The relationship between perceived promotion of autonomy/dependence and pain-related disability in older adults with chronic pain: the mediating role of self-reported physical functioning

Autor: Sónia F. Bernardes, Liesbet Goubert, Marta Osório de Matos
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Functional autonomy
Activities of daily living
STRESS
Pain-related disability
Social Sciences
Chronic pain
Severity of Illness Index
Social support
FEAR-AVOIDANCE MODEL
0302 clinical medicine
Promotion (rank)
Musculoskeletal Pain
Activities of Daily Living
030212 general & internal medicine
RECEIVED SOCIAL SUPPORT
MUSCULOSKELETAL PAIN
General Psychology
Pain Measurement
media_common
GENERAL-POPULATION
Ciências Médicas::Medicina Básica [Domínio/Área Científica]
Fear-avoidance model
PREVALENCE
Psychiatry and Mental health
Health psychology
DEPRESSIVE SYMPTOMS
Older adults
Female
Chronic Pain
Psychology
Autonomy
Clinical psychology
medicine.medical_specialty
Functional dependence
media_common.quotation_subject
PARTNER RESPONSES
03 medical and health sciences
medicine
Humans
Disabled Persons
Brief Pain Inventory
Psychiatry
Aged
Social Support
medicine.disease
EFFICACY
RHEUMATOID-ARTHRITIS
Perception
Self Report
Physical functioning
030217 neurology & neurosurgery
Zdroj: JOURNAL OF BEHAVIORAL MEDICINE
Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
instacron:RCAAP
ISSN: 0160-7715
Popis: Chronic pain is prevalent among older adults and is usually associated with high levels of functional disability. Social support for the promotion of functional autonomy and dependence has been associated with pain-related disability and self-reported physical functioning. Nevertheless, these relationships need further inquiry. Our aims were to investigate: (1) the relationship between perceived promotion of autonomy/dependence and pain-related disability and (2) the extent to which self-reported physical functioning mediated these relationships. 118 older adults (Mage = 81.0) with musculoskeletal chronic pain completed the Portuguese versions of the revised formal social support for Autonomy and Dependence in Pain Inventory, the pain severity and interference scales of the Brief Pain Inventory, and the physical functioning scale of the Medical Outcomes Study-Short-Form 36 v2. Higher levels of perceived promotion of autonomy were associated with lower pain-related disability; this relationship was partially mediated by self-reported physical functioning (B = -.767, p < .001 decreasing to B' = -.485, p < .01). Higher perceived promotion of dependence was associated with higher pain-related disability; this effect was also partially accounted for by self-reported physical functioning (B = .889, p < .01 decreasing to B' = .597, p < .05). These results highlight the importance of perceived promotion of autonomy and dependence for managing older adults' experience of chronic pain. info:eu-repo/semantics/acceptedVersion
Databáze: OpenAIRE
Externí odkaz: