Well-being among older adults with OA: direct and mediated patterns of control beliefs, optimism and pessimism.
Well-being among older adults with OA: direct and mediated patterns of control beliefs, optimism and pessimism.
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患有 OA 的老年人的幸福感：控制信念、乐观和悲观的直接和中介模式。
DOI：
10.1080/13607863.2013.765831
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发表时间：
2013
影响因子：
3.4
通讯作者：
Cotter,KellyA
中科院分区：
文献类型：
--
作者：
Sherman,AuroraM;Cotter,KellyA
目标：评估重要心理资源（即乐观、悲观、控制信念）对骨关节炎（OA）老年人心理健康的贡献；评估这些心理社会资源与结果（抑郁症状、生活满意度和自尊）的直接和中介关联。这些目标很重要，因为 OA 是一种重要的压力源，治疗方法有限，而且即使与其他慢性疾病相比，应对这种疾病的人的心理功能也面临风险。方法：对 160 名患有 OA 的社区居住老年人（81% 为女性）进行横断面调查。参与者不是随机选择的，但仍然反映了选择区域的人口构成。 结果：使用 PROCESS 宏的普通最小二乘回归分析表明，乐观和悲观通过约束信念间接与较高的抑郁症状和较低的自尊相关。对生活满意度的分析表明，乐观和悲观情绪都部分地通过掌握和约束信念来调节。讨论：这些结果表明，先前的研究将这些心理资源评估为与结果具有单一关系，可能低估了这些变量之间关系的重要性。我们讨论了对于患有 OA 的老年人可能的干预点，随着时间的推移，他们可能会经历越来越多的约束信念。
Objectives: To assess the contribution of important psychological resources (i.e. optimism, pessimism, control beliefs) to the psychological well-being of older adults with Osteoarthritis (OA); to assess the direct and mediated association of these psychosocial resources to outcomes (depressive symptoms, life satisfaction, and self-esteem). These objectives are important because OA is a significant stressor, treatments are limited, and psychological functioning is at risk for those coping with the condition, even compared to other chronic illnesses.Method:A cross-sectional survey of 160 community-dwelling older adults with OA (81% women). Participants were not randomly selected, but nonetheless reflected the demographic makeup of the selection area.Results: Ordinary least squares regression analyses using the PROCESS macro revealed that optimism and pessimism were associated with higher depressive symptoms and lower self-esteem indirectly through constraints beliefs. The analysis of life satisfaction showed that optimism and pessimism were each partially mediated through mastery and constraints beliefs.Discussion:These results suggest that prior research, which has assessed these psychological resources as having singular relationships to outcomes, may have underestimated the importance of the relationshipbetweenthese variables. We discuss possible points of intervention for older adults with OA who may experience increasing constraints beliefs over time.