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Adaptive and maladaptive coping strategies in older adults with chronic pain after lumbar surgery.

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Title: Adaptive and maladaptive coping strategies in older adults with chronic pain after lumbar surgery.
Authors: Higuchi, Daisuke1,2 (AUTHOR)
Source: International Journal of Rehabilitation Research. Jun2020, Vol. 43 Issue 2, p116-122. 7p.
Subject Terms: *Psychological adaptation, *Quality of life, Chronic pain & psychology, Lumbar vertebrae surgery, Adaptability (Personality), Backache, Chronic pain, Goodness-of-fit tests, Health, Leg, Neurosurgery, Postoperative pain, Relaxation for health, Research funding, Structural equation modeling, Physical activity, Data analysis software, Descriptive statistics, Old age
Geographic Terms: Japan
Abstract: This study investigated whether adaptive and maladaptive coping strategies mediate the association between chronic pain and health-related quality of life among older adults experiencing chronic pain after lumbar surgery. Participants were 103 older adults with either or both of chronic lower back pain and leg pain after lumbar surgery (median age = 75 years, men = 44, women = 59). Intensity of chronic lower back and leg pain (11-point numerical rating scale), physical activities (Physical Activity Scale for the Elderly) as an adaptive coping strategy, maladaptive coping strategies (e.g. guarding, resting; Chronic Pain Coping Inventory), and health-related quality of life (12-item Short-Form Health Survey) were measured. Hypothetical models with adaptive and maladaptive coping strategies as mediators of pain intensity and health-related quality of life were tested using structural equation modeling. Model fitness was acceptable (adjusted goodness of fit index: 0.94–0.98, comparative fit index: 1.00, root mean square error of approximation: 0.00). The results showed that (1) the adaptive coping strategy of physical activity positively mediated the association between lower back and leg pain, and physical health but not mental and social health; (2) maladaptive coping strategies negatively mediated the association between pain and physical, mental, and social health; (3) physical activities were negatively associated with maladaptive coping strategies. This study demonstrated that adaptive and maladaptive coping strategies serve as mediators of the relationship between chronic pain and health-related quality of life in older adults after lumbar surgery. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Rehabilitation Research is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
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DbLabel: Education Research Complete
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Adaptive and maladaptive coping strategies in older adults with chronic pain after lumbar surgery.
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  Data: <searchLink fieldCode="AR" term="%22Higuchi%2C+Daisuke%22">Higuchi, Daisuke</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Rehabilitation+Research%22">International Journal of Rehabilitation Research</searchLink>. Jun2020, Vol. 43 Issue 2, p116-122. 7p.
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  Data: *<searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br />*<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain+%26+psychology%22">Chronic pain & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Lumbar+vertebrae+surgery%22">Lumbar vertebrae surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Adaptability+%28Personality%29%22">Adaptability (Personality)</searchLink><br /><searchLink fieldCode="DE" term="%22Backache%22">Backache</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Goodness-of-fit+tests%22">Goodness-of-fit tests</searchLink><br /><searchLink fieldCode="DE" term="%22Health%22">Health</searchLink><br /><searchLink fieldCode="DE" term="%22Leg%22">Leg</searchLink><br /><searchLink fieldCode="DE" term="%22Neurosurgery%22">Neurosurgery</searchLink><br /><searchLink fieldCode="DE" term="%22Postoperative+pain%22">Postoperative pain</searchLink><br /><searchLink fieldCode="DE" term="%22Relaxation+for+health%22">Relaxation for health</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Structural+equation+modeling%22">Structural equation modeling</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Japan%22">Japan</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study investigated whether adaptive and maladaptive coping strategies mediate the association between chronic pain and health-related quality of life among older adults experiencing chronic pain after lumbar surgery. Participants were 103 older adults with either or both of chronic lower back pain and leg pain after lumbar surgery (median age = 75 years, men = 44, women = 59). Intensity of chronic lower back and leg pain (11-point numerical rating scale), physical activities (Physical Activity Scale for the Elderly) as an adaptive coping strategy, maladaptive coping strategies (e.g. guarding, resting; Chronic Pain Coping Inventory), and health-related quality of life (12-item Short-Form Health Survey) were measured. Hypothetical models with adaptive and maladaptive coping strategies as mediators of pain intensity and health-related quality of life were tested using structural equation modeling. Model fitness was acceptable (adjusted goodness of fit index: 0.94–0.98, comparative fit index: 1.00, root mean square error of approximation: 0.00). The results showed that (1) the adaptive coping strategy of physical activity positively mediated the association between lower back and leg pain, and physical health but not mental and social health; (2) maladaptive coping strategies negatively mediated the association between pain and physical, mental, and social health; (3) physical activities were negatively associated with maladaptive coping strategies. This study demonstrated that adaptive and maladaptive coping strategies serve as mediators of the relationship between chronic pain and health-related quality of life in older adults after lumbar surgery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of International Journal of Rehabilitation Research is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=143139511
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1097/MRR.0000000000000389
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 116
    Subjects:
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Chronic pain & psychology
        Type: general
      – SubjectFull: Lumbar vertebrae surgery
        Type: general
      – SubjectFull: Adaptability (Personality)
        Type: general
      – SubjectFull: Backache
        Type: general
      – SubjectFull: Chronic pain
        Type: general
      – SubjectFull: Goodness-of-fit tests
        Type: general
      – SubjectFull: Health
        Type: general
      – SubjectFull: Leg
        Type: general
      – SubjectFull: Neurosurgery
        Type: general
      – SubjectFull: Postoperative pain
        Type: general
      – SubjectFull: Relaxation for health
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Structural equation modeling
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: Japan
        Type: general
    Titles:
      – TitleFull: Adaptive and maladaptive coping strategies in older adults with chronic pain after lumbar surgery.
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            NameFull: Higuchi, Daisuke
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            – D: 01
              M: 06
              Text: Jun2020
              Type: published
              Y: 2020
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              Value: 43
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            – TitleFull: International Journal of Rehabilitation Research
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