scholarly journals Pain Catastrophizing in Older Adults with Chronic Pain: The Mediator Effect of Mood Using a Path Analysis Approach

2020 ◽  
Vol 9 (7) ◽  
pp. 2073 ◽  
Author(s):  
Huan-Ji Dong ◽  
Björn Gerdle ◽  
Lars Bernfort ◽  
Lars-Åke Levin ◽  
Elena Dragioti
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Path Analysis ◽  
Pain Catastrophizing ◽  
Well Being ◽  
Analysis Approach ◽  
Anxiety And Depression ◽  
Path Coefficient ◽  
Related Factors ◽  
Path Analysis Approach

Cognitive models of pain propose that catastrophic thinking is negatively associated with chronic pain. However, pain catastrophizing is a complex phenomenon requiring a multivariate examination. This study estimates the effects of mood variables (anxiety and depression) on pain catastrophizing in older adults with chronic pain. A postal survey addressing pain aspects was sent to 6611 people ≥ 65 years old living in south-eastern Sweden. Pain catastrophizing was measured using the pain catastrophizing scale. Anxiety and depression were assessed using two subscales of the general well-being schedule. Data were analysed using a path analysis approach. A total of 2790 respondents (76.2 ± 7.4 years old) reported chronic pain (≥three months). The mediation model accounted for 16.3% of anxiety, 17.1% of depression, and 30.9% of pain catastrophizing variances. Pain intensity, insomnia, number of comorbidities, and lifestyle factors (smoking, alcohol consumption, and weight) significantly affected both pain catastrophizing and mood. Anxiety (standardized path coefficient (bstd) = 0.324, p < 0.001) in comparison to depression (bstd = 0.125, p < 0.001) had a greater effect on pain catastrophizing. Mood mediated the relationship between pain catastrophizing and pain-related factors accounting for lifestyle and sociodemographic factors.

A Predictive Model of Spiritual Well-Being Based on Belief in a Just World Mediated by the Positive and Negative Affects in University Students

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Fatemeh Zamani Amir ◽  
Hayedeh Saberi ◽  
Simin Bashardoust
Keyword(s):  
Negative Affect ◽  
University Students ◽  
Path Analysis ◽  
Well Being ◽  
Anxiety And Depression ◽  
Path Coefficient ◽  
Just World ◽  
Negative Affects ◽  
Spiritual Well Being ◽  
Positive And Negative Affects

Background: Spiritual well-being is crucial in human health and reduces anxiety and depression. Therefore, identifying its underlying variables can improve individuals’ health. Objectives: This study aimed to predict a model of spiritual well-being based on belief in a just world mediated by positive and negative effects in university students of Tehran. Methods: This was a descriptive correlation study performed through path analysis. The statistical population consisted of students studying at different universities of Tehran during 2020 - 2021. The research sample comprised 301 university students (199 female and 102 male). The participants completed the Spiritual Well-Being Scale, Belief in a Just World Scale, and Positive and Negative Affect Schedule (PANAS). The model was evaluated using path analysis in AMOS 24.0. Results: The results showed that the path coefficient between positive affect and spiritual well-being was positive and significant, and the path coefficient between negative affect and spiritual well-being was negative and significant (P < 0.001). The total path coefficient between the belief in a just world (BJW) and spiritual well-being was positive and significant, and the path coefficient between the belief in an unjust world (BUW) and spiritual well-being was negative and significant (P < 0.001). Furthermore, there was a significant positive indirect path coefficient between BJW and spiritual well-being (P < 0.001). Accordingly, the positive and negative affects played positive mediating roles between BJW and spiritual well-being. Conclusions: Based on the findings of the present study, it can be concluded that BJW, positive effects, and strengthening them can enhance the level of spiritual well-being and reduce the students’ negative effect, anxiety, and depression levels.

Physical Activity and its Influencing Factors in Community-Dwelling Older Adults With Dementia: A Path Analysis

2021 ◽  
pp. 105477382110339
Author(s):  
Bei Li ◽  
Xiuxiu Huang ◽  
Chenchen Meng ◽  
Qiaoqin Wan ◽  
Yongan Sun
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Path Analysis ◽  
Neuropsychiatric Symptoms ◽  
Community Dwelling ◽  
Cross Sectional ◽  
People With Dementia ◽  
The Status ◽  
Path Analysis Approach ◽  
Community Dwelling Older Adults

Dementia is prevalent in worldwide, and increases the care burden and potential costs. Physical activity (PA) has been increasingly shown to be beneficial for them. This was a cross-sectional observational study aiming to investigate the status of PA among community-dwelling older adults with dementia in Beijing or Hangzhou, China, and verify the relationships between neuropsychiatric symptoms, activities of daily living (ADL), caregivers’ fear of patients’ falling and their PA using a path analysis approach. The level of PA among 216 included people with dementia was low. PA was related to the neuropsychiatric symptoms, with ADL and caregivers’ fear of patients’ falling have mediation roles. The findings indicated that person-centered strategies related to the management of these symptoms might be helpful to improve ADL, relieve caregivers’ concerns about them falling and consequently foster positive participation in PA.

