Illness Intrusiveness, Perceived Control, and Quality of Life in Older Adults with Arthritis and Multimorbidity.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-01-22 DOI:10.1080/07317115.2025.2454977

Sama Joshi, M Carrington Reid, Irina Mindlis

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引用次数: 0

Abstract

Objectives: Arthritis is associated with poor quality of life (QOL) among older adults; and QOL is even worse among those with arthritis and multimorbidity (MM). Illness intrusiveness and perceived control have been identified in studies of single illnesses as modifiable mechanisms for QOL, but are understudied in older adults with arthritis and MM. We investigated the role of these potential mechanisms with QOL among older adults with arthritis and MM.

Methods: Secondary analysis of a sample of older adults aged ≥ 62 years with arthritis and MM (N = 228) using PROCESS macro for SPSS.

Results: Participants were on average 72 years with 4 chronic illnesses, and high levels of pain intensity and illness intrusiveness. Perceived control was a significant mediator (but not moderator) in the relationship between illness intrusiveness and QOL, even after adjustment for pain intensity [β = -0.16, 95% CI (-0.13, -0.06)].

Conclusions: Lower levels of illness intrusiveness were associated with improved QOL through greater perceived control. Longitudinal studies are needed to further assess these mechanisms in older adults with arthritis and MM to adapt existing interventions.

Clinical implications: Perceived control may be a target for future behavioral interventions to improve QOL in this population.

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老年关节炎和多重疾病患者的疾病侵入性、感知控制和生活质量。

目的：关节炎与老年人生活质量差（QOL）相关；关节炎和多病（MM）患者的生活质量更差。疾病侵入性和感知控制在单一疾病的研究中被确定为生活质量的可改变机制，但在患有关节炎和MM的老年人中尚未得到充分研究。我们调查了这些潜在机制在患有关节炎和MM的老年人中对生活质量的作用。方法：使用SPSS的PROCESS宏对年龄≥62岁的患有关节炎和MM的老年人样本（N = 228）进行二次分析。结果：参与者平均年龄72岁，患有4种慢性疾病，疼痛强度高，疾病侵入性强。感知控制是疾病侵入性和生活质量之间关系的重要中介（但不是调节因子），即使在调整疼痛强度后也是如此[β = -0.16, 95% CI(-0.13, -0.06)]。结论：较低的疾病侵入性水平与较好的生活质量相关。需要纵向研究来进一步评估老年关节炎和MM患者的这些机制，以适应现有的干预措施。临床意义：感知控制可能是未来行为干预的目标，以改善该人群的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.