Relationship Between Mental Health and Foot Pain
Article first published online: 28 JUL 2014
Copyright © 2014 by the American College of Rheumatology
Arthritis Care & Research
Volume 66, Issue 8, pages 1241–1245, August 2014
How to Cite
Butterworth, P. A., Urquhart, D. M., Cicuttini, F. M., Menz, H. B., Strauss, B. J., Proietto, J., Dixon, J. B., Jones, G. and Wluka, A. E. (2014), Relationship Between Mental Health and Foot Pain. Arthritis Care Res, 66: 1241–1245. doi: 10.1002/acr.22292
- Issue published online: 28 JUL 2014
- Article first published online: 28 JUL 2014
- Accepted manuscript online: 27 JAN 2014 01:52PM EST
- Manuscript Accepted: 21 JAN 2014
- Manuscript Received: 21 JUL 2013
- National Health and Medical Research Council. Grant Number: 384233
- Monash University
- Shepherd Foundation
- Royal Australasian College of Physicians
- Australian Postgraduate Award
- National Health and Medical Research Council Career Development Fellowship. Grant Number: 1011975
- National Health and Medical Research Council Senior Research Fellowship. Grant Number: 1020925
- Senior Postdoctoral Fellowship, Monash University
- National Health and Medical Research Council Senior Research Fellowship. Grant Number: 10497
Although mental health is related to the persistence of musculoskeletal pain, our understanding of the relationship between mental health and foot pain is limited. Subsequently, we conducted a 3-year longitudinal study to examine the relationship between mental health and foot pain in a community-based population.
Eighty-three community-dwelling participants (mean ± SD body mass index [BMI] 35.3 ± 9.0 kg/m2) who had foot pain at study inception in 2008 and for whom measures of mental health (Short Form 36 [SF-36] health survey mental component summary [MCS]) were available, were invited to take part in this followup study in 2011. Change in foot pain was determined by the difference between the Manchester Foot Pain and Disability Index score at baseline and followup; therefore, a decrease in the score indicated improved foot pain and an increase indicated deterioration in foot pain. Linear regression was used to determine the factors affecting change in foot pain.
Of the 62 respondents (75% response rate, 49 women and 13 men), there were 27 (44%) whose foot pain deteriorated. A higher MCS score of the SF-36 health survey at baseline was associated with a slower progression of foot pain (β coefficient −0.29, 95% confidence interval −0.42, −0.01), adjusted for age, sex, BMI, and physical health.
Mental health is associated with changes in foot pain. Clinicians dealing with this population should consider the contribution of mental health in their management and treatment of foot pain.