Pain Experiences and Coping Strategies in Rural Older Adults With Chronic Musculoskeletal Pain in Mountainous Areas of Taiwan

Author(s):  
Chun-Ting Liu ◽  
Bei-Yu Wu ◽  
Yung-Hsiang Chen ◽  
Ming-Yen Tsai
2019 ◽  
Vol 10 (04) ◽  
pp. 63-70
Author(s):  
Janet Alexis A. De Los Santos ◽  
Arleth Faith Loreno ◽  
Maria Reza Talaboc

2021 ◽  
Author(s):  
Najmeh Khalili-Mahani ◽  
Shannon Hebblethwaite ◽  
Sasha Elbaz ◽  
Janis Timm-Bottos ◽  
Kim Sawchuk

BACKGROUND Older adults were amongst the first to experience the hazards of COVID-19 stress, from health to social isolation. This situation motivated research organizations and advocacy groups to promote Information and Communication Technologies (ICTs) to support seniors and to mitigate the risk of contagion. OBJECTIVE We used a multimethodological approach to examine how older adults appraised news articles about older adults' COVID-related stress and coping strategies, focusing on ICTs. METHODS This study involved targeted search of several international news media outlets for articles addressing older adults COVID-related stress, coping strategies, and ICTs. Articles that satisfied our selection criteria had more than 100 public comments on their website, Facebook and Reddit feeds. We scraped the comments and performed a quasi-automated social network analysis to identify and map the pattern of interrelations between the topics of age, stress, resources (for coping) and technology. RESULTS Having analyzed the themes emerging from 3390 valid comments in seven international news outlets, revealed that ICTs were not identified as the primary resource for coping with COVID-19 stress. Life experience and putting the discomfort of the pandemic for their age group in perspective (compared to its economic burdens for the younger members of the society) were more prevalent in comments addressing age-related COVID coping strategies. Socialization strategies and connections to people, especially friends and family, were also prominent. Although ICTs such as Zoom and social media platforms were identified as important for maintaining connections, they were not seen as a replacement for face-to-face or in-person experiences. The availability of technologically-mediated news, information and entertainment channels were linked to other activities that helped older adults cope, however these comments also revealed critical attitudes towards ICTs in general. An important finding from our study is that older adults passionately objected to uncritical and patronizing assumptions about the ability of older adults to deal with stress, and to the promotion of ICTs as the most important coping strategy. CONCLUSIONS Informed by media ecology and the appraisal theory of stress and coping, this interdisciplinary approach provides a nuanced understanding of what resources for coping are valued by a group of technologically-savvy older adults. Using social media as a data collection site, we showed that even amongst a digitally-connected group of older adults, ICTS were not positioned as the primary solution to COVID-related problems. As older commenters stated, in promoting ICT use it is necessary to acknowledge, their online and offline needs including their desire for face-to-face connections, their past experiences and perspectives on aging with ICTs, and the import of life experience as a key factor for mitigating stress. CLINICALTRIAL NA


2019 ◽  
Vol 20 (10) ◽  
pp. 1349-1350
Author(s):  
Regina Wing Shan Sit ◽  
Dexing Zhang ◽  
Bo Wang ◽  
Carmen Wong ◽  
Benjamin Hon Kei Yip ◽  
...  

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Naiane Teixeira Bastos de Oliveira ◽  
Irlei dos Santos ◽  
Gisela Cristiane Miyamoto ◽  
Cristina Maria Nunes Cabral

Abstract Background Chronic musculoskeletal pain affects the quality of life of older adults by interfering in their ability to perform activities of daily living. Aerobic exercise programs have been used in the treatment of various health conditions, including musculoskeletal disorders. However, there is still little evidence on the effects of aerobic exercise for the treatment of older adults with chronic musculoskeletal pain. Thus, the objective of this study is to assess the effects of aerobic exercise in improving pain and function of older adults with chronic pain as a consequence of different chronic musculoskeletal conditions. Methods The databases to be used in the search are PubMed, EMBASE, CINAHL, PEDro, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomized controlled trials that used aerobic exercise in the treatment of older adults with chronic musculoskeletal pain will be included. Primary outcomes will be pain and function. We will use the PEDro scale to evaluate the methodological quality and statistical description of each included study, and the strength of the recommendations will be summarized using GRADE. Discussion The results of this systematic review will provide a synthesis of the current evidence on the effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain. In addition, this information can help health professionals in decision-making about the use of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain. Ethics and dissemination This systematic review was recorded prospectively, and the results will be part of a doctoral thesis to be published in a peer-reviewed international journal and possibly presented at international conferences. Systematic review registration PROSPERO, CRD42019118903.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S162-S162
Author(s):  
Kyrsten Costlow ◽  
Patricia A Parmelee ◽  
Tina Harralson

