressive symptom and between fatigue and physical performance respectively. The findings of this study emphasized the complexity of psychosocial problems in older adults with knee osteoarthritis by explaining the relationships among depression, fatigue, and physical performance. This information will be beneficial not only to initiate an intervention for alleviating psychosocial problems, but also to promote physical performance for delaying dependency and enhancing quality of life in older adults with knee osteoarthritis.
Article Details
How to Cite
1.
Kongsombun U, Aree-Ue S, Youngcharoen P. Depression, Fatigue, and Physical Performance among Older Adults with Knee Osteoarthritis: A Correlational Study. Nurs Res Inno J [Internet]. 2020 Jan. 7 [cited 2024 Apr. 19];25(3):310-25. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/178959
Section
บทความวิจัย
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
1. Foundation of Thai Gerontology Research and Development Institute (TGRI). Situation of the Thai elderly 2016.
Nakhon Pathom: Printery; 2017.
2. Jevsevar DS. Treatment of osteoarthritis of the knee,evidence-based guideline, 2nd edition. J Am Acad Orthop
Surg. 2013;21(9):571-6.
3. Veenhof C, Huisman PA, Barten JA, Takken T, Pisters MF. Factors associated with physical activity in patients with osteoarthritis of the hip or knee: a systematic review.Osteoarthritis Cartilage. 2012;20(1):6-12.
4. Cho HJ, Morey V, Kang JY, Kim KW, Kim TK.Prevalence and risk factors of spine, shoulder, hand, hip,and knee osteoarthritis in community-dwelling Koreans older than age 65 years. Clin Orthop Relat Res. 2015;473(10):3307-14.
5. Duangthipsirikul S, Sirisamut T, Tantipisitkun K,Ingsasawang SL, Thirawattananon Y. Report of the Thai
elderly health survey 2013 under the elderly and people health promotion program disabled. Bangkok: Watcharin
Printing Center; 2013. (in Thai)
6. Palazzo C, Nguyen C, Lefevre-Colau MM, Rannou F,Poiraudeau S. Risk factors and burden of osteoarthritis.
Ann Phys Rehabi Med. 2016;59(3):134-8.
7. Heidari B. Knee osteoarthritis prevalence, risk factors,pathogenesis and features: Part I. Caspian J Intern Med.
2011;2(2):205-12.
8. Pukdeesamai R, Panichacheewakul P. Improving care for elderly with knee pain at Ban Bak Tambol Health
Promotion Hospital, Changhan District, Roi Et Province.Journal of Nursing Science & Health. 2011;34(2):46-55. (in Thai)
9. Kuçuksen S, Halim Y, Karahan AY, Bagçaci S. The prevalence of depression and its relevance to clinical and
radiological characteristics among older adults with knee osteoarthritis. Clinical Medicine Research. 2014;3(2):25-30.
10. Murphy SL, Alexander NB, Levoska M, Smith DM.Relationship between fatigue and subsequent physical activity among older adults with symptomatic osteoarthritis.Arthritis Care Res. 2013;65(10):1617-24.
11. Shams A, Poor Hadi S, Sahaf R. Comparing levels of depression in healthy active and inactive elders versus those
with knee osteoarthritis disease. Ann Appl Sport Sci.2016;4(1):49-56.
12. World Health Organization (WHO). International classification of functioning, disability and health: ICF.
[cited 2017 March1]. Available https://apps.who.int/iris/bitstream/10665/43737/1/9789241547321_eng.pdf
13. Aghdam AM, Kolahi S, Hasankhani H, Behshid M.Varmaziar Z. The relationship between pain and physical function in adults with knee osteoarthritis. IJSBR.2013;3(12):1102-6.
14. Rosemann T, Backenstrass M, Joest K, Rosemann A,Szecsenyi J, Laux G. Predictors of depression in a sample
of 1,021 primary care patients with osteoarthritis. Arthritis Rheum. 2007;57(3):415-22.
15. Snijders GF, den Broeder AA, van Riel PL, Straten VH,de Man FH, van den Hoogen, FH, van den Ende CH.
Evidence-based tailored conservative treatment of knee and hip osteoarthritis: between knowing and doing. Scand
J Rheumatol. 2011;40(3):225-31.
