PAIN CATASTROPHIZING, MENTAL TOUGHNESS AND CHANGE IN AFFECT DURING ARM-SWING-EXERCISES BY KNEE OSTEOARTHRITIS PATIENTS

Seekaow  Churproong

Authors

Seekaow Churproong School of Family and Community Medicine, Institute of Medicine, Suranaree University of Technology, 111, University Avenue, Suranaree, Maung, Nakhon Ratchasima, 30000, Thailand.

Keywords:

Mental toughness, pain catastrophizing, PANAS, arms swing exercise, knee osteoarthritis, Thai elders

Abstract

Background: Elderly Thai sufferers of knee osteoarthritis (OA) show a poor response to arms swing exercise (ASE), therefore mental toughness (MT), which is one’s ability to deal with any state should be explored, including changes in negative affect at pre and post ASE (NA). However, the mediating variable pain catastrophizing (PC) seems likely to have an impact of a positive/negative affect during ASE. Aims: This study investigated NA, the relationship between MT and NA in knee OA patients, and the mediation effect of PC on this relationship. Methods: 68 Thai overweight elders with knee OA were surveyed for MT and PC before swinging their arms for 10 min, and the Positive and Negative Affect Schedule (PANAS) was examined at pre and post ASE. T-test and simple mediation analyses were conducted for testing the relationship between all variables at the same time, and clarifying the degree to which PC mediates these relationships. Results: The patients reported a NA decrease from pre to post ASE (0.38+2.08), but it was not significant (t(67)= -1.39, p>0.05). High MT was negatively related to NA in the patients, but this relationship was not significant (b = -0.034, p = 0.070). In a simple mediation analysis, MT exerts an effect on NA, but PC showed no mediation effect, since the indirect effect size was a very small. Conclusion: ASE was not an obvious preference exercise to change patients’ positive and negative affects, even when patients were high in MT.

References

Anthony, D.R., Gucciardi, D.F., and Gordon, S. (2016). A meta-study of qualitative research on mental toughness development. Int. Rev. Sport Exerc. Psychol., 9(1):160-190.

Anusorn, S. (1998). Disease cure with arm swing exercise. Bangkok: Sukapajai, 68p.

Bennell, K.L., Hall, M., and Hinman, R.S. (2016). Osteoarthritis year in review 2015: rehabilitation and outcomes. Osteoarthr. Cartilage, 24(1):58-70.

Berger, B.G. and Motl, R.W. (2000). Exercise and mood: A selective review and synthesis of research employing the profile of mood states. J. Sport Psychology., 12(1):69-92.

Blouin-Hudon, E.-M.C., Gaudreau, P. and Gareau, A. (2016). Coping as a building mechanism to explain the unique association of affect and goal motivation with changes in affective states. Anxiety Stress Coping, 29(5):519-532.

Brosseau, L., Taki, J., Desjardins, B., Thevenot, O., Fransen, M., Wells, G.A., Mizusaki Imoto, A., Toupin-April, K., Westby, M. and Álvarez Gallardo, I.C. (2017). The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part three: aerobic exercise programs. Clin. Rehabil., 31(5):612-624.

Bureau of Policy and Strategy Ministry of public health. (2011). Thailand Healthy Lifestyle strategic plan B.E. 2554-2563 (2011-2020). National Office of Buddhism Press, Bankok, 96p.

Campbell, R., Evans, M., Tucker, M., Quilty, B., Dieppe, P. and Donovan, J.L. (2001). Why don't patients do their exercises? Understanding non-compliance with physiotherapy in patients with osteoarthritis of the knee. J. Epidemiol. Community Health., 55(2):132-138.

Chen, M.J., Fan, X., and Moe, S.T. (2002). Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis. J. Sports Sci., 20(11):873-899.

Chuang, L.-l., Lin, K.-c., Hsu, A.-l., Wu, C.-y., Chang, K.-c., Li, Y.-c., and Chen, Y.-l. (2015). Reliability and validity of a vertical numerical rating scale supplemented with a faces rating scale in measuring fatigue after stroke. Health and Quality of Life Outcomes.,13(1):91.

Churproong, S., Khampirat, B., Ratanajaipan, P., and Tattathongkom, P. (2015). The effect of the arm swing on the heart rate of non-athletes. J. Med. Assoc. 98(Suppl.4):S79-86.

Craig, A., Guest, R., Tran, Y., Perry, K.N., and Middleton, J. (2017). Pain catastrophizing and negative mood states after spinal cord injury: transitioning from inpatient rehabilitation Into the community. J. Pain., 18(7):800-810.

