Are changes in pain, cognitive appraisals and coping strategies associated with changes in physical functioning in older adults with joint pain and chronic diseases?
| Autor: | Martin Smalbrugge, Johannes C. van der Wouden, Lotte A H Hermsen, Jasmijn F. M. Holla, Joost Dekker, Outi Ilves, Stephanie S. Leone, Henriëtte E. van der Horst, Marike van der Leeden |
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| Přispěvatelé: | General practice, APH - Mental Health, APH - Quality of Care, Rehabilitation medicine, Amsterdam Movement Sciences - Restoration and Development, APH - Health Behaviors & Chronic Diseases, AII - Inflammatory diseases, APH - Aging & Later Life, APH - Societal Participation & Health |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Aging Population fyysinen toimintakyky Comorbidity coping strategies Gee 03 medical and health sciences 0302 clinical medicine Cognition Physical functioning Adaptation Psychological Medicine Humans 030212 general & internal medicine education krooniset taudit Generalized estimating equation older adults Aged cognitive appraisals education.field_of_study business.industry selviytyminen Chronic pain kipu Physical Functional Performance medicine.disease Arthralgia Joint pain Chronic Disease krooninen kipu Female Geriatrics and Gerontology medicine.symptom business 030217 neurology & neurosurgery ikääntyneet Clinical psychology |
| Zdroj: | Ilves, O E, 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, pp. 1-7 . https://doi.org/10.1007/s40520-018-0978-x Aging Clinical and Experimental Research, 1-7. Springer Verlag STARTPAGE=1;ENDPAGE=7;ISSN=1594-0667;TITLE=Aging Clinical and Experimental Research |
| ISSN: | 1594-0667 |
| DOI: | 10.1007/s40520-018-0978-x |
| Popis: | 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. peerReviewed |
| Databáze: | OpenAIRE |
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