16. Brandt KD. Diagnosis and nonsurgical management of osteoarthritis. New York: Professional Communication;
2010.
17. Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief
cognitive screening test. Geriatr Gerontol Int. 2015;15(5):594-600.
18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and
regression analyses. Behavior Research Methods.2009;41(4):1149-60.
19. Possley D, Budiman-Mak E, O’Connell S, Jelinek C,Collins EG. Relationship between depression and functional measures in overweight and obese persons with osteoarthritis of the knee. J Rehabil Res Dev. 2009;46(9):1091-8.
20. Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based
sample. J Am Geriatr Soc. 2003;51(10):1451-4.
21. Belza BL, Henke CJ, Yelin EH, Epstein WV, & Gilliss CL. Correlates of fatigue in older adults with rheumatoid
arthritis. Nurs Res. 1993;42(2):93-9.
22. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V,Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report.J Psychiatr Res. 1982-1983; 7(1):37-49.
23. Wongpakaran N, Wongpakaran T, & Van Reekum R. The use of GDS-15 in detecting MDD: a comparison between
residents in a Thai long-term care home and geriatric outpatients. J Clin Med Res. 2013;5(2):101-11.
24. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am
Geriatr Soc. 1991;39(2):142-8.
25. Centers for Disease Control and Prevention. Timed Up &Go Test [cited 2017 January]. Available https://www.
cdc.gov/steadi/pdf/TUG_Test-print.pdf
26. Nimit-arnum N. The epidemiological situation and risk assessment of knee osteoarthritis among Thai people.
Journal of the Roya1 Thai Army Nurses. 2014;5(3):185-94. (in Thai)
27. Phermpool P. Severity of osteoarthritis and self-care behavior of patients with osteoarthritis of the knee in sirirat
hospital. [thesis]. Nakhon Pathom: Mahidol University;2010. (in Thai)
28. Iqbal MN, Haidri FR, Motiani B, Mannan A. Frequency of factors associated with knee osteoarthritis. J Pak Med
Assoc. 2011;61(8):786-9.
29. Kim HS, Shin JS, Lee J, Lee YJ, Kim MR, Bae YH, Ha IH. Association between knee osteoarthritis, cardiovascular
risk factors, and the Framingham risk core in South Koreans: a cross-sectional study. PLos One. 2016;11(10):e0165325. doi: 10.1371/journal.pone.0165325
30. Vohra I, Singh A, Ali S, Verma N, Kumar A, Katiyar V.Correlation of hypertension with the severity of osteoarthritis of knee. Int J Biomed Res. 2015;6(4):238-41.
31. Pitantananukune P, Surit P. Chronic pain management of older person living in a community. Journal of Nurses
Association of Thailand, North-Eastern Division.2011;29(4):58-68. (in Thai)
32. Wiriyawong P, Kespichayawattana J. Selected factors related to depression in older persos with knee osteoarthritis.
Journal of Boromarajonani College of Nursing,Bangkok.2010;26(1): 83-98. (in Thai)
33. Chumtem S, Jitpanya C. The relationships joint pain,fatigue, sleep quality, depression and health related quality
of life in patients with rheumatoid arthritis. Kuakarun Journal of Nursing. 2015;22(1):113-128. (in Thai)
34. Garip Y, Guler T, Tuncer OB. Fatigue among elderly patients with knee osteoarthritis and its association with
functional status, depression and quality of life. Ankara Med J. 2016;16(1): 20-6.
35. Thaweewannakij T, Amatachaya S, Peungsuwan P, Mato L. Balance, fall and quality of life in active and inactive
elderly. J Med Tech Phy Ther. 2010;22(3):271-9.
36. Greenglass E, Fiksenbaum L, Eaton J. The relationship between coping, social support, functional disability and
depression in the elderly. Anxiety, Stress, & Coping 2006;19(1):15-31.
