ABSTRACT Purpose: To evaluate personality characteris- tics’ impact upon outcome after silicone-based MP arthroplasty in RA patients. Methods: 40 RA patients who had undergone operations on their MP joints were investigated in a one-year fol- low-up. Objective measurement to assess grip strength and active range of motion—Paper-
pencil-tests to assess pain during activity and at rest performance, QoL, and personality. Results: Significant improvement was observed in func- tion and pain related scores except for the pain related VAS and in several QoL facets and do- mains. Patients who experienced improvement reported higher scores on the activities of daily living facet of the WHO QoL questionnaire. Those with lower pain showed more independ- ence. The variance of the QoL domain scores, other than social and physical domains, could substantially and meaningfully be explained by variance of objective measures combined with personality scores. Conclusions: Most RA pa- tients’ QoL can be improved by MP arthroplasty despite remaining substantial level of pain. NS and HA seem to play an important role in the adaptation process during the long term, chronic illness; whereas SD represents a tool of coping with the burden of pain and disability. Personal- ity characteristics are highly predictive for QoL suggesting their important mediating role be- tween experienced pain and disability and HR
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nullBrändström, S. , Pettersson, K. and Richter, J. (2010) Temperament and character as predictor of health related quality of life after metacarpophalangeal joint arthroplasty ——Personality and MCP joint arthroplasty outcome. Health, 2, 1101-1109. doi: 10.4236/health.2010.29163.
 Chou, C.Y. and Brauer, D.J. (2005) Temperament and satisfaction with health status among persons with rheu- matoid arthritis. Clinical Nurse Spectrum, 19(3), 94-100.
Nagyova, I., Stewart, R.E., Macejova, Z., van Dijk, J.P. and van den Heuvel, W.J. (2005) The impact of pain on psychological well-being in rheumatoid arthritis: The mediating effects of self-esteem and adjustment to disease. Patient Education and Counselling, 58(1), 55-62.
Munafò, M.R. and Stevenson, J. (2001) Anxiety and surgical recovery. Reinterpreting the literature. Journal of Psychosomatic Research, 51(4), 589-596.
Anselm, B.M. (1976) Psyche and rheuma. Journal of International Medical Research, 4(Suppl. 2), 50-53.
Watson, D. and Clark, L.A. (1984) Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96(3), 465-490.
Hamilton, N.A., Zautra, A.J. and Reich, J. (2007) Indi- vidual differences in emotional processing and reactivity to pain among older women with rheumatoid arthritis. Clinical Journal of Pain, 23(2), 165-172.
Dohnke, B., Kn?uper, B. and Müller-Fahrnow, W. (2005) Perceived self-efficacy gained from, and health effects of a rehabilitation program after hip joint replacement. Ar- thritis and Rheumatism, 53(6), 585-592.
Weinryb, R.M., Gustavsson, J.P. and Barber, J.P. (2003) Personality traits predicting long-term adjustment after surgery for ulcerative colitis. Journal of Clinical Psy- chology, 59, 1015-1029.
Radl, R., Leithner, A., Zacherl, M., Lackner, U., Egger, J. and Windhager, R. (2004) The influence of personality traits on the subjective outcome of operative hallux val- gus correction. International Orthopedics, 28(5), 303- 306.
Hyphantis, T.N., Tsifetaki, N., Siafaka, V., Voulgari, P.V., Pappa, C., Bai, M., Palieraki, K., Venetsanopoulou, A., Mavreas, V. and Drosos, A. (2007) The impact of psychological functioning upon systemic sclerosis patients’ quality of life. Seminars in Arthritis and Rheumatism, 37(2), 81-92.
Williams, N.W., Penrose, J.M.T. and Hose, D.R. (2000) Computer model analysis of the Swanson and Sutter metacarpophalangeal joint implants. Journal of Hand Surgery, 25(2), 212-220.
Blazer, P. E. (1998) Metacarpophalangeal arthroplasty. University of Pennsylvania Orthopaedic Journal, 11, 47-51.
