Sensory Disabilities, Functional Limitations, and the Role of Technology

Author(s):  
Christine A. Reid ◽  
Sandra M. Bullins
2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Jim Varghese ◽  
Sahana Madhyastha ◽  
Vijay Kumar

Introduction: Pain is primarily a psychological experience. Based on social learning theory, studies have examined association between parental behaviours and child’s functioning in various pain situations. Objectives: 1) to examine relationship of parental responses to pain catastrophization, functional disability and pain intensity in children with functional pain complaints. 2) to explore psychosocial problems associated with functional pain. Methodology: Participants were 43 children diagnosed with functional pain, referred from Paediatric units of Kasturba Hospital, Manipal. Measures examining parental responses to pain, pain catastrophization, pain intensity, functional limitations and psychosocial problems were administered. Results: Analyses revealed significant associations between pain catastrophization and some of its types and functional disability. On the whole, statistically significant relationship between parental responses and pain catastrophization was not observed. But, on gender based analysis, solicitous parental response predicted pain rumination aspect of pain catastrophization in females. Among psychosocial problems, school and family problems were predominant. Conclusions: This study highlighted the role of pain catastrophization in predicting functional limitations in children and role of parental attention in increasing pain rumination in females. Hence, intervention should target the exaggerated pain perceptions, parental attention and psychosocial problems to ameliorate the functional limitations.


2018 ◽  
Vol 10 ◽  
pp. 204062231880684 ◽  
Author(s):  
Elliot M. Friedman ◽  
Daniel K. Mroczek ◽  
Sharon L. Christ

Background: Using longitudinal data from the Survey of Mid-Life Development in the United States, this study examined the role of systemic inflammation in mediating the link between multimorbidity and increases in and onset of functional limitations over a 17–19 year follow-up period. Methods: Participants completed questionnaire assessments of chronic conditions and functional limitations. Interleukin-6, C-reactive protein, and fibrinogen were assayed in serum. Structural equation models were used to predict increases in and onset of functional limitations associated with baseline multimorbidity status; mediation by inflammation was also determined. Results: Multimorbidity ( versus 0–1 conditions) predicted more functional limitations and greater odds of onset of limitations over time. Significant indirect effects showed that inflammation partially mediated the link between multimorbidity and changes in, but not onset of, limitations. Discussion: These results show that inflammation, a nonspecific marker of multiple disease conditions, explains in part the degree to which multimorbidity is disabling.


2019 ◽  
Vol 31 (10_suppl) ◽  
pp. 145S-168S ◽  
Author(s):  
Philippa Clarke ◽  
Erica Twardzik ◽  
Michelle A. Meade ◽  
Mark D. Peterson ◽  
Denise Tate

Objective: This study examined the environmental barriers and facilitators that hinder or promote participation among adults aging with physical disabilities. Method: Data come from an ongoing study of 1,331 individuals aging with long-term physical disability ( M = 65 years). Linear regression examined the association between individual and socioenvironmental factors and participation restrictions in work, leisure, and social activities. Results: Pain, fatigue, and physical functional limitations were significant barriers to participation for individuals aging with physical disability. Barriers in the built environment also reduced participation, net of health and functioning. Poor access to buildings was especially problematic for participation among individuals not using any mobility aid to get around. But for those using wheel or walking aids, environmental barriers had no adverse effect on participation. Discussion: These findings highlight the importance of disentangling the role of different environmental factors by distinguishing between assistive technology for mobility and the physical built environment, including their interactive effects.


2016 ◽  
Vol 62 (1) ◽  
pp. 76-83 ◽  
Author(s):  
Yamini Natarajan ◽  
Donna L. White ◽  
Hashem B. El-Serag ◽  
David Ramsey ◽  
Peter Richardson ◽  
...  

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 457-457
Author(s):  
María del Sequeros Chaparro ◽  
Isabel Cabrera ◽  
Carlos Vara-García ◽  
José Adrián Fernandes-Pires ◽  
Samara Barrera-Caballero ◽  
...  

Abstract Loneliness is a prevalent problem associated with negative health consequences for older adults, such as greater cognitive decline. Limitations to perform physical activities have been associated with greater loneliness in older adults. This association could be moderated by maladaptive social cognition or feelings, such as guilt associated with perceiving oneself as a burden. The objective of this study was to analyze the moderating effect of guilt associated with perceiving oneself as a burden in the relationship between limitations in physical activities and loneliness. Participants were 195 community-dwelling people 60 years or older not showing explicit cognitive or functional limitations that prevent activities of daily life, but who may present limitations in some physical activities (e.g., walking a kilometer or more). A linear regression analysis was conducted for testing the interaction between limitations in physical activities and guilt for perceiving oneself as a burden in loneliness, controlling for gender and age. The interaction between limitations in physical activities and guilt for perceiving oneself as a burden was the only significant predictor of loneliness and the model explained 18.30% of the variance. Limitations in physical activities influenced loneliness when people have high levels of guilt for perceiving oneself as a burden. This study suggests that guilt for perceiving oneself as a burden may play an important role in the association between limitations in some physical activities and loneliness.


2020 ◽  
Author(s):  
Kristin Cadenhead ◽  
Jamie Joseph ◽  
Skylar Kelsven ◽  
Amedeo Minichino ◽  
Heline Mirzakhanian

Efforts to prevent or lessen the functional impact of psychosis can be informed by a better understanding of the neurobiological underpinnings at the earliest stages of the disorder. Understanding these processes early in the psychosis spectrum will in turn allow more targeted efforts to prevent or minimize functional limitations among patients with psychosis. Advances in technology have enabled the study of a host of biomarkers implicated in the neurobiology of psychosis offering unique avenues to investigate mechanisms of disease while at the same time shedding some light on more patient-tailored treatments and setting the foundation for personalized medicine in psychosis. Insights into the neurobiology of psychosis are reviewed, including findings from neuroimaging, neurocognitive, and electrophysiologic studies and findings related to the role of hypothalamic-pituitary axis activity and neuroinflammation in the emergence of psychosis. Biomarker-informed treatments are discussed, and potential promising biomarkers and related treatments are proposed. This review contains 5 figures, 13 tables, and 85 references.  Key words: attenuated risk syndrome, biomarkers, prodrome, psychosis, schizophrenia, treatment


2008 ◽  
Vol 67 (3) ◽  
pp. 231-257 ◽  
Author(s):  
Megan C. Janke ◽  
Laura L. Payne ◽  
Marieke Van Puymbroeck

The disablement process model has been used as a framework to investigate factors that accelerate or decelerate disablement among older adults. Although very little is known about the direct and moderating effects of involvement in leisure activities on the disablement process, research has suggested that participation in leisure activities may serve as a factor affecting the disablement pathways. Using longitudinal data from individuals aged 65 and older ( N = 535) in the Americans' Changing Lives study, we examined the influence of leisure involvement on the disablement process model. Through regression analyses, we found that involvement in informal and formal leisure activities was significantly associated with the disablement process in this sample of older adults, and that the effect of informal and formal leisure on disablement changed across time points and at different phases of the pathway. Results suggest that leisure activities may be protective of cognitive health and mitigate the effect of functional limitations, perceptions of disability, and depressive symptoms among older adults.


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