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Coping with osteoarthritis by older adults
Summary
Patients with osteoarthritis (OA) who perceive their condition as more intense tend to use passive coping strategies, leading to worse mood. Active coping may improve affective status.
Area of Science:
- Rheumatology
- Psychology
- Gerontology
Background:
- Osteoarthritis (OA) significantly impacts patients' quality of life.
- Understanding coping mechanisms is crucial for managing chronic conditions like OA.
- Existing coping models for rheumatoid arthritis may be applicable to OA.
Purpose of the Study:
- To adapt and validate a coping model for patients with osteoarthritis (OA).
- To investigate the relationship between appraisal of OA intensity, coping strategies, and the impact on patients' well-being.
Main Methods:
- Prospective study involving 82 older adults with OA.
- Assessment of OA appraisal, active/passive coping, and impact on pain, mood, and affective status over 4 months.
- Statistical analysis controlling for demographic and medical variables.
Main Results:
- Higher perceived OA intensity correlated with increased passive coping and negative mood.
- Active coping predicted better affective status; passive coping predicted worsening negative mood.
- No significant association found between appraisal/coping and pain or positive mood.
Conclusions:
- Reducing perceived OA intensity may decrease reliance on detrimental passive coping strategies.
- Interventions should target both appraisal of OA and coping strategies for improved outcomes.
- The study supports adapting coping models across different arthritis types.