Structural Model of Social, Physical and Mental Health and Physical Image Evaluation with Quality of Life: The Mediating Role of Limitations due to Chronic Pain of Elderly
Authors
-
Farideh Rezaei
Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran.
https://orcid.org/0000-0003-3482-019X
-
Mohammad Hosein Bayazi
Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran.
https://orcid.org/0000-0002-5707-265X
-
Alireza Rajaei
Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran.
https://orcid.org/0000-0002-3806-1875
DOI:
https://doi.org/10.22100/ijhs.v8i4.916Keywords:
Social health, Physical-mental health, Body image evaluation, Limitation due to chronic pain, Quality of lifeAbstract
Background: Chronic pain in the elderly leads to spending plenty of time and money, using health services, negative emotions, as well as reducing the quality of life and malfunctioning in the family. This study aimed to design a model of social, physical, and mental health and physical image evaluation with quality of life: the mediating role of limitations due to chronic pain of elderly in Tehran.
Methods: This was a descriptive, analytical, retrospective study with a structural modeling approach that was performed on 270 elderly people (138 females and 132 males) between 60 and 70 years old living in Tehran. The sampling method was cluster random and convenience. To collect the data used Keyes social health questionnaire, Ware and Sherbourne health assessment questionnaire 36- SF, Body image evaluation of Godoosi, Manouchehri chronic pain limitation, and WHO elderly quality of life scales. Data analysis was performed using SPSS22 and Amos software through structural modeling using path analysis and confirmatory factor analysis.
Results: The restriction variable due to chronic pain showed a negative relationship with physical and mental health (Pvalue<0.01, β =-0.734), evaluation of body image (Pvalue<0.01, β =-0.676), and social health (Pvalue<0.01, β =-0.691) in the quality of life of the elderly. A strong positive correlation (0.694 to 0.764) was obtained between the predictor variables (physical-mental health surveying, body image valuation, and social health) at a significance level of less than 0.01.
Conclusions: The quality of life of the elderly was moderate and low; findings showed limitations caused by chronic pain are moderate the relationship of the quality of life in elderly with social, physical, mental health, and physical image evaluation.
Keywords: Social health, Physical-mental health, Body image evaluation, Limitation due to chronic pain, Quality of life
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41. Ghotbinejhad Bahre Asmani U, Ahadi H, Hatami H, SaramiForoushani G. Comparison of the Effectiveness of Group Positive Psychotherapy and Group Psychodrama on Spiritual Attitude, Distress Tolerance, and Quality of Life in Women with Chronic Pain. Anesthesiology and Pain 2019;9:51-65. http://jap.iums.ac.ir/article-1-5396-en.html
2. Kaye AD, Baluch AR, Kaye RJ, Niaz RS, Kaye AJ, Liu H, Fox CJ. Geriatric pain management, pharmacological and nonpharmacological considerations. Psychology & Neuroscience 2014;7:15-26. http://dx.doi.org/10.3922/j.psns.2014.1.04
3. Alizadeh M, Hoseini M, Shojaeizadeh D, Rahimi A, Arshinchi M, Rohani H. Assessing anxiety, depression and psychological wellbeing status of urban elderly under represent of Tehran metropolitan city. Iranian Journal of Ageing 2012;7:66-73.
4. Nabaie B, Kheiltash A, Montazeri A, Karbakhsh M, Sedaghat M, Meysamieh A. The comparison of quality of life in patients with leukemia and lymphoma. Tehran University Medical Journal 2005;63:399-404.
