MARC 主機 00000nam  2200397   4500 
001    AAI3036003 
005    20050404071506.5 
008    050404s2001                        eng d 
020    0493488898 
035    (UnM)AAI3036003 
040    UnM|cUnM 
100 1  Baker, Tamara Adonna 
245 10 Interrelationships among arthritis, pain, physical 
       functioning, and depressive symptoms in older African 
       Americans 
300    241 p 
500    Source: Dissertation Abstracts International, Volume: 62-
       12, Section: B, page: 5667 
500    Adviser:  Keith E. Whitfield 
502    Thesis (Ph.D.)--The Pennsylvania State University, 2001 
520    The current investigation had two purposes. The first was 
       to examine the interrelationships between arthritis 
       symptoms, pain, physical functioning, and depressive 
       symptoms in a sample of older African Americans. The 
       second primary goal was to determine the mediating effect 
       of social support on arthritis symptoms, pain, physical 
       functioning, and depressive symptoms in aged African 
       Americans 
520    The total sample consisted of 247 African Americans adults
       recruited from senior housing facilities in Baltimore, 
       Maryland. The sample had a mean age of 70.1 (SD = 9.24) 
       years, with an average of 10.4 (SD = 2.99) years of 
       education. Seventy-three percent of the sample were 
       females, with 78% of the total sample reporting being 
       doctor diagnosed with an arthritic condition 
520    Several univariate and multivariate analyses were 
       conducted to address the study's primary objectives and 
       research questions. Joint swelling, joint redness, loss of
       joint movement, and fatigue were significant in predicting
       greater pain intensity, poor physical functioning, and 
       depressive symptoms. Being younger, less formal years of 
       education, greater pain intensity, and poor physical 
       functioning were significant predictors of reporting more 
       arthritis symptoms. Less years of formal education and 
       reporting more arthritis symptoms were significant 
       indicators of greater pain intensity. Reporting more 
       arthritis symptoms was a significant predictor of poor 
       physical functioning. Poor physical functioning was the 
       only significant predictor of higher levels of depressive 
       symptomatology 
520    To explore the second purpose of the current investigation,
       several mediation models were calculated to provide a 
       clear interpretation (a) between depressive symptoms and 
       the total number of arthritis symptoms, (b) between 
       depressive symptoms and physical functioning, (c) between 
       depressive symptoms and worst pain intensity, and (d) 
       between physical functioning and worst pain intensity. 
       Social support satisfaction was the mediating variable in 
       each model. Results showed that depression was partially 
       mediated by social support satisfaction for the total 
       sample and for participants reporting three of more 
       arthritis symptoms 
520    Assessing the interrelationships among the physiological, 
       behavioral, cultural, and social constructs can provide 
       greater insight to understanding the complexity of health 
       and health outcomes in older African Americans 
590    School code: 0176 
590    DDC 
650  4 Health Sciences, Public Health 
650  4 Gerontology 
650  4 Psychology, Clinical 
690    0573 
690    0351 
690    0622 
710 20 The Pennsylvania State University 
773 0  |tDissertation Abstracts International|g62-12B 
856 40 |uhttp://pqdd.sinica.edu.tw/twdaoapp/servlet/
       advanced?query=3036003