title: Aging and low back pain among exercise participants: a follow-up study with psychological adaptation factors.
abstract: This study is a follow-up to a study previously published in this journal that reported the moderating function of exercise exertion amid the relationship between age and low back pain (LBP) among consistent exercise participants. The current study analyzed factors of psychological adaptation as potential mediators within the age--LBP relationship. Measures of psychological adaptation included psychological vulnerability, avoidant coping, resilient coping, and perceived resilience. The sample reported slightly moderate psychological vulnerability; a moderate extent of avoidant coping and resilient coping; and high resilience. Age inversely correlated with psychological vulnerability and avoidance coping. LBP correlated inversely with avoidant coping. Avoidant coping positively mediated (enhanced) age's effect on LBP. Results from this follow-up analysis highlight the importance of understanding and testing psychological factors in models with age and a physical health outcome.
authors.affiliation: School of Social Work, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: Scott E
authors.initials: SE
authors.lastname: Wilks
authors.forename: Zahra
authors.initials: Z
authors.lastname: Kadivar
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Guillory
authors.forename: Jorge
authors.initials: J
authors.lastname: Isaza
mesh_terms: D000223:Adaptation, Psychological; D000367:Age Factors; D000368:Aged; D015444:Exercise / Q000523:psychology*; D006801:Humans; D017116:Low Back Pain / Q000523:psychology*; D055500:Resilience, Psychological