PSYCHOLOGICAL & PHYSICAL HEALTH IN ARTHRITIC BLACKS

心理

基本信息

批准号：
6168944
负责人：
Tamara A Baker
金额：
$ 0.95万
依托单位：
PENNSYLVANIA STATE UNIVERSITY, THE
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-09-30 至 2001-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6168944
关键词：
African American aging arthritis behavioral /social science research tag clinical research comorbidity data collection depression functional ability human middle age (35-64) human old age (65+) human subject mental health epidemiology pain person with disability questionnaires racial /ethnic difference socioeconomics

项目摘要

The objective of the proposed study is to systematically examine the relationship between arthritic disability and the psychological and physical health among older African Americans. Compared to elderly Caucasians, older African Americans are disproportionately diagnosed with more chronic diseases, are more likely to be diagnosed earlier in life, and are more incapacitated from the disease. Considering the increase in chronic illnesses, it is important to examine the concomitant relationship between the physical and mental health constructs among older African Americans. In understanding this relationship, several research questions have been proposed: 1) Is there an association between demographic factors (e.g. age, gender, and SES) and perceptions of disease severity, pain, and functional impairment due to arthritis among older African Americans?; 2) Do arthritic adults report more depressive and somatic symptoms compared to non arthritic adults?; and 3) Does location and type of arthritic disorder influence reports of depressive and somatic symptoms? Five specific aims are planned to examine these research questions: 1) To collect data from 150 African Americans 50 years of age and older; 2) To examine the intercorrelations between demographic factors, depressive symptoms, functional impairment, and pain and disease severity; 3) To assess the direction of the relationship between demographic factors and physical and psychological health; 4) To examine the type of arthritic disability and location; and the relationship between disease severity, pain perception, functional impairment, and depressive symptoms; and 5) To assess the amount of individual variance associated in disease severity, pain perception and depressive symptoms. This research addresses the importance of acknowledging that different life experiences, health, and comorbidity experienced by minority elderly may create sources of individual variation in their experience of arthritic disability.

拟议的研究的目的是系统地检查关节炎残疾与年龄较大的非裔美国人的心理和身体健康之间的关系。与老年高加索人相比，年长的非洲裔美国人被诊断出更多的慢性疾病，更有可能在生活中诊断出来，并且从这种疾病中造成了更大的能力。考虑到慢性疾病的增加，重要的是要检查年龄较大的非洲裔美国人的身心健康结构之间的伴随关系。在理解这种关系时，已经提出了一些研究问题：1）人口因素（例如年龄，性别和SES）与疾病严重程度，疼痛和功能障碍的看法之间是否存在关联？ 2）与非关节炎成年人相比，关节炎成年人报告的抑郁症和躯体症状更大？ 3）关节炎疾病的位置和类型是否会影响抑郁症和躯体症状的报告？计划五个具体的目的研究这些研究问题：1）从50岁及以上的150名非裔美国人那里收集数据； 2）检查人口因素，抑郁症状，功能障碍以及疼痛和疾病严重程度之间的相互关系； 3）评估人口因素与身体和心理健康之间关系的方向； 4）检查关节炎残疾和位置的类型；以及疾病严重程度，疼痛感，功能障碍和抑郁症状之间的关系； 5）评估疾病严重程度，疼痛感和抑郁症状相关的个体方差量。这项研究探讨了承认少数族裔老年人经历的不同生活经历，健康和合并症的重要性可能会在关节炎残疾的经验中产生个体差异的来源。