Are changes in pain, cognitive appraisals and coping strategies associated with changes in physical functioning in older adults with joint pain and chronic diseases?
Ilves, O., Hermsen, L. A. H., van der Wouden, J. C., Holla, J. F. M., van der Leeden, M., Smalbrugge, M., Leone, S. S., van der Horst, H. E., & Dekker, J. (2019). Are changes in pain, cognitive appraisals and coping strategies associated with changes in physical functioning in older adults with joint pain and chronic diseases?. Aging Clinical and Experimental Research, 31(3), 377-383. https://doi.org/10.1007/s40520-018-0978-x
Julkaistu sarjassa
Aging Clinical and Experimental ResearchTekijät
Päivämäärä
2019Tekijänoikeudet
© 2018 Springer International Publishing AG, part of Springer Nature
Background
As the population ages, the number of people with chronic diseases increases. Frequently, older people suffer from joint pain together with other chronic diseases, which can lead to decreased physical functioning.
Aims
To investigate the associations of the changes in cognitive appraisals, coping strategies and pain with the change in physical functioning in older people, who have chronic pain and chronic diseases.
Methods
Elderly persons (n = 407, mean age 77 years, and 62% female), with self-reported joint pain and at least two chronic diseases, filled in questionnaires about cognitive appraisals, coping strategies, pain intensity and physical functioning at baseline, at 6- and 18-month follow-ups. The associations of change in physical functioning with changes in cognitive appraisals, coping strategies and pain were modelled using generalized estimating equations (GEE).
Results
Increase in pain, in negative thinking about the consequences of pain, and in activity avoidance and decrease in self-efficacy beliefs were associated with a decline in physical functioning.
Discussion
Observed mean changes were small but large inter-individual variability was seen. This shows that cognitive appraisals and coping strategies are malleable. Statistical model of change clarifies the direction of longitudinal associations.
Conclusions
The longitudinal findings suggest that joint pain, cognitive appraisals and coping strategies may determine physical functioning in older people who have chronic pain and comorbidity.
...
Julkaisija
Springer International PublishingISSN Hae Julkaisufoorumista
1594-0667Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/28103626
Metadata
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