Rittmeister, M., Porsch, M., Starker, M. and Kerschbau-
mer, F. (1999) Metacarpophalangeal joint arthroplasty in rheumatoid arthritis: Results of Swanson implants and digital joint operative arthroplasty. Archives of Orthope-
dics and Trauma Surgery, 119, 190-194.
Squitieri, L. and Chung, K.C.A. (2008) A systematic review of outcomes and complications of vascularized toe joint transfer, silicone arthroplasty, and PyroCarbon arthroplasty for posttraumatic joint reconstruction of the finger. Plastic and Reconstructive Surgery, 121(5), 1697- 1707.
Br?ndstr?m, S., Sigvardsson, S., Nylander, P.-O. and Richter, J. (2008) The Swedish version of the Tempera-
ment and Character Inventory (TCI): A cross-validation of age and gender influences. European Journal of Psy- chological Assessment, 24(3), 14-21.
Cloninger, C.R., Przybeck, T.R., Svrakic, D.M. and Wet- zel, R.D. (1994) The temperament and character invent- tory (TCI): A guide to its development and use. Center for Psychobiology of Personality Washington University, St.Louis, Missouri.
Nordenski?ld, U.M. and Grimby, G. (1992) Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects. A study with the Grippit instrument. Scandinavian Journal of Rheumatology, 22(1), 14-19.
Wressle, E., Lindstrand, J., Neher, M., Marcusson, J. and Henriksson, C. (2003) The Canadian Occupational Per- formance Measure as an outcome measure and team tool in a day treatment program. Disability and Rehabilitation, 25(10), 497-506.
Von Korff, M., Ormel, J., Keefe, F.J. and Dworkin, S.F. (1992) Grading the severity of chronic pain. Pain, 50(2), 133-149.
Dasch, B., Endres, H.G., Maier, C., Lungenhausen, M., Smektala, R., Trampisch, H.J. and Pientka, L. (2008) Fracture-related hip pain in elderly patients with proxi- mal femoral fracture after discharge from stationary treatment. European Journal of Pain, 12(2), 149-156.
Sieben, J.M., Vlaeyen, J.W., Portegijs, P.J., Verbunt, J.A., van Riet-Rutgers, S., Kester, A.D., Von Korff , M., Arntz, A. and Knottnerus, J.A. (2005) A longitudinal study on the predictive validity of the fear-avoidance model in low back pain. Pain, 117(1-2), 162-170.
WHOQOL Group. (1998) The World Health Organiza- tion Quality of Life Assessment (WHOQOL) Develop- ment and general psychometric properties. Social Science and Medicine, 46(12), 1569-1585.
Noerholm, V. and Bech, P. (2001) The WHO Quality of Life (WHOQOL) questionnaire: Danish validation study. Nordic Journal of Psychiatry, 55(4), 229-235.
Escott, B.G., Ronald, K., Judd, M.G. and Bogoch, E.R. (2010) NeuFlex and Swanson metacarpophalangeal im- plants for rheumatoid arthritis: a prospective randomized, controlled clinical trial. Journal of Hand Surgery, 35(1), 44-51.
Chung, K.C., Burns, P.B., Wilgis, E.F., Burke, F.D., Regan, M, Kim, H.M. and Fox, D.A. (2009) A multicenter trial in rheumatoid arthritis comparing silicone metacarpo- phalangeal joint arthroplasty with medical treatment. Journal of Hand Surgery, 34(5), 815-823.
Chung, K.C., Kotsis, S.V., Wilgis, E.F., Fox, D.A., Regan, M, Kim, H.M. and Burke, F.D. (2009) A multicenter trial in rheumatoid arthritis comparing silicone metacarpopha-
langeal joint arthroplasty with medical treatment. Journal of Hand Surgery, 34, 734-747.
Massy-Westropp, N., Johnston, R.V. and Hill, C. (2008) Post-operative therapy for metacarpophalangeal arthro- plasty. Cochrane Database of Systematic Reviews, 1.
Colville, R.J., Nicholson, K.S. and Belcher, H.J. (1999) Hand surgery and quality of life. Journal of Hand Sur- gery, 24(3), 263-266.