{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:12:24Z","timestamp":1778746344588,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","issue":"10_suppl","license":[{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>\n                    Objective: Aging with physical disability disrupts one\u2019s ability to achieve valued goals due to changes in symptoms and function. It is unclear how to cope optimally in this context. This study examined whether two possible strategies\u2014tenacious goal pursuit (TGP) and flexible goal adjustment (FGA)\u2014were associated with reduced pain interference and depressive symptoms and greater well-being, and protected against pain intensity, and FGA was more protective with increasing age and worse physical function. Method: Middle-aged adults with muscular dystrophy, multiple sclerosis, post-polio syndrome, or spinal cord injury ( N = 874; M\n                    <jats:sub>AGE<\/jats:sub>\n                    = 58.3 years, range = 46-68; M\n                    <jats:sub>DISEASEDURATION<\/jats:sub>\n                    = 26.2 years, range = 2-67) completed two questionnaires, a year apart. Results: TGP and FGA use was associated with greater well-being. FGA use predicted decreased depressive symptoms. Concurrent use of both predicted decreased pain interference. Discussion: Adults with disability employ a variety of goal management strategies. Findings support TGP and FGA as potential intervention targets for healthy aging with disabilities.\n                  <\/jats:p>","DOI":"10.1177\/0898264319827142","type":"journal-article","created":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T00:14:05Z","timestamp":1573604045000},"page":"214S-240S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Goal Pursuit, Goal Adjustment, and Pain in Middle-Aged Adults Aging With Physical Disability"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4586-9124","authenticated-orcid":false,"given":"Anne","family":"Arewasikporn","sequence":"first","affiliation":[{"name":"University of Washington School of Medicine, Seattle, USA"},{"name":"Veteran Affairs Puget Sound Health Care System, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann Marie","family":"Roepke","sequence":"additional","affiliation":[{"name":"Veteran Affairs Puget Sound Health Care System, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron P.","family":"Turner","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Seattle, USA"},{"name":"Veteran Affairs Puget Sound Health Care System, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin N.","family":"Alschuler","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Seattle, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda M.","family":"Williams","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Seattle, USA"},{"name":"Veteran Affairs Puget Sound Health Care System, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dagmar","family":"Amtmann","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Seattle, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan R.","family":"Molton","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Seattle, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,11,12]]},"reference":[{"key":"bibr1-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2009.08.096"},{"key":"bibr2-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.04.025"},{"key":"bibr3-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.04.025"},{"key":"bibr4-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12182"},{"key":"bibr5-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2016.1240173"},{"key":"bibr6-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2013.875121"},{"key":"bibr7-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afv203"},{"key":"bibr8-0898264319827142","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511665684.003"},{"key":"bibr9-0898264319827142","volume":"20","author":"Bamer A. 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