Cary Miranda A, Brittain Danielle R, Gyurcsik Nancy C
a College of Kinesiology, University of Saskatchewan , Saskatoon , Canada.
b Community Health Program , Colorado School of Public Health, University of Northern Colorado , Greeley , CO , United States.
Psychol Health. 2017 Jul;32(7):765-780. doi: 10.1080/08870446.2017.1300258. Epub 2017 Mar 6.
Adults with arthritis struggle to meet the physical activity recommendation for disease self-management. Identifying psychosocial factors that differentiate adults who meet (sufficiently active) or do not meet (insufficiently active) the recommendation is needed. This study sought to examine differences in psychosocial responses to arthritis pain among adults who were sufficiently or insufficiently active.
This prospective study included adults with medically diagnosed arthritis (N = 136, M = 49.75 ± 13.88 years) who completed two online surveys: (1) baseline: pain and psychosocial responses to pain and (2) two weeks later: physical activity.
Psychosocial responses examined in this study were psychological flexibility in response to pain, pain anxiety and maladaptive responses to pain anxiety.
A between-groups MANCOVA comparing sufficiently active (n = 87) to insufficiently active (n = 49) participants on psychosocial responses, after controlling for pain intensity, was significant (p = .005). Follow-up ANOVA's revealed that sufficiently active participants reported significantly higher psychological flexibility and used maladaptive responses less often compared to insufficiently active participants (p's < .05).
These findings provide preliminary insight into the psychosocial profile of adults at risk for nonadherence due to their responses to arthritis pain.
患有关节炎的成年人难以达到疾病自我管理的身体活动建议。需要确定能够区分达到（活动充分）或未达到（活动不足）该建议的成年人的心理社会因素。本研究旨在探讨活动充分或活动不足的成年人对关节炎疼痛的心理社会反应差异。
这项前瞻性研究纳入了经医学诊断患有关节炎的成年人（N = 136，年龄M = 49.75 ± 13.88岁），他们完成了两项在线调查：（1）基线调查：疼痛以及对疼痛的心理社会反应；（2）两周后：身体活动情况。
本研究中所考察的心理社会反应包括对疼痛的心理灵活性、疼痛焦虑以及对疼痛焦虑的适应不良反应。
在控制疼痛强度后，对活动充分（n = 87）和活动不足（n = 49）的参与者的心理社会反应进行组间协方差分析，结果具有显著性（p = .005）。后续的方差分析显示，与活动不足的参与者相比，活动充分的参与者报告的心理灵活性显著更高，且较少使用适应不良反应（p值 < .05）。
这些发现为因对关节炎疼痛的反应而有不依从风险的成年人的心理社会特征提供了初步见解。
