Osteoarthritis in Social and Personal Context

超出所提供的空间。# 9。行为医学基础研究。该项目研究了个性、应对努力、感知心理控制以及社会关系在老年人慢性骨关节炎（OA）适应中的3个积极和消极方面的作用。骨性关节炎是老年人慢性疼痛和活动受限的一个重要原因，骨性关节炎的患病率随着年龄的增长而增加。骨关节炎是一种疼痛、衰弱和进行性的疾病，不易治疗。常用的药物和手术方法并不总是有效的。因此，骨关节炎是许多老年人遇到的一个重要的压力源。骨性关节炎患者的生活涉及轻微到严重的身体和心理适应以及应对技能。然而，在OA背景下，很少有研究涉及社会关系的消极方面与人格、应对努力、控制信念和幸福感之间的潜在关系，而纵向研究尤其缺乏。因此，该项目旨在调查人格测量，控制信念，应对努力和社会关系对基线身心健康的贡献，以及一年内老年OA患者的幸福感变化。该项目的设计是对220名患有OA的老年人进行短期纵向研究。两波调查将包括可靠的、有效的人格、感知控制、应对行为、社会支持、社会压力、抑郁症状、自尊、生活质量和感知身体残疾的测量。该调查将由训练有素的研究助理通过Medialab计算机程序进行管理。此外，将在两个时间点对参与者的身体功能进行观察。多元回归模型将被用来评估人格、社会关系、应对和控制信念对身心健康的贡献。纵向数据将评估与结构方程模型（SEM）技术。拟议研究的结果有可能影响数百万因OA而经历疼痛、不适和有价值活动限制的美国老年人。鉴于现有医疗手段的局限性，评估人们在长期适应自身状况过程中使用的现有心理社会资源的作用至关重要。网站性能 ======================================== 节结束 ===========================================

EXCEED THE SPACE PROVIDED. #9. Basic Research in Behavioral Medicine. The proposed project examines the role of personality, coping efforts, perceived psychological control, and 3ositive and negative aspects of social relations in adaptation to chronic osteoarthritis (OA) in older adults. OA is a significant cause of chronic pain and activity limitations among older adults and the prevalence of OA increases with age. Osteoarthritis is a painful, debilitating, and progressive condition that is not easily treated. Commonly used medications and surgical approaches are not uniformly effective. As such, OA represents a significant stressor that many older adults encounter. Living with OA involves mild to major physical and psychological adaptation and coping skills. However, little work has addressed the potential relationship of negative aspects of social relations with personality, coping efforts, control beliefs, and well-being in the context of OA, and longitudinal work is particularly scarce. Therefore, the proposed project is designed to investigate the contribution of personality measures, control beliefs, coping efforts and social relations to baseline physical and psychological well being, and changes in well-being over one year, for older adults with OA. The design of the proposed project is a short-term longitudinal study of 220 older adults who have OA. The two-wave survey will include reliable, validated measures of personality, perceived control, coping behavior, social support, social strain, depressive symptoms, self-esteem, quality of life, and perceived physical disability. The survey will be administered via the Medialab computer program by trained research assistants. In addition, observations of participants' physical functioning will be made at both time points. Multiple regression models will be used to evaluate the contribution of personality, social relations, coping, and control beliefs to physical and psychological well-being using cross-sectional data. Longitudinal data will be evaluated with Structural Equation Modeling (SEM) techniques. The results of the proposed study have the potential to impact the millions of older Americans who experience pain, discomfort, and limitations in valued activities due to OA. Given the current limitations of available medical treatments, it is vital to assess the role of existing psychosocial resources that people use in adapting to their condition over time. PERFORMANCE SITE ========================================Section End===========================================