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Cited by 304Aging, Health, and DisabilityAging and Gerontology ResearchOccupational Therapy Practice and Research

Adaptation to Chronic Illness and Disability and Its Relationship to Perceptions of Independence and Dependence

Gignac, M. A. M., Cott, C., Badley, E. M.·2000·The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
DOI 10.1093/geronb/55.6.p362
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Abstract

This study extends research on living with chronic physical illness and disability by examining how adaptation processes are associated with different activity domains and how the combination of adaptations and activity domains relate to older adults' perceptions of their independence and dependence, helplessness, emotional reactivity, and coping efficacy. The study investigated the behavioral efforts that 286 older adults with osteoarthritis and/or osteoporosis used to adapt to disability arising from their condition. The findings revealed that adults used a wide range of adaptations, including compensations for loss, optimizing performance, limiting or restricting activities, and gaining help from others. The relative use of each of these adaptations varied across 5 domains of activity: personal care, in-home mobility, community mobility, household activities, and valued activities. Moreover, older adults' perceptions of their independence, dependence, helplessness, emotional reactivity, and coping efficacy varied depending on the domain of activity examined and the type of adaptation used.

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  • Coping resources and strategies might be differentially available to individuals, but overall they are efficient means to cope with disability and care needs.

    “Coping resources and strategies might be differentially available to individuals, but overall they are efficient means to cope with disability and care needs (Gignac, Cott, & Badley, 2000).”

    From Toward a More Comprehensive Concept of Successful Aging: Disability and Care Needs: Table 1. (2016) · cites this paper as Gignac, Cott, & Badley, 2000

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Authors
Gignac, M. A. M., Cott, C., & Badley, E. M.
Affiliations
University Health Network (CA)
Corresponding author
Gignac, M. A. M.
ORCID
Venue
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Publisher
Oxford University Press (OUP)
Published
2000-11-01
Volume
55
Issue
6
Pages
P362-P372
ISSN
  • 1079-5014 (ISSN-L)
  • 1758-5368
DOI
10.1093/geronb/55.6.p362
OpenAlex
W2121391367
Cited by
304
References
46
Citations by year
2026: 4 · 2025: 4 · 2024: 10 · 2023: 8 · 2022: 12 · 2021: 6 · 2020: 63 · 2019: 9 · 2018: 3 · 2017: 5 · 2016: 11 · 2015: 10 · 2014: 14 · 2013: 18 · 2012: 5
FWCI
5.09
Type
journal article
Language
en
Open access
closed
Locations
  • The Journals of Gerontology Series B (publishedVersion)
  • PubMed (publishedVersion)
Funders
Medical Research Council
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
Keywords
adaptation to chronic illness, disability, older adults, osteoarthritis, osteoporosis, perceived independence, helplessness, emotional reactivity, coping self-efficacy, activity domains, personal care, community mobility, housework, valued activities
MeSH terms
Activities of Daily Living, Adaptation, Psychological, Aged, Attitude to Health, Chronic Disease, Emotions, Female, Persons with Disabilities, Disabled Persons, Helplessness, Learned, Humans, Male, Middle Aged, Osteoarthritis, Osteoporosis, Surveys and Questionnaires, Sampling Studies, Social Support, Geriatric Assessment

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