Typology of pain coping and associations with physical health, mental health, and pain profiles in Hong Kong Chinese older adults

Sheung-Tak CHENG, Phoon Ping CHEN, Monique H. T. MOK, Yu Fat CHOW, Wai Yee Joanne CHUNG, Alexander C. B. LAW, Jenny S. W. LEE, Edward M. F. LEUNG, Cindy W. C. TAM

Research output: Contribution to journalArticlespeer-review

Abstract

Objectives: To identify typology of pain coping in older adults and to see whether the coping types or patterns were associated with pain, physical health, and mental health outcomes.
Methods: Six hundred and fifty six Chinese older adults were recruited on a convenience basis from social centers in Hong Kong. A 14-item Brief Pain Coping Scale (BPCS) was constructed on the basis of the Chronic Pain Coping Inventory. Outcome measures included pain intensity, pain disability, pain-related cognitions, depressive symptoms, health-related quality of life, and health and physical functioning (in terms of chronic illnesses, basic and instrumental activities of daily living, and self-rated health). Coping typology was identified using latent class analysis.
Results: A 3-class solution based on BPCS provided the best fit to data. Class 1 used almost all coping strategies on a daily basis, Class 2 used the strategies less frequently, whereas Class 3 adopted few strategies. Yet, Class 3 was basically indistinguishable from Class 1 across the outcome variables, even though the participants had more chronic illnesses and poorer instrumental activities of daily living than those in Class 1. Class 2, however, had the poorest outcome profiles, reporting more pain, disability, depression, and health-related quality of life than the other two classes. The differences in coping could not be explained by the differential effectiveness of coping strategies across groups.
Conclusion: The way coping was used, and the way it was related to pain, mood, health and functioning outcomes, varied substantially across individuals. Implications for coping skills interventions are discussed. Copyright © 2020 Informa UK Limited, trading as Taylor & Francis Group.
Original languageEnglish
JournalAging & Mental Health
Early online date05 Oct 2020
DOIs
Publication statusE-pub ahead of print - 05 Oct 2020

Citation

Cheng, S.-T., Chen, P. P., Mok, M. H. T., Chow, Y. F., Chung, J. W. Y., Law, A. C. B., . . . Tam, C. W. C. (2020). Typology of pain coping and associations with physical health, mental health, and pain profiles in Hong Kong Chinese older adults. Aging & Mental Health. Advance online publication. doi: 10.1080/13607863.2020.1821171

Keywords

  • Pain
  • Coping
  • Older adults
  • Chinese

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