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Osteoarthritis in Social and Personal Context

社会和个人背景下的骨关节炎

基本信息

批准号：
6950862
负责人：
AURORA M SHERMAN
金额：
$ 6.93万
依托单位：
BRANDEIS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-09-30 至 2007-09-30
项目状态：
已结题

项目摘要

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===========================================

超出所提供的空间。＃9。行为医学基础研究。该项目研究了人格、应对努力、感知心理控制以及社会关系的积极和消极方面在老年人适应慢性骨关节炎（OA）中的作用。骨关节炎是老年人慢性疼痛和活动受限的一个重要原因，骨关节炎的患病率随着年龄的增长而增加。骨关节炎是一种痛苦的、使人衰弱的、进行性的疾病，且不易治疗。常用的药物和手术方法的效果并不统一。因此，OA 是许多老年人遇到的重大压力源。患有 OA 需要轻度到重度的身体和心理适应以及应对技巧。然而，很少有工作涉及 OA 背景下社会关系消极方面与人格、应对努力、控制信念和幸福感的潜在关系，纵向工作尤其稀缺。因此，拟议项目旨在调查患有 OA 的老年人的人格测量、控制信念、应对努力和社会关系对基线身心健康的贡献，以及一年内福祉的变化。拟议项目的设计是对 220 名患有 OA 的老年人进行的短期纵向研究。两轮调查将包括可靠、经过验证的人格、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，还将在两个时间点对参与者的身体机能进行观察。多元回归模型将用于利用横截面数据评估人格、社会关系、应对和控制信念对身心健康的贡献。纵向数据将使用结构方程模型 (SEM) 技术进行评估。拟议研究的结果有可能影响数百万因骨关节炎而经历疼痛、不适和重要活动受限的美国老年人。鉴于目前可用医疗方法的局限性，评估人们在长期适应自身状况时所使用的现有社会心理资源的作用至关重要。表演网站==========================================章节结束===============================================