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- Genre: Doctoral Dissertation
Description
In rehabilitation settings, activity limitation can be a significant barrier to recovery. This study sought to examine the effects of state and trait level benefit finding, positive affect, and catastrophizing on activity limitation among individuals with a physician-confirmed diagnosis of either Osteoarthritis (OA), Fibromyalgia (FM), or a dual diagnosis of OA/FM. Participants (106 OA, 53 FM, and 101 OA/FM) who had no diagnosed autoimmune disorder, a pain rating above 20 on a 0-100 scale, and no involvement in litigation regarding their condition were recruited in the Phoenix metropolitan area for inclusion in the current study. After initial questionnaires were completed, participants were trained to complete daily diaries on a laptop computer and instructed to do so a half an hour before bed each night for 30 days. In each diary, participants rated their average daily pain, benefit finding, positive affect, catastrophizing, and activity limitation. A single item, "I thought about some of the good things that have come from living with my pain" was used to examine the broader construct of benefit finding. It was hypothesized that state and trait level benefit finding would have a direct relation with activity limitation and a partially mediated relationship, through positive affect. Multilevel modeling with SAS PROC MIXED revealed that benefit finding was not directly related to activity limitation. Increases in benefit finding were associated, however, with decreases in activity limitation through a significant mediated relationship with positive affect. Individuals who benefit find had a higher level of positive affect which was associated with decreased activity limitation. A suppression effect involving pain and benefit finding at the trait level was also found. Pain appeared to increase the predictive validity of the relation of benefit finding to activity limitation. These findings have important implications for rehabilitation psychologists and should embolden clinicians to encourage patients to increase positive affect by employing active approach-oriented coping strategies like benefit finding to reduce activity limitation.
ContributorsKinderdietz, Jeffrey Scott (Author) / Zautra, Alex (Thesis advisor) / Davis, Mary (Committee member) / Barrera, Manuel (Committee member) / Okun, Morris (Committee member) / Arizona State University (Publisher)
Created2012
Description
Positive psychology focuses on the promotion of well-being (Seligman, & Csikszentmihalyi, 2000). Positive psychology interventions (PPIs) have been developed to help facilitate the development of skills needed to flourish and current research suggests that PPIs can help individuals improve their happiness, reduce stress, and become more resilient (Lyubomirsky, King, & Diener, 2005). National surveys highlight that students in higher education are in dire need of interventions aimed at helping them cope with the negative impact of stress (Douce & Keeling, 2014; Marks & Wade, 2015). Research among the graduate student population is scant even though they report high levels of stress and work even more hours than undergraduate students (Wyatt & Oswalt, 2013). PPIs implemented in the graduate student population focus heavily on psychologically-based programs, like psychology and social work, whose students may already be receiving assistance in self-care (Botta, Cadet, & Maramaldi, 2015; Burkhart, 2014; Nelson, Dell'Oliver, Koch, & Buckler, 2001). Thus, this current study is a randomized controlled trial testing an online PPI, adapted from Achor's work in the business industry (2012, 2014), compared with an online informative stress group and a wait list control group among graduate students from various disciplines at a large, public university in the Southwest. Participants were administered pre-, post-, and three-month follow-up tests to determine the impact of the interventions on their levels of perceived stress, happiness, and resilience. A multivariate analysis of covariance (MANCOVA) was used with covariates of age, gender, race, program of study, and graduate level of study (masters versus doctoral). The main findings of the study included: the students in the PPI group reported significantly higher resilience at the end of the three weeks than did the students in the informative stress or wait list control groups, even though measures of happiness or perceived stress were not impacted; and students from psychologically based programs received the most benefit from treatment, especially from the PPI intervention. All findings, implications, and suggestions for future directions are discussed.
ContributorsVenieris, Pauline (Author) / Kinnier, Richard (Thesis advisor) / Rund, James (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2017