Coagulation process in Manchega sheep milk from Spain: A path analysis approach

2021 ◽  
Author(s):  
A. Figueroa Sánchez ◽  
J. Perea Muñoz ◽  
J. Caballero-Villalobos ◽  
R. Arias Sánchez ◽  
A. Garzón ◽  
...  
Keyword(s):  
Path Analysis ◽  
Analysis Approach ◽  
Sheep Milk ◽  
Coagulation Process ◽  
Path Analysis Approach

scholarly journals CORESIDENCE OF OLDER PARENTS AND ADULT CHILDREN BENEFITS OLDER ADULTS’ PSYCHOLOGICAL WELL-BEING: PATH ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S324-S324 ◽  
Author(s):  
Soohyoung r Lee
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Path Analysis ◽  
Adult Children ◽  
Adult Child ◽  
Well Being ◽  
Health Measurement ◽  
Living Situation ◽  
Psychological Well Being ◽  
Older Parents

Abstract Even though the coresidence of older parents and their adult children is no longer a rare phenomenon in current society, a little is known about the benefit of living with adult children from older adults’ perspectives compared to the risk of this living situation. Previous research suggests that older adults’ psychological well-being is low when they live with their adult children, and this become more salient among single parents, such as widowed or divorced. The current paper utilizes the National Health Measurement Study with a sample of age 55 and over, and their SF-36 Mental Health Component score, and psychological well-being self-acceptance score was measured. Path analysis reveals while mental health and psychological well-being scores are lower among single older adults at the time of the survey (e.g., divorced, widowed) than non-single, coresidence of older adults and adult children completely mediates the negative relationship between being single and both mental health psychological well-being. A complete mediation effect of living with an adult child on older adults’ mental health and psychological well-being is consistent with both white and non-white minority older adults. This suggests that living with adult child benefits older adults’ mental health and psychological well-being. The current study seeks to stimulate ideas that might generate the next answer to community-based care in our current aging society.

scholarly journals Feasibility of a Hybrid Web-Based and In-Person Self-management Intervention Aimed at Preventing Acute to Chronic Pain Transition After Major Lower Extremity Trauma (iPACT-E-Trauma): A Pilot Randomized Controlled Trial

Pain Medicine ◽  
2019 ◽  
Vol 20 (10) ◽  
pp. 2018-2032 ◽  
Author(s):  
M Bérubé ◽  
C Gélinas ◽  
N Feeley ◽  
G Martorella ◽  
J Côté ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Controlled Trial ◽  
Self Management ◽  
Anxiety And Depression ◽  
Management Intervention ◽  
Randomized Controlled ◽  
Extremity Trauma ◽  
Experimental Group ◽  
Pilot Randomized Controlled Trial

Abstract Objective 1) To assess the feasibility of research methods to test a self-management intervention aimed at preventing acute to chronic pain transition in patients with major lower extremity trauma (iPACT-E-Trauma) and 2) to evaluate its potential effects at three and six months postinjury. Design A pilot randomized controlled trial (RCT) with two parallel groups. Setting A supraregional level 1 trauma center. Methods Fifty-six adult patients were randomized. Participants received the intervention or an educational pamphlet. Several parameters were evaluated to determine the feasibility of the research methods. The potential efficacy of iPACT-E-Trauma was evaluated with measures of pain intensity and pain interference with activities. Results More than 80% of eligible patients agreed to participate, and an attrition rate of ≤18% was found. Less than 40% of screened patients were eligible, and obtaining baseline data took 48 hours postadmission on average. Mean scores of mild pain intensity and pain interference with daily activities (<4/10) on average were obtained in both groups at three and six months postinjury. Between 20% and 30% of participants reported moderate to high mean scores (≥4/10) on these outcomes at the two follow-up time measures. The experimental group perceived greater considerable improvement in pain (60% in the experimental group vs 46% in the control group) at three months postinjury. Low mean scores of pain catastrophizing (Pain Catastrophizing Scale score < 30) and anxiety and depression (Hospital Anxiety and Depression Scale scores ≤ 10) were obtained through the end of the study. Conclusions Some challenges that need to be addressed in a future RCT include the small proportion of screened patients who were eligible and the selection of appropriate tools to measure the development of chronic pain. Studies will need to be conducted with patients presenting more serious injuries and psychological vulnerability or using a stepped screening approach.

Path Analysis Testing the Development of Personality and Psychological Well-being Model

2020 ◽  
Vol 43 (1) ◽  
pp. 25-35
Author(s):  
Pi-Ming Yeh ◽  
Gavin Waters
Keyword(s):  
Older Adults ◽  
Path Analysis ◽  
Coping Strategies ◽  
Critical Role ◽  
Well Being ◽  
The United States ◽  
Family Interaction ◽  
Psychological Well Being ◽  
Informed Consent Form ◽  
Spiritual Well Being

The purpose of this study was to test the development of personality and psychological well-being model. This was a cross-sectional, descriptive design. The 448 participants were recruited from older adults living in a Midwest community in the United States. After Institution of Research Board approval, the trained researchers explained this study to older adults who lived in the community. After agreeing to participate, they signed an informed consent form. The structured questionnaires were used to perform data collection. Path analysis was used to examine this model. SPSS 23 version was employed to examine the instruments’ reliabilities and descriptive data. In this model, family interaction and spiritual well-being had significant influences on personality, which had a significant influence on selecting coping strategies. Using different coping strategies influenced on the outcome variables (e.g., psychological well-being and suicidal ideation). The family interaction and spiritual well-being played a critical role on the outcome variables.

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