The leading cause of disability among older adults is osteoarthritis (OA) (Centers
for Disease Control and Prevention [CDC], 2017). Chronic pain associated with arthritis
interferes with daily living among older adults and has been related to depression
(Zanocchi et al., 2008). Research suggests that ethnicity and psychosocial factors may
influence health outcomes of older adults with arthritis who are experiencing chronic pain
and depression (Im, Guevara, & Chee, 2007; Wilson et al., 2014). The influence of
ethnicity on depression among older adults with OA experiencing chronic pain is the
phenomenon of interest for this study. Chronic pain that interferes with activities of daily
living gives rise to disability, followed by potential episodes of depression. This currently
is impacting the quality of life for older adults with OA. The aim of this study was to gain new insight regarding the relationship and
predictive factors for depression between pain interference, gender, and ethnicity among
older adults with OA pain and depression. This study examined the research question, “Does ethnicity, gender, and pain interference predict depression among older adults with
osteoarthritis?”
This study was a secondary analysis of existing data from the National Institute of
Health National Center for Complementary and Integrative Health (Park, McCaffrey,
Newman, Cheung, & Hagen, 2014) study titled, The Effect of Sit ‘N’ Fit Chair Yoga on
Community-Dwelling Elders with Osteoarthritis. A descriptive retrospective correlational
design was utilized to investigate factors that predict depression. Statistical analysis
included multiple linear regression and analysis of variance. The study sample (n = 104)
consisted of community-dwelling older adults ages 65 years or older with osteoarthritis.
Findings indicated that (1) ethnicity, gender, and pain interference did predict
depression; (2) there were no significant difference in depression between Hispanics and
non-Hispanics while controlling for pain interference; and (3) there was statistically
significant differential interaction with depression when pain interference increased, with
Hispanics reporting higher levels of depressions as pain interference increased, as
compared to non-Hispanics.
The new knowledge gained from this study may help guide healthcare providers
in developing effective alternative approaches for improving health outcomes of
mismanaged ethnically diverse older adults with OA. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2017. / FAU Electronic Theses and Dissertations Collection
| Identifer | oai:union.ndltd.org:fau.edu/oai:fau.digital.flvc.org:fau_39756 |
| Contributors | Garrido, Jacinto J. (author), Dunphy, Lynne M. (Thesis advisor), Florida Atlantic University (Degree grantor), Christine E. Lynn College of Nursing |
| Publisher | Florida Atlantic University |
| Source Sets | Florida Atlantic University |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation, Text |
| Format | 109 p., application/pdf |
| Rights | Copyright © is held by the author, with permission granted to Florida Atlantic University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder., http://rightsstatements.org/vocab/InC/1.0/ |
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