Osteoarthritis (OA) is the most common chronic illness of late life and is especially disabling when it affects the hips or knees. Identifying experiences in patients'daily lives that increase or diminish the general severity of OA over time is likely to benefit many older adults. Although daily support from the spouse is likely to impact patients'functioning (pain, stiffness, physical activity), spousal support in relation to physical functioning has been largely overlooked. In the proposed study we will investigate the extent to which daily patient-spouse concordance (agreement) regarding patient symptom severity, arthritis self-efficacy, and symptom catastrophizing is associated with positive spousal support (empathic and autonomy-supportive responses) and problematic spousal support (insensitive and solicitous responses). We will also investigate patients'illness cognitions (self-efficacy, catastrophizing) as means through which spousal support is associated with patients'daily functioning and general OA severity over time. Further, we will examine how spousal support may differentially affect female and male patients'illness cognitions and functioning. This dyadic study will focus on 150 older adults with hip or knee OA (75 male and 75 female), and their spouses. We will combine two 21-day electronic diary assessments and actigraphy (an objective measure of patients'physical activity) with in-person interviews at baseline, 6 months, and 12 months after diary assessment and actigraphy.
Our specific aims are: 1) to examine daily patient-spouse concordance and its effects on the quality of spousal support;2) to examine patients'daily illness cognitions as mechanisms that link spousal support with patients'functioning;and 3) to examine the influence of gender on individual and dyadic processes. The study design will enable us to examine variability within and between persons, and the effects of both types of variability on short- and long-term change in OA severity. Findings will have direct implications for strengthening the effectiveness of dyadic psychosocial interventions for OA.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG026010-04
Application #
7907588
Study Section
Social Psychology, Personality and Interpersonal Processes Study Section (SPIP)
Program Officer
Spotts, Erica L
Project Start
2007-09-01
Project End
2012-08-31
Budget Start
2010-09-01
Budget End
2011-08-31
Support Year
4
Fiscal Year
2010
Total Cost
$382,408
Indirect Cost
Name
University of Pittsburgh
Department
Psychiatry
Type
Schools of Medicine
DUNS #
004514360
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213
Martire, Lynn M; Hemphill, Rachel C; Zhaoyang, Ruixue et al. (2018) Daily Marital Tension and Symptom Severity in Older Adults With Diabetes or Osteoarthritis. Ann Behav Med 52:842-853
Zhaoyang, Ruixue; Martire, Lynn M; Stanford, Ashley M (2018) Disclosure and holding back: Communication, psychological adjustment, and marital satisfaction among couples coping with osteoarthritis. J Fam Psychol 32:412-418
Zhaoyang, Ruixue; Martire, Lynn M; Sliwinski, Martin J (2017) Morning self-efficacy predicts physical activity throughout the day in knee osteoarthritis. Health Psychol 36:568-576
Wilson, Stephanie J; Martire, Lynn M; Sliwinski, Martin J (2017) Daily Spousal Responsiveness Predicts Longer-Term Trajectories of Patients' Physical Function. Psychol Sci 28:786-797
Hemphill, Rachel C; Martire, Lynn M; Polenick, Courtney A et al. (2016) Spouse confidence and physical function among adults with osteoarthritis: The mediating role of spouse responses to pain. Health Psychol 35:1059-68
Stahl, Sarah T; Arnold, Alice M; Chen, Jia-Yuh et al. (2016) Mortality After Bereavement: The Role of Cardiovascular Disease and Depression. Psychosom Med 78:697-703
Martire, Lynn M; Wilson, Stephanie J; Small, Brent J et al. (2016) COMT andOPRM1Genotype Associations with Daily Knee Pain Variability and Activity Induced Pain. Scand J Pain 10:6-12
Song, Sunmi; Graham-Engeland, Jennifer E; Mogle, Jacqueline et al. (2015) The effects of daily mood and couple interactions on the sleep quality of older adults with chronic pain. J Behav Med 38:944-55
Polenick, Courtney A; Martire, Lynn M; Hemphill, Rachel C et al. (2015) Effects of change in arthritis severity on spouse well-being: The moderating role of relationship closeness. J Fam Psychol 29:331-8
Monin, Joan K; Schulz, Richard; Feeney, Brooke C (2015) Compassionate Love in Individuals With Alzheimer's Disease and Their Spousal Caregivers: Associations With Caregivers' Psychological Health. Gerontologist 55:981-9

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