Center for epidemiologic studies depression scale (ces-d) factor structure among older adults with osteoarthritis: associations with pain and disability

dc.contributorParmelee, Patricia A.
dc.contributorSnow, Andrea Lynn
dc.contributorMundy, Michael
dc.contributor.advisorParmelee, Patricia A.
dc.contributor.authorMcPherron, Jesse Alan
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.descriptionElectronic Thesis or Dissertationen_US
dc.description.abstractThis analysis evaluated the association of depressive factors with symptoms of osteoarthritis of the knee including pain and disability. Analyses used a sample of community-dwelling older adults. A comparison of potential confirmatory models for the Center for Epidemiologic Studies Depression (CES-D) Scale was performed. Resultant factors of depression were used to predict cross-sectional and longitudinal pain and disability after controlling for demographic and general health covariates. Results indicated a second-order four-factor model had the best fit in this population for the CES-D. In cross-sectional regressions the somatic/vegetative factor was the sole unique predictor of variance in pain of the CES-D factors individually. In addition, the CES-D factors as a group accounted for significant unique variance in both pain and disability. Longitudinal regressions found that CES-D factors as a group significantly predicted change in disability and change in pain over one year; however, none of the CES-D factors had significant coefficients. Results support a biopsychosocial evaluation of depression in osteoarthritis, suggest depression as a unidimensional construct predicts increased pain and disability, and support the continued use of the CES-D in community populations of older adults with osteoarthritis.en_US
dc.format.extent48 p.
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.titleCenter for epidemiologic studies depression scale (ces-d) factor structure among older adults with osteoarthritis: associations with pain and disabilityen_US
dc.typetext of Alabama. Department of Psychology University of Alabama's
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