Abstract The literature on health locus of control (HLC) suggests that individuals who believe that their health is internally determined are more likely to use active coping strategies than those who believe their health is determined by chance or powerful others (Brosschot, Gebhardt, & Godaert, 1994; Gibson & Helme, 2000). Coping strategies (Klapow et al., 1995) and HLC (Campbell, Hope, & Dunn, 2017) have been found to influence the relation between chronic pain and depression. We hypothesized that the relation between osteoarthritis pain and depression would be serially mediated by HLC and coping. Self-report measures of osteoarthritis pain (Meenan, Mason, Anderson, Guccione, & Kazis, 1992; Parmelee, Katz, & Lawton), HLC (Wallston, Wallston, & DeVellis, 1978), coping strategies (Felton & Revenson, 1984; Rosenstiel & Keefe, 1983), and depression (Radloff, 1977) were examined in 367 older adults with osteoarthritis of the knee. Hayes’ (2013) PROCESS macro was used to test the hypothesized serial multiple mediation for three subscales of HLC: internality (IHLC), chance (CHLC), and powerful others (PHLC). After controlling for age, the hypothesized serial mediation was statistically significant for IHLC and CHLC but not PHLC. More specifically, osteoarthritis pain significantly increased CHLC, which increased negative coping and depression in turn. Osteoarthritis pain significantly decreased IHLC, which was associated with both positive and negative coping strategies in a complex serial mediation. These findings suggest that interventions targeting HLC and/or coping strategies may be able to alter the pain-depression pathway for older adults with chronic osteoarthritis pain. (Supported by R01-MH51800, P. Parmelee, PI).


2021 ◽  
Vol 33 (S1) ◽  
pp. 8-9
Author(s):  
Jayashree Dasgupta ◽  
Meenakshi Chopra

Background:COVID pandemic in India, lockdowns and an unprepared health system has affected wellbeing of older adults. Low public awareness about mental health issues and stigma also contribute to low help seeking. Exploring impact of COVID on mental health of older adults and understanding support needs is essential.Research Objective:To examine mental wellbeing and coping strategies used by urban community residing older adults during the pandemic in India.Method:As part of an ongoing community engagement initiative with older adults and their families, an online survey was conducted during the first wave of the pandemic in April/May 2020. Sociodemographic details and information on coping strategies were gathered. The five-item General Health Questionnaire (GHQ) was used to screen for psychological distress and data were analyzed using descriptive statistics. Respondents were contacted again in May 2021 during the second COVID wave for a telephonic interview to understand current levels of distress and coping strategies. Consent was taken for audio recording and interviews were conducted using a semi-structured interview guide. Interviews were transcribed and analyzed using thematic analysis.Preliminary results of the ongoing study:Respondents (N=54) aged between 40-86 years (Mn = 60; SD = 18.9). Majority were male (61%), retired or homemakers (57%) and widowed/unmarried (52%). Of the sample 70% had one or more pre-existing medical conditions. A score of ≥ 2 on GHQ in 66% respondents indicates psychological distress. Stressors included health and well-being of family (62%), difficulty managing household work (42%) and increase in family conflicts (17%). Although 72% discussed their worries with family/friends, only 25% considered speaking with a mental health professional indicating low help seeking. Of respondents contacted again, 40% citied ill health or being busy as reasons for refusal to participate. Of those who agreed, 33% reported psychological distress. In-depth interviews, showed use of online mental wellness sessions and yoga/meditation to be beneficial coping strategies. Need for more online support groups was also highlighted.Conclusion:Psychological distress is present amongst community residing older adults in urban India. A change in attitude towards tele mental health must be leveraged to provide support for adults experiencing psychological distress.


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