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Gepubliceerd in: Journal of Behavioral Medicine 5/2020

16-10-2019

Pain resilience moderates the influence of negative pain beliefs on movement-evoked pain in older adults

Auteurs: Shreela Palit, Roger B. Fillingim, Emily J. Bartley

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2020

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Abstract

Negative pain beliefs are associated with adverse pain outcomes; however, less is known regarding how positive, adaptive factors influence pain and functioning. These relationships are especially important to examine in older adults with pain, given increased disability and functional limitations in this population. We investigated whether pain resilience moderated the relationships between negative pain beliefs (fear-avoidance, pain catastrophizing) and pain outcomes (functional performance, movement-evoked pain) in sixty older adults with low back pain. Higher pain resilience was associated with lower fear-avoidance (p < .05) and pain catastrophizing (p = .05). After controlling for demographic variables, higher fear-avoidance (p = .03) and catastrophizing (p = .03) were associated with greater movement-evoked pain in individuals with low pain resilience, but not among those high in resilience. No significant moderation effects were observed for functional performance. Resilience may attenuate the relationship between negative psychological processes and pain-related disability, highlighting the need for interventions that enhance pain resilience in older adults.
Literatuur
go back to reference Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis, second edition: A regression-based approach. New York, NY: Guilford Press. Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis, second edition: A regression-based approach. New York, NY: Guilford Press.
go back to reference Mullen, S. P., McAuley, E., Satariano, W. A., Kealey, M., & Prohaska, T. R. (2012). Physical activity and functional limitations in older adults: The influence of self-efficacy and functional performance. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 67, 354–361. https://​doi.​org/​10.​1093/​geronb/​gbs036 CrossRef Mullen, S. P., McAuley, E., Satariano, W. A., Kealey, M., & Prohaska, T. R. (2012). Physical activity and functional limitations in older adults: The influence of self-efficacy and functional performance. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 67, 354–361. https://​doi.​org/​10.​1093/​geronb/​gbs036 CrossRef
Metagegevens
Titel
Pain resilience moderates the influence of negative pain beliefs on movement-evoked pain in older adults
Auteurs
Shreela Palit
Roger B. Fillingim
Emily J. Bartley
Publicatiedatum
16-10-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00110-8