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作者 Baker, Tamara Adonna
書名 Interrelationships among arthritis, pain, physical functioning, and depressive symptoms in older African Americans
國際標準書號 0493488898
book jacket
說明 241 p
附註 Source: Dissertation Abstracts International, Volume: 62-12, Section: B, page: 5667
Adviser: Keith E. Whitfield
Thesis (Ph.D.)--The Pennsylvania State University, 2001
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
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
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
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
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
School code: 0176
Host Item Dissertation Abstracts International 62-12B
主題 Health Sciences, Public Health
Psychology, Clinical
Alt Author The Pennsylvania State University
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