Journal of Korean Gerontological Nursing 2012;14(3):242-252.
노인의 만성 통증 적응 유형에 따른 지각된 스트레스, 통증 자기효능 및 우울
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Perceived Stress, Pain Self-efficacy and Depression according to Types of Adjustment to Chronic Pain in Elders
Cha, Bo-Kyoung
Abstract
Purpose This study was conducted to identify and describe types of adjustment to chronic pain and to evaluate
differences in perceived stress, pain self-efficacy, and depression according to types of adjustment to chronic pain
in elderly people. Methods Data were collected from 138 elders with chronic pain living in community settings.
The study was a cross-sectional study and reliability of the instruments was tested with Cronbach's ? coefficients,
which ranged from .68 to .94. Results The results were, as follows: Of all patients, 24.6% fit the adaptive coping
group, 39.9% fit the interpersonally distressed group, and 35.5% fit the dysfunctional group. There were significant
differences in perceived stress, pain self-efficacy and depression according to type of adjustment to chronic pain.
Elders in the dysfunctional group reported significantly more perceived stress and depression compared to those
in the adaptive coping group. The adaptive coping group showed significantly more pain self-efficacy compared
to the interpersonally distressed group and the dysfunctional group. Conclusion These findings underscore the
importance of assessing individual differences to understand how elderly patients adjust to chronic pain. It is also
important to consider distinct types of adjustment to chronic pain to tailor interventions to improve treatment
outcomes.
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