Crust, L. (2008). A review and conceptual re-examination of mental toughness: Implications for future researchers. Pers. Individ. Dif., 45(7): 576-583.

Crust, L. and Clough, P.J. (2005). Relationship between mental toughness and physical endurance. Percep. Mot. Skills, 100(1): 192-194.

Crust, L. and Keegan, R. (2010). Mental toughness and attitudes to risk-taking. Pers. Individ. Dif., 49(3):164-168.

Davies, C.A., Mummery, W.K., and Steele, R.M. (2010). The relationship between personality, theory of planned behaviour and physical activity in individuals with type II diabetes. Br. J. Sports. Med., 44(13):979-984.

Fawcett, T. (2011). Mental toughness: a phenomenological perspective. In: Mental toughness in sport: Developments in Theory and Research. Routledge, Oxfod, UK, 9-27p.

Gerber, M., Kalak, N., Lemola, S., Clough, P.J., Perry, J.L., Pühse, U., Elliot, C., Holsboer‐Trachsler, E., and Brand, S. (2013). Are adolescents with high mental toughness levels more resilient against stress?. Stress Health., 29(2):164-171.

Gucciardi, D. and Gordon, S. (2011). Mental toughness in sport: Developments in theory and research. Routledge, UK, 262p.

Gucciardi, D.F. (2016). Mental toughness as a moderator of the intention–behaviour gap in the rehabilitation of knee pain. J. Sci. Med. Sport., 19(6):454-458.

Gucciardi, D.F., Gordon, S., and Dimmock, J.A. (2009a). Advancing mental toughness research and theory using personal construct psychology. Int. Rev. Sport Exerc. Psychol., 2(1):54-72.

Gucciardi, D.F., Gordon, S. and Dimmock, J.A. (2009b). Evaluation of a mental toughness training program for youth-aged Australian footballers: I. A quantitative analysis. J.Appl Sport Psychol., 21(3):307-323.

Gucciardi, D.F., Hanton, S., Gordon, S., Mallett, C.J., and Temby, P. (2015). The concept of mental toughness: tests of dimensionality, nomological network, and traitness. J. Pers., 83(1):26-44.

Hayes, A.F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press, NY, 692p.

Hou, W.K., Ng, S.M., and Wan, J.H.Y. (2015). Changes in positive affect and mindfulness predict changes in cortisol response and psychiatric symptoms: A latent change score modelling approach. Psychol. Health., 30(5):551-567.

Jewpattanakul, Y., Reungthongdee, U., and Tabkaew, T. (2012). The effect of the arm swing exercise with family participation program on exercise behavior in elderly with essential hypertension. J. Nursg. Sci., 30(2):46-57.

Jones, G., Hanton, S., and Connaughton, D. (2007). A framework of mental toughness in the world’s best performers. Sport Psychol., 21:243-264.

Jones, M.I. and Parker, J.K. (2014). Mental toughness, mindfulness, and pain catastrophizing in cyclists: A mediational analysis. J. Sport Sci., 23p.

Jones, M.I. and Parker, J.K. (2015). A conditional process model of the effect of mindfulness on 800-m personal best times through pain catastrophising. J. Sport Sci., 34(12):1,132-1,140.

Keefe, F.J., Lefebvre, J.C., Egert, J.R., Affleck, G., Sullivan, M.J., and Caldwell, D.S. (2000). The relationship of gender to pain, pain behavior, and disability in osteoarthritis patients: the role of catastrophizing. Pain, 87(3):325-334.

Lane, A.M. and Lovejoy, D.J. (2001). The effects of exercise on mood changes: the moderating effect of depressed mood. J. Sports Med. Phys. Fitness.,41(4):539-545.

Leelayuwat, N., Tunkumnerdthai, O., Donsom, M., Punyaek, N., Manimanakorn, A., Kukongviriyapan, U., and Kukongviriyapan, V. (2008). An alternative exercise and its beneficial effects on glycaemic control and oxidative stress in subjects with type 2 diabetes. Diabetes Res. Clin. Pract., 82(2):e5-e8.

Loehr, J.E. (1986) Mental toughness training for sports: Achieving athletic excellence. Stephen Greene, MA,190p.

Mahoney, J.W., Gucciardi, D.F., Ntoumanis, N., and Mallet, C.J. (2014). Mental toughness in sport: Motivational antecedents and associations with performance and psychological health. J. Sport Exerc. Psychol., 36(3):281-292.

Miller, B.M., Bartholomew, J.B., and Springer, B.A. (2005) Post-exercise affect: the effect of mode preference. J. Applied Sport Psy.,17(4):263-272.

Moore, L.J. (2014). Challenge and threat states in motivated performance situations. University of Exeter, Exeter, 172p.

