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Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged?
Little is known about life course differences in social role participation among those with chronic diseases. This study examined role salience (i.e., importance), role limitations, and role satisfaction among middle- and older-aged adults with and without osteoarthritis (OA) and its relationship to...
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| Published in: | Social science & medicine (1982) 2013-03, Vol.81, p.87-93 |
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| container_title | Social science & medicine (1982) |
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| creator | Gignac, Monique A.M. Backman, Catherine L. Davis, Aileen M. Lacaille, Diane Cao, Xingshan Badley, Elizabeth M. |
| description | Little is known about life course differences in social role participation among those with chronic diseases. This study examined role salience (i.e., importance), role limitations, and role satisfaction among middle- and older-aged adults with and without osteoarthritis (OA) and its relationship to depression, stress, role conflict, health care utilization and coping behaviours. Participants were middle- and older-aged adults with OA (n = 177) or no chronic disabling conditions (n = 193), aged ≥40 years. Respondents were recruited through community advertising and clinics in Ontario, Canada (2009–2010). They completed a 45–50 min telephone interview and 20 min self-administered questionnaire assessing demographics (e.g., age, gender); health (e.g., pain, functional limitations, health care utilization); the Social Role Participation Questionnaire (SRPQ) (role salience, limitations, satisfaction in 12 domains), and psychological variables (e.g., depression, stress, role conflict, behavioural coping). Analyses included two-way ANOVAs, correlations, and linear regression. Results indicated that middle-aged adults (40–59 years) reported greater role salience than older-aged adults (60 + years). Middle-aged adults with OA reported significantly greater role limitations and more health care utilization than all other groups. Middle-aged adults and those with OA also reported greater depression, stress, role conflict, and behavioural coping efforts than older adults or healthy controls. Controlling for age and OA, those with higher role salience and greater role limitations reported more health care utilization. Those with greater role limitations and lower role satisfaction reported greater depression, stress, role conflict, and behavioural coping. This study has implications for research and interventions, highlighting the need to characterize role participation as multidimensional. It points to the importance of taking into account the meaning of roles at different ages among those with chronic diseases like OA when developing interventions to help understand the impact of roles on psychological well-being.
► Individuals with OA report greater health care utilization and coping efforts than healthy adults. ► Middle-aged participants report greater stress and role conflict. ► Middle-aged adults with osteoarthritis report more role limitations and health care utilization. ► Role perceptions and age are important in understanding the relationship of OA to health |
| doi_str_mv | 10.1016/j.socscimed.2012.12.013 |
| format | article |
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► Individuals with OA report greater health care utilization and coping efforts than healthy adults. ► Middle-aged participants report greater stress and role conflict. ► Middle-aged adults with osteoarthritis report more role limitations and health care utilization. ► Role perceptions and age are important in understanding the relationship of OA to health outcomes.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2012.12.013</identifier><identifier>PMID: 23312300</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Age ; Age Distribution ; Aged ; Arthritis ; Biological and medical sciences ; Canada ; Case-Control Studies ; Chronic disease ; Chronic illnesses ; Conflict (Psychology) ; Delivery of Health Care - utilization ; Depression ; Depression - epidemiology ; Diseases of the osteoarticular system ; Female ; Humans ; Life course ; Male ; Medical sciences ; Mental depression ; Middle age ; Middle Aged ; Miscellaneous ; Miscellaneous. Osteoarticular involvement in other diseases ; Ontario - epidemiology ; Osteoarthritis ; Osteoarthritis - psychology ; Osteoarthritis - therapy ; Participation ; Personal Satisfaction ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Qualitative Research ; Role ; Roles ; Social Participation - psychology ; Stress, Psychological - epidemiology ; Surveys and Questionnaires</subject><ispartof>Social science & medicine (1982), 2013-03, Vol.81, p.87-93</ispartof><rights>2012 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Mar 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-b205ac2919e9c8f0d0ce2366a92b7da4abe939c1f9bcc176b058477840e78afb3</citedby><cites>FETCH-LOGICAL-c478t-b205ac2919e9c8f0d0ce2366a92b7da4abe939c1f9bcc176b058477840e78afb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958,33258,33809</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27059082$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23312300$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gignac, Monique A.M.