37. Odole AC, Ogunlana MO, Adegoke BOA, Ojonima F,Useh F. Depression, pain and physical function in patients
with osteoarthritis of the knee: implications for interprofessional care. Nigerian Journal of Medical Rehabilitation. 2015;18(1). doi: https://doi.org/10.34058/njmr.v18i1.120
38. Nikolaus S, Bode C, Taal E, van de Laar MA. Fatigue and factors related to fatique in rheumatoid arthritis: a
systematic review. Arthritis Care Res. 2013;65(7):1128-48.
39. Klinpudtan N. Factors predicting fatigue in patients with heart failure. [thesis]. Bangkok: Chulalongkorn University;
2014. (in Thai)
Nakhon Pathom: Printery; 2017.
2. Jevsevar DS. Treatment of osteoarthritis of the knee,evidence-based guideline, 2nd edition. J Am Acad Orthop
Surg. 2013;21(9):571-6.
3. Veenhof C, Huisman PA, Barten JA, Takken T, Pisters MF. Factors associated with physical activity in patients with osteoarthritis of the hip or knee: a systematic review.Osteoarthritis Cartilage. 2012;20(1):6-12.
4. Cho HJ, Morey V, Kang JY, Kim KW, Kim TK.Prevalence and risk factors of spine, shoulder, hand, hip,and knee osteoarthritis in community-dwelling Koreans older than age 65 years. Clin Orthop Relat Res. 2015;473(10):3307-14.
5. Duangthipsirikul S, Sirisamut T, Tantipisitkun K,Ingsasawang SL, Thirawattananon Y. Report of the Thai
elderly health survey 2013 under the elderly and people health promotion program disabled. Bangkok: Watcharin
Printing Center; 2013. (in Thai)
6. Palazzo C, Nguyen C, Lefevre-Colau MM, Rannou F,Poiraudeau S. Risk factors and burden of osteoarthritis.
Ann Phys Rehabi Med. 2016;59(3):134-8.
7. Heidari B. Knee osteoarthritis prevalence, risk factors,pathogenesis and features: Part I. Caspian J Intern Med.
2011;2(2):205-12.
8. Pukdeesamai R, Panichacheewakul P. Improving care for elderly with knee pain at Ban Bak Tambol Health
Promotion Hospital, Changhan District, Roi Et Province.Journal of Nursing Science & Health. 2011;34(2):46-55. (in Thai)
9. Kuçuksen S, Halim Y, Karahan AY, Bagçaci S. The prevalence of depression and its relevance to clinical and
radiological characteristics among older adults with knee osteoarthritis. Clinical Medicine Research. 2014;3(2):25-30.
10. Murphy SL, Alexander NB, Levoska M, Smith DM.Relationship between fatigue and subsequent physical activity among older adults with symptomatic osteoarthritis.Arthritis Care Res. 2013;65(10):1617-24.
11. Shams A, Poor Hadi S, Sahaf R. Comparing levels of depression in healthy active and inactive elders versus those
with knee osteoarthritis disease. Ann Appl Sport Sci.2016;4(1):49-56.
12. World Health Organization (WHO). International classification of functioning, disability and health: ICF.
[cited 2017 March1]. Available https://apps.who.int/iris/bitstream/10665/43737/1/9789241547321_eng.pdf
13. Aghdam AM, Kolahi S, Hasankhani H, Behshid M.Varmaziar Z. The relationship between pain and physical function in adults with knee osteoarthritis. IJSBR.2013;3(12):1102-6.
14. Rosemann T, Backenstrass M, Joest K, Rosemann A,Szecsenyi J, Laux G. Predictors of depression in a sample
of 1,021 primary care patients with osteoarthritis. Arthritis Rheum. 2007;57(3):415-22.
15. Snijders GF, den Broeder AA, van Riel PL, Straten VH,de Man FH, van den Hoogen, FH, van den Ende CH.
Evidence-based tailored conservative treatment of knee and hip osteoarthritis: between knowing and doing. Scand
J Rheumatol. 2011;40(3):225-31.
16. Brandt KD. Diagnosis and nonsurgical management of osteoarthritis. New York: Professional Communication;
2010.
17. Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief
cognitive screening test. Geriatr Gerontol Int. 2015;15(5):594-600.
18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and
regression analyses. Behavior Research Methods.2009;41(4):1149-60.
