Social support, stress and functional status in patients with osteoarthritis

Morris Weinberger, William M. Tierney, Patricia Booher, Sharon L. Hiner

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

We investigated the relationship among social support, stress and functional status in 439 patients with osteoarthritis (OA). OA is among the most prevalent diseases affecting American adults and is a major contributor to functional impairment, morbidity, and utilization of health care resources. This study examines whether the impact of social support upon health was direct or indirect (i.e. it was present only when respondents were exposed to stressors). We also wanted to explore the relationship between functional status and specific dimensions of support (i.e. self-esteem, appraisal, belonging, and tangible support). Functional status (psychological disability, physical disability, pain) was assessed with the Arthritis Impact Measurement Scales (AIMS). Multiple regression suggested that exposure to stressors and low self-esteem support were associated with increased disability along all AIMS dimensions; appraisal support was not correlated with any AIMS score. Also, physical disability was associated with being older and having less tangible support (R2 = 0.17); psychological disability with being younger, caucasian, and having less belonging support (R2 = 0.47); and pain with being younger, caucasian and having less education (R2 = 0.15). In no instance was there empirical support for the buffering model. Self-esteem appeared to be the most, and appraisal the least, consistent social support dimension when predicting functional status. While exposure to stressors negatively affected all AIMS dimensions, its impact was greatest with respect to psychological disability. We conclude that social support had a direct, rather than indirect, impact on functional status. Future research should consider separately the impact of distinct social support dimensions.

Original languageEnglish
Pages (from-to)503-508
Number of pages6
JournalSocial Science and Medicine
Volume30
Issue number4
DOIs
StatePublished - 1990

Fingerprint

Social Support
Osteoarthritis
social support
Arthritis
Self Concept
disability
Psychology
self-esteem
physical disability
Pain
Caucasian
Diagnostic Self Evaluation
Health Resources
pain
Functional status
Social support
Morbidity
Education
morbidity
Health

Keywords

  • functional status
  • social support
  • stress

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

Cite this

Social support, stress and functional status in patients with osteoarthritis. / Weinberger, Morris; Tierney, William M.; Booher, Patricia; Hiner, Sharon L.

In: Social Science and Medicine, Vol. 30, No. 4, 1990, p. 503-508.

Research output: Contribution to journalArticle

Weinberger, Morris ; Tierney, William M. ; Booher, Patricia ; Hiner, Sharon L. / Social support, stress and functional status in patients with osteoarthritis. In: Social Science and Medicine. 1990 ; Vol. 30, No. 4. pp. 503-508.
@article{54372d7e14b5478ca64ba6532e242741,
title = "Social support, stress and functional status in patients with osteoarthritis",
abstract = "We investigated the relationship among social support, stress and functional status in 439 patients with osteoarthritis (OA). OA is among the most prevalent diseases affecting American adults and is a major contributor to functional impairment, morbidity, and utilization of health care resources. This study examines whether the impact of social support upon health was direct or indirect (i.e. it was present only when respondents were exposed to stressors). We also wanted to explore the relationship between functional status and specific dimensions of support (i.e. self-esteem, appraisal, belonging, and tangible support). Functional status (psychological disability, physical disability, pain) was assessed with the Arthritis Impact Measurement Scales (AIMS). Multiple regression suggested that exposure to stressors and low self-esteem support were associated with increased disability along all AIMS dimensions; appraisal support was not correlated with any AIMS score. Also, physical disability was associated with being older and having less tangible support (R2 = 0.17); psychological disability with being younger, caucasian, and having less belonging support (R2 = 0.47); and pain with being younger, caucasian and having less education (R2 = 0.15). In no instance was there empirical support for the buffering model. Self-esteem appeared to be the most, and appraisal the least, consistent social support dimension when predicting functional status. While exposure to stressors negatively affected all AIMS dimensions, its impact was greatest with respect to psychological disability. We conclude that social support had a direct, rather than indirect, impact on functional status. Future research should consider separately the impact of distinct social support dimensions.",
keywords = "functional status, social support, stress",
author = "Morris Weinberger and Tierney, {William M.} and Patricia Booher and Hiner, {Sharon L.}",
year = "1990",
doi = "10.1016/0277-9536(90)90353-T",
language = "English",
volume = "30",
pages = "503--508",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",
number = "4",

}

TY - JOUR

T1 - Social support, stress and functional status in patients with osteoarthritis

AU - Weinberger, Morris

AU - Tierney, William M.

AU - Booher, Patricia

AU - Hiner, Sharon L.

PY - 1990

Y1 - 1990

N2 - We investigated the relationship among social support, stress and functional status in 439 patients with osteoarthritis (OA). OA is among the most prevalent diseases affecting American adults and is a major contributor to functional impairment, morbidity, and utilization of health care resources. This study examines whether the impact of social support upon health was direct or indirect (i.e. it was present only when respondents were exposed to stressors). We also wanted to explore the relationship between functional status and specific dimensions of support (i.e. self-esteem, appraisal, belonging, and tangible support). Functional status (psychological disability, physical disability, pain) was assessed with the Arthritis Impact Measurement Scales (AIMS). Multiple regression suggested that exposure to stressors and low self-esteem support were associated with increased disability along all AIMS dimensions; appraisal support was not correlated with any AIMS score. Also, physical disability was associated with being older and having less tangible support (R2 = 0.17); psychological disability with being younger, caucasian, and having less belonging support (R2 = 0.47); and pain with being younger, caucasian and having less education (R2 = 0.15). In no instance was there empirical support for the buffering model. Self-esteem appeared to be the most, and appraisal the least, consistent social support dimension when predicting functional status. While exposure to stressors negatively affected all AIMS dimensions, its impact was greatest with respect to psychological disability. We conclude that social support had a direct, rather than indirect, impact on functional status. Future research should consider separately the impact of distinct social support dimensions.

AB - We investigated the relationship among social support, stress and functional status in 439 patients with osteoarthritis (OA). OA is among the most prevalent diseases affecting American adults and is a major contributor to functional impairment, morbidity, and utilization of health care resources. This study examines whether the impact of social support upon health was direct or indirect (i.e. it was present only when respondents were exposed to stressors). We also wanted to explore the relationship between functional status and specific dimensions of support (i.e. self-esteem, appraisal, belonging, and tangible support). Functional status (psychological disability, physical disability, pain) was assessed with the Arthritis Impact Measurement Scales (AIMS). Multiple regression suggested that exposure to stressors and low self-esteem support were associated with increased disability along all AIMS dimensions; appraisal support was not correlated with any AIMS score. Also, physical disability was associated with being older and having less tangible support (R2 = 0.17); psychological disability with being younger, caucasian, and having less belonging support (R2 = 0.47); and pain with being younger, caucasian and having less education (R2 = 0.15). In no instance was there empirical support for the buffering model. Self-esteem appeared to be the most, and appraisal the least, consistent social support dimension when predicting functional status. While exposure to stressors negatively affected all AIMS dimensions, its impact was greatest with respect to psychological disability. We conclude that social support had a direct, rather than indirect, impact on functional status. Future research should consider separately the impact of distinct social support dimensions.

KW - functional status

KW - social support

KW - stress

UR - http://www.scopus.com/inward/record.url?scp=0025234473&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025234473&partnerID=8YFLogxK

U2 - 10.1016/0277-9536(90)90353-T

DO - 10.1016/0277-9536(90)90353-T

M3 - Article

C2 - 2315733

AN - SCOPUS:0025234473

VL - 30

SP - 503

EP - 508

JO - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

IS - 4

ER -