</creatorcontrib><creatorcontrib>Backman, Catherine L.</creatorcontrib><creatorcontrib>Davis, Aileen M.</creatorcontrib><creatorcontrib>Lacaille, Diane</creatorcontrib><creatorcontrib>Cao, Xingshan</creatorcontrib><creatorcontrib>Badley, Elizabeth M.</creatorcontrib><title>Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged?</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>Little is known about life course differences in social role participation among those with chronic diseases. This study examined role salience (i.e., importance), role limitations, and role satisfaction among middle- and older-aged adults with and without osteoarthritis (OA) and its relationship to depression, stress, role conflict, health care utilization and coping behaviours. Participants were middle- and older-aged adults with OA (n = 177) or no chronic disabling conditions (n = 193), aged ≥40 years. Respondents were recruited through community advertising and clinics in Ontario, Canada (2009–2010). They completed a 45–50 min telephone interview and 20 min self-administered questionnaire assessing demographics (e.g., age, gender); health (e.g., pain, functional limitations, health care utilization); the Social Role Participation Questionnaire (SRPQ) (role salience, limitations, satisfaction in 12 domains), and psychological variables (e.g., depression, stress, role conflict, behavioural coping). Analyses included two-way ANOVAs, correlations, and linear regression. Results indicated that middle-aged adults (40–59 years) reported greater role salience than older-aged adults (60 + years). Middle-aged adults with OA reported significantly greater role limitations and more health care utilization than all other groups. Middle-aged adults and those with OA also reported greater depression, stress, role conflict, and behavioural coping efforts than older adults or healthy controls. Controlling for age and OA, those with higher role salience and greater role limitations reported more health care utilization. Those with greater role limitations and lower role satisfaction reported greater depression, stress, role conflict, and behavioural coping. This study has implications for research and interventions, highlighting the need to characterize role participation as multidimensional. It points to the importance of taking into account the meaning of roles at different ages among those with chronic diseases like OA when developing interventions to help understand the impact of roles on psychological well-being.
► Individuals with OA report greater health care utilization and coping efforts than healthy adults. ► Middle-aged participants report greater stress and role conflict. ► Middle-aged adults with osteoarthritis report more role limitations and health care utilization. ► Role perceptions and age are important in understanding the relationship of OA to health outcomes.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Arthritis</subject><subject>Biological and medical sciences</subject><subject>Canada</subject><subject>Case-Control Studies</subject><subject>Chronic disease</subject><subject>Chronic illnesses</subject><subject>Conflict (Psychology)</subject><subject>Delivery of Health Care - utilization</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Life course</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Ontario - epidemiology</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - psychology</subject><subject>Osteoarthritis - therapy</subject><subject>Participation</subject><subject>Personal Satisfaction</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Qualitative Research</subject><subject>Role</subject><subject>Roles</subject><subject>Social Participation - psychology</subject><subject>Stress, Psychological - epidemiology</subject><subject>Surveys and Questionnaires</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>8BJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkVGL1DAUhYso7uzqX9CACL50TJq2aXyRYXFVWPBBfQ5pcru9Y6YZk3SW_SP-XtOdWQVfhEAI-e45h3uK4iWja0ZZ-3a7jt5Egzuw64qyap0PZfxRsWKd4GXDa_G4WNFKiFI2vD0rzmPcUkoZ7fjT4qzinFWc0lXx66s3qB0J3gHZ65DQ4F4n9BPRkyVpBOJwAGL8HCIQnMgI2qXxjmg7uxTvKZwsHtDO2kVyi2kkPibwWWwMmDC-I5sA5BaIP0Bw3v_A6eZeGXd7bRLJXstrh9Y6KPUN2PfPiidDVoPnp_ui-H714dvlp_L6y8fPl5vr0tSiS2Vf0UabSjIJ0nQDtdRAxdtWy6oXVte6B8mlYYPsjWGi7WnT1UJ0NQXR6aHnF8Wbo-4--J8zxKR2GA04pyfwc1QsazdSclFl9NU_6DbvZMrpFGvrhvO65W2mxJEywccYYFD7gDsd7hSjaqlObdWf6tRSXfZQubo8-eKkP_fL38PcQ1cZeH0CdDTaDUFPBuNfTtBG0m4JujlykBd3QAgqu8FkwGIAk5T1-N8wvwGaN72t</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Gignac, Monique A.M.</creator><creator>Backman, Catherine L.</creator><creator>Davis, Aileen M.