5. Mooney A. Quality of life: Questionnaires and questions. Journal of Health Communication 2006;11:327-341. doi: 10.1080/10810730600614094
6. Choo J, Burke LE, Hong KP. Improved quality of life with cardiac rehabilitation for post-myocardial infarction patients in Korea. European Journal of Cardiovascular Nursing 2007;6:166-171. doi: 10.1016/J.EJCNURSE.2006.07.004
7. Fitzsimmons-Craft EE, Harney MB, Koehler LG, Danzi LE, Riddell MK, Bardone-Cone AM. Explaining the relation between thin ideal internalization and body dissatisfaction among college women: The roles of social comparison and body surveillance. Body image 2012;9:43-49. https://doi.org/10.1016/j.bodyim.2011.09.002
8. Heidari M, Ghodusi M, Shahbazi S. Correlation between body esteem and hope in patients with breast cancer after mastectomy. Journal of Clinical Nursing and Midwifery 2015;4:8-15. doi: 10.4103/0973-1075.156500
9. Taylor SE. Health psychology. Ninth Edition. University Of California. Los Angeles. Mc Graw Hill Education 2015.
10. Upadhayay N, GUraGaiN S. Comparison of cognitive functions between male and female medical students: a pilot study. Journal of clinical and diagnostic research: JCDR 2014;8:BC12. doi: 10.7860/JCDR/2014/7490.4449
11. Svalastog AL, Donev D, Kristoffersen NJ, Gajović S. Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society. Croatian medical journal 2017;58:431-435. doi: 10.3325/cmj.2017.58.431
12. Allen J, Balfour R, Bell R, Marmot M. Social determinants of mental health. International review of psychiatry 2014 ;26:392-407. doi:10.3109/09540261.2014.928270
13. Stoewen DL. Dimensions of wellness: Change your habits, change your life. The Canadian veterinary journal 2017 ;58(8):861-862.
14. Salimi Bajestani H. A comparison of the effectiveness of Adlerian counseling and cognitive reconstruction based on an allegory of student mental health. International Journal of Behavioral Sciences 2012;6:237-243.
15. Ogden J. EBOOK: Health Psychology, 6e. McGraw Hill; 2019.
16. Iliaz R, Ozturk GB, Akpinar TS, Tufan A, Sarihan I, Erten N. Approach to Pain in the Elderly. J Gerontol Geriat Res 2013;2:1-10. http://dx.doi.org/10.4172/2167-7182.1000125
17. Kaye AD, Baluch A, Scott JT. Pain management in the elderly population: a review. Ochsner Journal 2010;10:179-187.
18. Karttunen NM, Turunen J, Ahonen R, Hartikainen S. More attention to pain management in community-dwelling older persons with chronic musculoskeletal pain. Age and ageing 2014;43:845-850. https://doi.org/10.1093/ageing/afu052
19. Conaghan PG, Peloso PM, Everett SV, Rajagopalan S, Black CM, Mavros P, Arden NK, Phillips CJ, Rannou F, van de Laar MA, Moore RA. Inadequate pain relief and large functional loss among patients with knee osteoarthritis: evidence from a prospective multinational longitudinal study of osteoarthritis real-world therapies. Rheumatology 2015;54:270-277. https://doi.org/10.1093/rheumatology/keu332
20. Liu L, Chang Y, Fu J, Wang J, Wang L. The mediating role of psychological capital on the association between occupational stress and depressive symptoms among Chinese physicians: a cross-sectional study. BMC public health 2012;12(1):1-8. https://doi.org/10.1186/1471-2458-12-219
21. Heesch KC, van Gellecum YR, Burton NW, van Uffelen JG, Brown WJ. Physical activity and quality of life in older women with a history of depressive symptoms. Preventive medicine 2016;91:299-305. doi: 10.1016/j.ypmed.2016.09.012
22. Alemi S, Abolmaali Alhosseini K, Malihialzackerini S, Khabiri M. The Effectiveness of Mindfulness Training-Aromatherapy Massage on Rising Psychological Health of Elderly Women with Chronic Pain. Iranian Journal of Ageing 2021; 16:1-14. doi: 10.32598/sija.16.2.3058.1
23. Verma JP. Data analysis in management with SPSS software. Springer Science & Business Media 2012;13:1-10.
24. Keyes CL. Social well-being. Social psychology quarterly 1998;61:121-140. https://doi.org/10.2307/2787065
25. Joshanloo M, Nosratabadi M, Rostami R. Examining the factor structure of the Keyes comprehensive scale of well-being. Developmental Pscychology 2006;3:35-351.
