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dc.contributor.authorIlves, Outi
dc.contributor.authorHermsen, Lotte A. H.
dc.contributor.authorvan der Wouden, Johannes C.
dc.contributor.authorHolla, Jasmijn F. M.
dc.contributor.authorvan der Leeden, Marike
dc.contributor.authorSmalbrugge, Martin
dc.contributor.authorLeone, Stephanie S.
dc.contributor.authorvan der Horst, Henriette E.
dc.contributor.authorDekker, Joost
dc.date.accessioned2019-10-02T10:50:11Z
dc.date.available2019-10-02T10:50:11Z
dc.date.issued2019
dc.identifier.citationIlves, 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?. <i>Aging Clinical and Experimental Research</i>, <i>31</i>(3), 377-383. <a href="https://doi.org/10.1007/s40520-018-0978-x" target="_blank">https://doi.org/10.1007/s40520-018-0978-x</a>
dc.identifier.otherCONVID_28103626
dc.identifier.otherTUTKAID_77917
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/65727
dc.description.abstractBackground 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.fi
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSpringer International Publishing
dc.relation.ispartofseriesAging Clinical and Experimental Research
dc.rightsIn Copyright
dc.subject.othercoping strategies
dc.subject.othercognitive appraisals
dc.subject.otherolder adults
dc.titleAre changes in pain, cognitive appraisals and coping strategies associated with changes in physical functioning in older adults with joint pain and chronic diseases?
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201909274272
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiainePhysiotherapyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2019-09-27T06:15:17Z
dc.description.reviewstatuspeerReviewed
dc.format.pagerange377-383
dc.relation.issn1594-0667
dc.relation.numberinseries3
dc.relation.volume31
dc.type.versionacceptedVersion
dc.rights.copyright© 2018 Springer International Publishing AG, part of Springer Nature
dc.rights.accesslevelopenAccessfi
dc.subject.ysofyysinen toimintakyky
dc.subject.ysoselviytyminen
dc.subject.ysoikääntyneet
dc.subject.ysokrooniset taudit
dc.subject.ysokrooninen kipu
dc.subject.ysokipu
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p27172
jyx.subject.urihttp://www.yso.fi/onto/yso/p11867
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p22702
jyx.subject.urihttp://www.yso.fi/onto/yso/p16952
jyx.subject.urihttp://www.yso.fi/onto/yso/p14193
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1007/s40520-018-0978-x


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