Mutz, J., Clough, P., and Papageorgiou, K.A. (2017). Do individual differences in emotion regulation mediate the relationship between mental toughness and hymptoms of Depression? J. Individual Differences., 38:71-82.

Nicholls, A.R., Polman, R.C.J., Levy, A.R., and Backhouse, S.H. (2008). Mental toughness, optimism, pessimism, and coping among athletes. Pers. Individ. Differ., 44(5):1,182-1,192.

Palgi, Y., Ayalon, L., Avidor, S., and Bodner, E. (2016). Changes in positive and negative affect as predictors of change in felt age: Results from the Health and Retirement Study. J. Posit Psychol.,12(25):1-8.

Petruzzello, S.J. and Landers, D.M. (1994). Varying the duration of acute exercise: Implications for changes in affect. Anxiety, Stress and Coping, 6(4):301-310.

Preacher, K.J. and Hayes, A.F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav. Res. Methods, 36(4): 717-731.

Richards, J.C. and Fang, M.A. (2004). Exercise prescription for knee osteoarthritis. Clinical Kinesiology, 58(3):8-15.

Sabaté, E. (2003). Adherence to long-term therapies: evidence for action. World Health Organization, Geneva, 199p.

Sinikallio, S.H., Helminen, E.-E., Valjakka, A.L., Väisänen-Rouvali, R.H., and Arokoski, J.P. (2014). Multiple psychological factors are associated with poorer functioning in a sample of community-dwelling knee osteoarthritis patients. J. Clin. Rheumatol., 20(5):261-267.

Skakoon, J.G. (2015). Mental toughness. Mech. Eng., 137:16-16.

Smeets, R.J.E.M., Vlaeyen, J.W.S., Kester, A.D.M., and Knottnerus, J.A. (2006). Reduction of pain catastrophizing mediates the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. J. Pain., 7(4):261-271.

Somers, T.J., Keefe, F.J., Pells, J.J., Dixon, K.E., Waters, S.J., Riordan, P.A., Blumenthal, J.A., McKee, D.C., LaCaille, L., and Tucker, J.M. (2009). Pain catastrophizing and pain-related fear in osteoarthritis patients: relationships to pain and disability. J. Pain Symptom Manage., 37(5):863-872.

Sullivan, M.J.L., Bishop, S.R., and Pivik, J. (1995). The pain catastrophizing scale: development and validation. Psychological Assessment, 7(4):524-532.

Sullivan, M.J.L., Bishop, S.R., and Pivik, J. (2009) The pain catastrophizing scale: user manual. McGill University, MT, 36p.

Sullivan, M.J.L., Thorn, B., Haythornthwaite, J.A., Keefe, F., Martin, M., Bradley, L.A., and Lefebvre, J.C. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clin. J. Pain., 17(1):52-64.

Sullivan, M.J.L., Tripp, D.A., Rodgers, W.M., and Stanish, W. (2000). Catastrophizing and pain perception in sport participants. J. Appl. Sport Psychol., 12(2):151-167.

Thompson, E.R. (2007) Development and validation of an internationally reliable short-form of the positive and negative affect schedule (PANAS). J. Cross Cult. Psychol., 38(2):227-242.

Tripp, D.A., Stanish, W., Ebel-Lam, A., Brewer, B.W., and Birchard, J. (2007). Fear of reinjury, negative affect, and catastrophizing predicting return to sport in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery. Rehabil. Psychol., 52:74-81.

Uhlig, T. (2012). Tai Chi and yoga as complemeny therapies in rheumatologic conditions. Best Pract. Res. Clin. Rheumatol., 26(3):387-398.

Van Gool, C.H., Penninx, B.W.J.H., Kempen, G.I.J.M., Rejeski, W.J., Miller, G.D., Van Eijk, J.T.M., Pahor, M., and Messier, S.P. (2005). Effects of exercise adherence on physical function among overweight older adults with knee osteoarthritis. Arthritis Rheum., 53(1):24-32.

Visram, A. (2012). Impact of mental toughness training on psychological and physical predictors of illness and injury. University of Massachusetts Amherst, MA, 154p.

Watson, D., Clark, L.A., and Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. J. Pers. Soc. Psychol., 54(6):1,063-1,070.

Youngcharoen, P., Hershberger, P.E., and Aree-Ue, S. (2016). Pain in elderly patients with knee osteoarthritis: an integrative review of psychosocial factors. Int. J. Orthop. Trauma. Nurs., 25:19-28.

Zhao, X., Lynch Jr, J.G., and Chen, Q. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. J. Consum. Res., 37:197-206.