19. Possley D, Budiman-Mak E, O’Connell S, Jelinek C,Collins EG. Relationship between depression and functional measures in overweight and obese persons with osteoarthritis of the knee. J Rehabil Res Dev. 2009;46(9):1091-8.
20. Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based
sample. J Am Geriatr Soc. 2003;51(10):1451-4.
21. Belza BL, Henke CJ, Yelin EH, Epstein WV, & Gilliss CL. Correlates of fatigue in older adults with rheumatoid
arthritis. Nurs Res. 1993;42(2):93-9.
22. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V,Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report.J Psychiatr Res. 1982-1983; 7(1):37-49.
23. Wongpakaran N, Wongpakaran T, & Van Reekum R. The use of GDS-15 in detecting MDD: a comparison between
residents in a Thai long-term care home and geriatric outpatients. J Clin Med Res. 2013;5(2):101-11.
24. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am
Geriatr Soc. 1991;39(2):142-8.
25. Centers for Disease Control and Prevention. Timed Up &Go Test [cited 2017 January]. Available https://www.
cdc.gov/steadi/pdf/TUG_Test-print.pdf
26. Nimit-arnum N. The epidemiological situation and risk assessment of knee osteoarthritis among Thai people.
Journal of the Roya1 Thai Army Nurses. 2014;5(3):185-94. (in Thai)
27. Phermpool P. Severity of osteoarthritis and self-care behavior of patients with osteoarthritis of the knee in sirirat
hospital. [thesis]. Nakhon Pathom: Mahidol University;2010. (in Thai)
28. Iqbal MN, Haidri FR, Motiani B, Mannan A. Frequency of factors associated with knee osteoarthritis. J Pak Med
Assoc. 2011;61(8):786-9.
29. Kim HS, Shin JS, Lee J, Lee YJ, Kim MR, Bae YH, Ha IH. Association between knee osteoarthritis, cardiovascular
risk factors, and the Framingham risk core in South Koreans: a cross-sectional study. PLos One. 2016;11(10):e0165325. doi: 10.1371/journal.pone.0165325
30. Vohra I, Singh A, Ali S, Verma N, Kumar A, Katiyar V.Correlation of hypertension with the severity of osteoarthritis of knee. Int J Biomed Res. 2015;6(4):238-41.
31. Pitantananukune P, Surit P. Chronic pain management of older person living in a community. Journal of Nurses
Association of Thailand, North-Eastern Division.2011;29(4):58-68. (in Thai)
32. Wiriyawong P, Kespichayawattana J. Selected factors related to depression in older persos with knee osteoarthritis.
Journal of Boromarajonani College of Nursing,Bangkok.2010;26(1): 83-98. (in Thai)
33. Chumtem S, Jitpanya C. The relationships joint pain,fatigue, sleep quality, depression and health related quality
of life in patients with rheumatoid arthritis. Kuakarun Journal of Nursing. 2015;22(1):113-128. (in Thai)
34. Garip Y, Guler T, Tuncer OB. Fatigue among elderly patients with knee osteoarthritis and its association with
functional status, depression and quality of life. Ankara Med J. 2016;16(1): 20-6.
35. Thaweewannakij T, Amatachaya S, Peungsuwan P, Mato L. Balance, fall and quality of life in active and inactive
elderly. J Med Tech Phy Ther. 2010;22(3):271-9.
36. Greenglass E, Fiksenbaum L, Eaton J. The relationship between coping, social support, functional disability and
depression in the elderly. Anxiety, Stress, & Coping 2006;19(1):15-31.
37. Odole AC, Ogunlana MO, Adegoke BOA, Ojonima F,Useh F. Depression, pain and physical function in patients
with osteoarthritis of the knee: implications for interprofessional care. Nigerian Journal of Medical Rehabilitation. 2015;18(1). doi: https://doi.org/10.34058/njmr.v18i1.120
38. Nikolaus S, Bode C, Taal E, van de Laar MA. Fatigue and factors related to fatique in rheumatoid arthritis: a
systematic review. Arthritis Care Res. 2013;65(7):1128-48.
39. Klinpudtan N. Factors predicting fatigue in patients with heart failure. [thesis]. Bangkok: Chulalongkorn University;
2014. (in Thai)