26. Framework IC. The MOS 36-item short-form health survey (SF-36). Med Care. 1992;30:473-83.
27. Dehghani F. The relationship of religious orientation and spiritual health to resilience among high school sophomores in Kerman. Journal of Pizhūhish dar dīn va salāmat 2017;3:66-77.
28. Ghodusi M, Heidari M. Evaluation body esteems and related factors in patients with Multiple Sclerosis. J Res Behave Sci 2013;11:423-435.
29. Manoochehri H, Shirazi M, Zagheri Tafreshi M, Zayeri F. Development and psychometric evaluation of chronic pain related restriction questioner in the elderly. Iranian Journal of Nursing Research 2015;9:47-60.
30. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Journal of School of Public Health and Institute of Public Health Research 2006;4:1-12.
31. Mohammadi F, Mohammadkhani P, Dolatshahi B, Asghari MA. The effects of “mindfulness meditation for pain management” on the severity of perceived pain and disability in patients with chronic pain. Iranian Journal of Ageing 2011;6:59-66.
32. Thielmann I, Hilbig BE. No gain without pain: The psychological costs of dishonesty. Journal of Economic Psychology 2019;71:126-137. https://doi.org/10.1016/j.joep.2018.06.001
33. Konietzny K, Chehadi O, Streitlein-Böhme I, Rusche H, Willburger R, Hasenbring MI. Mild depression in low back pain: the interaction of thought suppression and stress plays a role, especially in female patients. International journal of behavioral medicine 2018;25:207-214. https://doi.org/10.1007/s12529-017-9657-0
34. Anbari S, Estaji Z, Rastaqhi S. Assessment effect of rosa damascena juice aromatherapy on elderly chronic musculoskeletal pain in Sabzevar Retirement Clubs. Iranian Journal of Ageing 2018;13:250-61. doi: 10.32598/sija.13.2.250
35. Sarafino EP, Smith TW. Health psychology: Biopsychosocial interactions. John Wiley & Sons; 2014.
36. Sanderson CA. Health psychology. Wiley Global Education; 2012.
37. Azimi Khatibani SN, Akbari B. The Relationship of Body Image and Obsessive Beliefs with Quality of Life in Married Students of Islamic Azad University of Rasht, Journal of Sociology of Education 2018;9:172-188.
38. Pinto BM, Trunzo JJ. Body esteem and mood among sedentary and active breast cancer survivors. InMayo Clinic Proceedings 2004;79:181-186. https://doi.org/10.4065/79.2.181
39. Saied M, Makarem A, Khanjani MS, Bakhtyari A. Comparison of Social Health & Quality of Life Between Resi-dential and Non-residential Elderlies in Tehran. Salmand: Iranian Journal of Ageing 2019;14:178-87. https://doi. org/10.32598/sija.13.10.150
40. Shirazi M, Manoochehri H, Zagheri Tafreshi M, Zayeri F, Alipour V. The association between chronic pain acceptance, life style and restriction related chronic pain in the elderly. Avicenna Journal of Nursing and Midwifery Care 2016;24:148-158. doi: 10.21859/nmj-24032
41. Ghotbinejhad Bahre Asmani U, Ahadi H, Hatami H, SaramiForoushani G. Comparison of the Effectiveness of Group Positive Psychotherapy and Group Psychodrama on Spiritual Attitude, Distress Tolerance, and Quality of Life in Women with Chronic Pain. Anesthesiology and Pain 2019;9:51-65. http://jap.iums.ac.ir/article-1-5396-en.html
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2022-02-21
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Structural Model of Social, Physical and Mental Health and Physical Image Evaluation with Quality of Life: The Mediating Role of Limitations due to Chronic Pain of Elderly. (2022). International Journal of Health Studies (Undergoing Change to Shahroud Journal of Medical Sciences), 8(4), 6-12. https://doi.org/10.22100/ijhs.v8i4.916
