Religious coping and daily pain experience in osteoarthritis: a moderated mediation model

dc.contributorBlack, Shiela R.
dc.contributorHilgeman, Michelle M.
dc.contributor.advisorParmelee, Patricia A.
dc.contributor.authorCheesman, Katherine
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.descriptionElectronic Thesis or Dissertationen_US
dc.description.abstractObjective: The current study explores the role of religious coping in the daily pain experience of African American and non-Hispanic White older adults with physician-confirmed knee osteoarthritis (OA). Methods: As part of a larger study of racial/ethnic differences in everyday quality of life with OA, 116 persons over the age of 50 completed global measures of pain (PGC Pain Scale) and religious coping (Brief RCOPE); daily variability in pain, coping, and affect was assessed using a daily diary methodology consisting of 4 daily phone calls over 7 days. Multilevel modeling was used to explore moderated-mediation effects of religious coping variables on the daily pain experience. Results: Participant demographics (race, sex) were only partially predictive of religious coping behaviors. A high intraclass correlation (ICC = .92) indicated minimal within-person variation in religious coping over the course of the week. Accordingly, analyses yielded no significant predictive power of level-1 variables (daily pain severity, daily religious coping). Bimodal distributions for daily religious coping suggest minimal variation between coping daily (31.9%) or not at all (31.9%). Inclusion of level-2 variables in the model demonstrated a significant moderating effect of coping type (positive vs. negative) on the relationship between the employment of religious coping and negative affect reported that day (b = .096, SE = .043, p = .028). Conclusions: Findings suggest that employment of religious coping strategies is more closely tied to person-level belief systems than within-day factors. Though challenging to measure on a daily basis, person-level endorsement of religious coping was closely associated with global measures of pain and disability. Implications for future research and clinical intervention are discussed.en_US
dc.format.extent52 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.subjectClinical psychology
dc.titleReligious coping and daily pain experience in osteoarthritis: a moderated mediation modelen_US
dc.typetext of Alabama. Department of Psychology University of Alabama's
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