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

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dc.contributorDautovich, Natalie D.
dc.contributorGlenn, Andrea L.
dc.contributorHilgeman, Michelle M.
dc.contributorScogin, Forrest Ray
dc.contributor.advisorParmelee, Patricia A.
dc.contributor.authorZakoscielna, Karolina Magdalena
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.date.accessioned2017-03-01T17:48:46Z
dc.date.available2017-03-01T17:48:46Z
dc.date.issued2016
dc.descriptionElectronic Thesis or Dissertationen_US
dc.description.abstractThis 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.en_US
dc.format.extent83 p.
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.otheru0015_0000001_0002445
dc.identifier.otherZakoscielna_alatus_0004D_12425
dc.identifier.urihttps://ir.ua.edu/handle/123456789/2737
dc.languageEnglish
dc.language.isoen_US
dc.publisherUniversity of Alabama Libraries
dc.relation.hasversionborn digital
dc.relation.ispartofThe University of Alabama Electronic Theses and Dissertations
dc.relation.ispartofThe University of Alabama Libraries Digital Collections
dc.rightsAll rights reserved by the author unless otherwise indicated.en_US
dc.subjectPsychology
dc.subjectGerontology
dc.titlePain and emotional well-being as variability predictors and the role of mindfulness in community-dwelling older adultsen_US
dc.typethesis
dc.typetext
etdms.degree.departmentUniversity of Alabama. Department of Psychology
etdms.degree.disciplinePsychology
etdms.degree.grantorThe University of Alabama
etdms.degree.leveldoctoral
etdms.degree.namePh.D.
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