</creator><creator>Lacaille, Diane</creator><creator>Cao, Xingshan</creator><creator>Badley, Elizabeth M.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged?</title><author>Gignac, Monique A.M. ; Backman, Catherine L. ; Davis, Aileen M. ; Lacaille, Diane ; Cao, Xingshan ; Badley, Elizabeth M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-b205ac2919e9c8f0d0ce2366a92b7da4abe939c1f9bcc176b058477840e78afb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Age</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Arthritis</topic><topic>Biological and medical sciences</topic><topic>Canada</topic><topic>Case-Control Studies</topic><topic>Chronic disease</topic><topic>Chronic illnesses</topic><topic>Conflict (Psychology)</topic><topic>Delivery of Health Care - utilization</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Life course</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Ontario - epidemiology</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - psychology</topic><topic>Osteoarthritis - therapy</topic><topic>Participation</topic><topic>Personal Satisfaction</topic><topic>Public health. Hygiene</topic><topic>Public health. 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This study examined role salience (i.e., importance), role limitations, and role satisfaction among middle- and older-aged adults with and without osteoarthritis (OA) and its relationship to depression, stress, role conflict, health care utilization and coping behaviours. Participants were middle- and older-aged adults with OA (n = 177) or no chronic disabling conditions (n = 193), aged ≥40 years. Respondents were recruited through community advertising and clinics in Ontario, Canada (2009–2010). They completed a 45–50 min telephone interview and 20 min self-administered questionnaire assessing demographics (e.g., age, gender); health (e.g., pain, functional limitations, health care utilization); the Social Role Participation Questionnaire (SRPQ) (role salience, limitations, satisfaction in 12 domains), and psychological variables (e.g., depression, stress, role conflict, behavioural coping). Analyses included two-way ANOVAs, correlations, and linear regression. Results indicated that middle-aged adults (40–59 years) reported greater role salience than older-aged adults (60 + years). Middle-aged adults with OA reported significantly greater role limitations and more health care utilization than all other groups. Middle-aged adults and those with OA also reported greater depression, stress, role conflict, and behavioural coping efforts than older adults or healthy controls. Controlling for age and OA, those with higher role salience and greater role limitations reported more health care utilization. Those with greater role limitations and lower role satisfaction reported greater depression, stress, role conflict, and behavioural coping. This study has implications for research and interventions, highlighting the need to characterize role participation as multidimensional. It points to the importance of taking into account the meaning of roles at different ages among those with chronic diseases like OA when developing interventions to help understand the impact of roles on psychological well-being.
► Individuals with OA report greater health care utilization and coping efforts than healthy adults. ► Middle-aged participants report greater stress and role conflict. ► Middle-aged adults with osteoarthritis report more role limitations and health care utilization. ► Role perceptions and age are important in understanding the relationship of OA to health outcomes.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>23312300</pmid><doi>10.1016/j.socscimed.2012.12.013</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Social science & medicine (1982), 2013-03, Vol.81, p.87-93 |
| issn | 0277-9536 1873-5347 |
| language | eng |
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| source | International Bibliography of the Social Sciences (IBSS); ScienceDirect Freedom Collection; Sociological Abstracts |
| subjects | Adaptation, Psychological Adult Age Age Distribution Aged Arthritis Biological and medical sciences Canada Case-Control Studies Chronic disease Chronic illnesses Conflict (Psychology) Delivery of Health Care - utilization Depression Depression - epidemiology Diseases of the osteoarticular system Female Humans Life course Male Medical sciences Mental depression Middle age Middle Aged Miscellaneous Miscellaneous. Osteoarticular involvement in other diseases Ontario - epidemiology Osteoarthritis Osteoarthritis - psychology Osteoarthritis - therapy Participation Personal Satisfaction Public health. Hygiene Public health. Hygiene-occupational medicine Qualitative Research Role Roles Social Participation - psychology Stress, Psychological - epidemiology Surveys and Questionnaires |
| title | Social role participation and the life course in healthy adults and individuals with osteoarthritis: Are we overlooking the impact on the middle-aged? |
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