Pain and emotional well-being as variability predictors and the role of mindfulness in community-dwelling older adults

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dc.contributor Dautovich, Natalie D.
dc.contributor Glenn, Andrea L.
dc.contributor Hilgeman, Michelle M.
dc.contributor Scogin, Forrest Ray
dc.contributor.advisor Parmelee, Patricia A. Zakoscielna, Karolina Magdalena 2017-03-01T17:48:46Z 2017-03-01T17:48:46Z 2016
dc.identifier.other u0015_0000001_0002445
dc.identifier.other Zakoscielna_alatus_0004D_12425
dc.description Electronic Thesis or Dissertation
dc.description.abstract This dissertation examines pain, emotional well-being, affect variability, pain variability and mindfulness in community-dwelling older adults diagnosed with osteoarthritis (OA) of the knee. Osteoarthritis is one of the most common chronic illnesses. Its sufferers experience a great deal of pain and a potentially substantial decline in emotional well-being. This data comes from an ongoing research project, Everyday Quality of Life in Osteoarthritis (EQUAL; R01 AG046155), which examines quality of life among African American (AA) and non-Hispanic White (NHW) older adults with a diagnosis of OA. Subjects aged 50 and older complete a comprehensive baseline assessment, as well as an experience sampling method (ESM) procedure. Baseline measures include Philadelphia Geriatric Center Pain Scale, Freiburg Mindfulness Inventory, Center for Epidemiological Studies Depression Scale, as well as the short form Spielberger State Anxiety Scale. Variability was examined via the ESM procedure which includes responses to mood and pain questions 4 times daily over 7 consecutive days. Structural equation modeling (SEM) was used to examine whether traditional summary measures of pain and overall well-being are predictors of within-day pain and affect variability. Second, the role of mindfulness as a moderator was examined. Path analyses indicated that baseline pain, negative affect, and number of pain locations predict positive affect variability; negative affect predicts negative affect variability; and negative affect predicts pain variability. Mindfulness moderated the effect of emotional well-being on pain variability, but did not moderate the remaining three hypothesized relationships. These results highlight the complex nature of pain and affect in older adults suffering from OA, and how variability and mindfulness may affect that relationship.
dc.format.extent 83 p.
dc.format.medium electronic
dc.format.mimetype application/pdf
dc.language English
dc.language.iso en_US
dc.publisher University of Alabama Libraries
dc.relation.ispartof The University of Alabama Electronic Theses and Dissertations
dc.relation.ispartof The University of Alabama Libraries Digital Collections
dc.relation.hasversion born digital
dc.rights All rights reserved by the author unless otherwise indicated.
dc.subject.other Psychology
dc.subject.other Gerontology
dc.title Pain and emotional well-being as variability predictors and the role of mindfulness in community-dwelling older adults
dc.type thesis
dc.type text University of Alabama. Dept. of Psychology Psychology The University of Alabama doctoral Ph.D.

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