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KMID : 1012020230120010072
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Physical Therapy Rehabilitation Science
2023 Volume.12 No. 1 p.72 ~ p.79
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Effects of Psychological Stress and Living Environments on Perceived Hand Deformities: a Community-Based Cohort Study
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Song Sun-Mi
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Abstract
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Objective: Despite known associations between negative body image and health declines in chronic pain patients, few studies have examined longitudinal associations between psychological stress and perceived hand deformities. This study examined whether psychological distress was associated with hand deformities 4 years later and if rural and urban adults differed in the association.
Design: A community-based cohort study.
Methods: Community dwelling adults (mean age＝51.97, 52.3% women) in a rural (n＝2968) and urban area (n＝2784) provided demographic data at baseline and, in the 4-year follow-up, responded to questionnaires about psychological distress. Perceived hand deformities were assessed at the 8-year follow-up. Linear regression was conducted to examine the effects of psychological distress on hand deformities and moderation by residential areas.
Results: The perceived hand deformities were more likely among those with severe psychological stress, hand osteoarthritis, or any chronic disease condition (p<0.01) but less likely among those with younger age, higher education, or income (p<0.01). The regression results showed that psychological distress predicted more perceived hand deformities 4 years later even after adjusting for demographic and health covariates (p<0.01). The residential areas did not significantly moderate the association between distress and hand deformities.
Conclusions: This study suggected that psychological distress may trigger later perception of hand deformities in both urband and rural adults. The findings indicate that stress management interventions that are customizable to regional contexts may be effective at preventing negative body image related health problems of community-dewelling adults.
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KEYWORD
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Psychological Distress, Joint Deformities, Chronic Pain, Osteoarthritis, Rural Health
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