The stability of coping strategies in older adults with osteoarthritis and the ability of these strategies to predict changes in depression, disability, and pain.

Abstract:

OBJECTIVES:Given the chronically painful, incurable nature of osteoarthritis, effective cognitive and behavioral coping strategies may be critical for older adults with the disease. Little is known about how and why coping changes over time, nor about stability of coping strategies in persons with osteoarthritis. The aims of this work were to examine the structure of coping in older adults with osteoarthritis, the association of coping strategies with well-being, the stability of coping over time, and its association with changes in well-being over the same period. METHOD:In a cross-sectional study, 199 older adults with osteoarthritis of the knee were assessed at baseline and two-years' follow-up. Items from two coping scales were factor analyzed, and Pearson's correlations and paired-samples t-tests assessed relative and absolute stability of the resultant coping strategies. CFA assessed the stability of the factor structure itself. Ordinary least-squares regression analyses examined the impact of change in coping on well-being. RESULTS:A five-factor coping solution emerged: stoicism, refocusing, problem-solving, wishful-thinking, and emotion-focused coping. The factor structure showed stability over the two-year period. Absolute stability of strategies varied, indicating that change in coping styles was possible. CONCLUSION:Changes in coping style predicts future well-being; however, coping remains malleable with age and maladaptive strategies can be effectively targeted. Greater knowledge of the utility or maladaptive nature of a given strategy may help guide decisions about interventions for patients with osteoarthritis and encourage more adaptive coping styles.

journal_name

Aging Ment Health

journal_title

Aging & mental health

authors

Regier NG,Parmelee PA

doi

10.1080/13607863.2014.1003286

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

1113-22

issue

12

eissn

1360-7863

issn

1364-6915

journal_volume

19

pub_type

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