Attitudes Toward Aging Among Patients With Upper Extremity Illness

Thi T.H. Tran, Joost T.P. Kortlever, Teun Teunis, David Ring, Gregg A. Vagner, Lee Reichel

Research output: Contribution to journalArticle

Abstract

Background: An adaptive attitude toward aging might limit symptom intensity and magnitude of limitations. This study sought factors associated with attitudes toward aging (measured with the Brief Aging Perceptions Questionnaire [B-APQ]) and studied the relationship of having an age-related disease to magnitude of limitations, pain intensity, patient satisfaction, and patient comfort with completing a questionnaire about attitudes toward aging. We also looked for a subset of questions from B-APQ that maintained the construct validity and internal consistency of B-APQ, without unacceptable flooring or ceiling effects. Methods: A total of 161 upper extremity patients completed the following questionnaires: B-APQ, Patient Health Questionnaire–Short Form, Pain Self-efficacy–Short Form, Pain Catastrophizing Scale–Short Form, Patient-Reported Outcomes Measurement Information System Physical Function–Upper Extremity, pain intensity, satisfaction with the surgeon, and comfort with completing the B-APQ. We created multivariable linear regression models to test for associations. Results: Factors independently associated with less positive perceptions about aging included white race, retired work status, having nonspecific comorbidities, and more catastrophic thinking. Variation in the magnitude of limitations and pain intensity was accounted for by effectiveness of coping strategies rather than attitudes toward aging in particular. A 4-question version of the B-APQ has acceptable performance. Conclusion: Adaptive attitudes toward aging are associated with psychological and social determinants of health. We present a 4-item short form of B-APQ that could be used as a brief measure to assess attitudes toward aging. Interventions to improve adaptiveness to nociception (eg, cognitive behavioral therapy to limit catastrophic thinking) might help with adaptation to age-related changes.

Original languageEnglish (US)
JournalHand
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Upper Extremity
Pain
Linear Models
Catastrophization
Social Determinants of Health
Surveys and Questionnaires
Nociception
Cognitive Therapy
Patient Satisfaction
Information Systems
Comorbidity
Extremities
Psychology
Health

Keywords

  • age-related diseases
  • attitudes toward aging
  • B-APQ
  • illness
  • upper extremity

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Attitudes Toward Aging Among Patients With Upper Extremity Illness. / Tran, Thi T.H.; Kortlever, Joost T.P.; Teunis, Teun; Ring, David; Vagner, Gregg A.; Reichel, Lee.

In: Hand, 01.01.2019.

Research output: Contribution to journalArticle

Tran, Thi T.H. ; Kortlever, Joost T.P. ; Teunis, Teun ; Ring, David ; Vagner, Gregg A. ; Reichel, Lee. / Attitudes Toward Aging Among Patients With Upper Extremity Illness. In: Hand. 2019.
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abstract = "Background: An adaptive attitude toward aging might limit symptom intensity and magnitude of limitations. This study sought factors associated with attitudes toward aging (measured with the Brief Aging Perceptions Questionnaire [B-APQ]) and studied the relationship of having an age-related disease to magnitude of limitations, pain intensity, patient satisfaction, and patient comfort with completing a questionnaire about attitudes toward aging. We also looked for a subset of questions from B-APQ that maintained the construct validity and internal consistency of B-APQ, without unacceptable flooring or ceiling effects. Methods: A total of 161 upper extremity patients completed the following questionnaires: B-APQ, Patient Health Questionnaire–Short Form, Pain Self-efficacy–Short Form, Pain Catastrophizing Scale–Short Form, Patient-Reported Outcomes Measurement Information System Physical Function–Upper Extremity, pain intensity, satisfaction with the surgeon, and comfort with completing the B-APQ. We created multivariable linear regression models to test for associations. Results: Factors independently associated with less positive perceptions about aging included white race, retired work status, having nonspecific comorbidities, and more catastrophic thinking. Variation in the magnitude of limitations and pain intensity was accounted for by effectiveness of coping strategies rather than attitudes toward aging in particular. A 4-question version of the B-APQ has acceptable performance. Conclusion: Adaptive attitudes toward aging are associated with psychological and social determinants of health. We present a 4-item short form of B-APQ that could be used as a brief measure to assess attitudes toward aging. Interventions to improve adaptiveness to nociception (eg, cognitive behavioral therapy to limit catastrophic thinking) might help with adaptation to age-related changes.",
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