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Adaptation to Chronic Illness and Disability and Its Relationship to Perceptions of Independence and Dependence
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 (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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Metadata
- Authors
- Gignac, M. A. M., Cott, C., & Badley, E. M.
- Affiliations
- University Health Network (CA)
- Corresponding author
- Gignac, M. A. M.
- 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
- 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 › Developmental and Educational 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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