Relationship between anxiety and physical activity in elderly patients with chronic musculoskeletal pain:moderated mediation model
Objective To explore the relationship between anxiety and physical activity in elderly patients with chronic musculoskeletal pain,and to analyze the role of exercise self-efficacy and perceived social support.Methods A total of 333 elderly patients with chronic musculoskeletal pain were investigated by general information questionnaire,Generalized Anxiety Disorder-7,Exercise Self-Efficacy Scale,Perceived Social Support Scale and Physical Activity Scale for the Elderly.Results The anxiety score was(6.07±2.34),the exercise self-efficacy score was(3.02±1.33),the perceived social support score was(51.07±8.39)and the physical activity score was 62.14(37.86,91.43).Anxiety was negatively correlated with exercise self-efficacy,perceived social support,and physical activity(all P＜0.01).Exercise self-efficacy,perceived social support and physical activity were positively correlated with each other(all P＜0.01).Exercise self-efficacy mediated the relationship between anxiety and physical activity,with the mediating effect accounting for 36.17%.Perceived social support mod-erated the pre-and post-paths of the mediation model(β1=0.006,β2=-0.408,P＜0.01).Conclusion Elderly patients with chronic musculo-skeletal pain have moderate levels of anxiety and insufficient physical activity.We could improve patients'anxiety and physical activity level by stimulating their exercise motivation,appropriately supplementing,and utilizing surrounding support resources.
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