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
Published inAging Clinical and Experimental Research
© 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. ...
PublisherSpringer International Publishing
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Showing items with similar title or keywords.
Chronic diseases and objectively monitored physical activity profile among aged individuals : a cross-sectional twin cohort study Kujala, Urho; Hautasaari, Pekka; Vähä-Ypyä, Henri; Waller, Katja; Lindgren, Noora; Iso-Markku, Paula; Heikkilä, Kauko; Rinne, Juha; Kaprio, Jaakko; Sievänen, Harri (Taylor & Francis, 2019)Introduction: High physical activity (PA) at old age indicates good functional capacity enabling independent living. We investigated how different disease conditions are associated with measured PA indicators in old women ...
The difference in risk of chronic pulmonary disease morbidity and mortality between elite athletes and ordinary men in Finland Kontro, Titta K.; Sarna, Seppo; Kaprio, Jaakko; Kujala, Urho M. (Taylor & Francis, 2020)Introduction: The impact of a history of competitive sports on later smoking behavior and occurrence of chronic pulmonary diseases is poorly known. We investigated how a history of elite level sports predicted later pulmonary ...
Organized Sport Participation and Physical Activity Levels among Adolescents with Functional Limitations Ng, Kwok; Rintala, Pauli; Hutzler, Yeshayahu; Kokko, Sami; Tynjälä, Jorma (MDPI, 2017)Sufficient and regular physical activity is considered a protective factor, reducing the onset of secondary disability conditions in adolescents with chronic diseases and functional limitations. The aim of this study was ...
A randomized controlled trial protocol for persistent physical symptoms associated with indoor environment or chronic fatigue : Effectiveness of video-based functional case conceptualization and web-program for improving quality of life Selinheimo, Sanna; Keinonen, Katariina; Vuokko, Aki; Liesto, Sanna; Sainio, Markku; Lappalainen, Raimo; Paunio, Tiina (Frontiers Media SA, 2023)Introduction: Persistent physical symptoms (PPS) refer to symptoms that cannot be fully explained by structural bodily pathology or by environmental factors. Their impact on daily functioning varies from mild to severe ...
Associations Between Physical and Executive Functions Among Community-Dwelling Older Men and Women Tirkkonen, Anna; Kulmala, Jenni; Hänninen, Tuomo; Törmäkangas, Timo; Stigsdotter, Neely Anna; Sipilä, Sarianna (Human Kinetics, 2022)Walking is a complex task requiring the interplay of neuromuscular, sensory, and cognitive functions. Owing to the age-related decline in cognitive and physical functions, walking may be compromised in older adults, for ...