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Irish Journal of Medical Science (1971 -)

Erschienen in:

01.03.2011 | Original Article

The psychological impact of arthritis: the effects of illness perception and coping

verfasst von: Y. Zyrianova, B. D. Kelly, J. Sheehan, C. McCarthy, T. G. Dinan

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 1/2011

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Abstract

Background

Coping and illness perception are considered to be important contributors in the relationship between physical and psychological factors in rheumatoid arthritis (RA).

Aims

The aim of this study was to examine the complex relationship of coping and illness perception on physical and psychological factors in RA using a structural model.

Methods

We assessed coping, illness perception, depression, anxiety, pain, arthritis-related disability and perceived social support in 68 adults with RA.

Results

Greater pain was detected in patients with increased scores on passive coping scale, greater severity of physical disability and increased depression and anxiety. Illness perception was found to be a mediator in the relationship between physical disability and passive coping on one hand and depression, anxiety and pain on the other.

Conclusions

The hypothesised structural model has proven to be a useful paradigm for understanding the associations between multiple factors in RA presentation: clinical, emotional, personal and cognitive.

Kvein TK (2004) Epidemiology and burden of illness of rheumatoid arthritis. Pharmacoeconomics 22(2 Suppl):1–12

Jensen M, Turner J, Romano J, Karoly P (1991) Coping with chronic pain: a critical review of the literature. Pain 47(3):249–283CrossRefPubMed

Becker N, Sjogren P, Bech P et al (2000) Treatment outcome of chronic non-malignant pain patients managed in a Danish multidisciplinary pain centre compared to general practice: a randomised controlled trial. Pain 84:203–211CrossRefPubMed

Folkman S, Lazarus RS (1980) An analysis of coping in a middle-aged community sample. J Health Soc Behav 21:219–239CrossRefPubMed

Endler N, Parker D (1990) The multidimensional assessment of coping: a critical evaluation. J Pers Soc Psychol 58:844–854CrossRefPubMed

Leventhal H, Meyer D, Nerenz D (1980) The common sense representation of illness danger. In: Raceman S. Elmsford (ed) Medical psychology, vol. 2. Pergamon, NY

Lau RR, Bernard TM, Hartman KA (1989) Further explorations of common-sense representations of common illnesses. Health Psychol 8(2):195–219CrossRefPubMed

Katz PP, Yelin EH (1995) The development of depressive symptoms among women with rheumatoid arthritis. Arthritis Rheum 38:49–56CrossRefPubMed

Zautra AJ, Yocum DC, Villanueva I, Smith B, Davis MC, Attrep J et al (2004) Immune activation and depression in women with rehumatoid arthritis. J Rheumatol 31:457–463PubMed

10.

Bruce TO (2008) Comorbid depression in rheumatoid arthritis: pathophysiology and clinical implications. Curr Psychiatry Rep 10(3):258–264CrossRefPubMed

11.

Zyrianova Y, Kelly BD, Gallagher C, McCarthy C, Molloy MG, Shehan J, Dinan TG (2006) Depression and anxiety in rheumatoid arthritis: the role of perceived social support. Ir J Med Sci 175(2):32–36CrossRefPubMed

12.

Covic T, Adamson B, Hough M (2000) The impact of passive coping on rheumatoid arthritis pain. Rheumatology 39:1027–1030CrossRefPubMed

13.

Dickens C, Creed F (2001) The burden of depression in patients with rheumatoid arthritis. Rheumatology 40:1327–1330CrossRefPubMed

14.

Meenan RF, Mason H, Anderson JJ, Guccione AA, Kazis LE (1992) AIMS 2: the content and properties of a revised and expanded arthritis impact measurement scales health status questionnaire. Arthritis Rheum 35:1–10CrossRefPubMed

15.

Beck AT, Steer RA (1996) Manual for the beck depression inventory II. The Psychological Corporation, San Antonia, TX

16.

American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSM-III-R). American Psychiatric Association, Washington, DC

17.

Beck AT, Steer RA (1987) Manual for the beck anxiety inventory. The Psychological Corporation, San Antonia, TX

18.

Weinman J, Petrie KJ, Moss-Morris R, Horne R (1996) The illness perception questionnaire: a new method of assessing the cognitive representation of illness. Psychol Health 11:431–445CrossRef

19.

Brown GK, Nicassio PM (1987) Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain 31:53–64CrossRefPubMed

20.

SPSS INC (1994) SPSS user guide base statistics 6.1. SPSS Inc., Chicago

21.

Roberts S, Pashler H (2000) How persuasive is a good fit? A comment on theory testing. Psychol Rev 107(2):358–367CrossRefPubMed

22.

Pilowsky I (1993) Dimensions of illness behaviour as measured by the illness behaviour questionnaire. J Psychosom Res 37:53–62CrossRefPubMed

23.

Crotty M, Mcfarlane AC, Brooks PM, Hopper JL, Bieri D, Taylor SJ (1994) The psychosocial and clinical status of younger women with early rheumatoid arthritis: a longitudinal study with frequent measures. Rheumatology 33:754–760CrossRef

24.

Covic T, Adamson B, Spencer D, Howe G (2003) A biopsychosocial model of pain and depression in rheumatoid arthritis: a 12-month longitudinal study. Rheumatology 42:1287–1294CrossRefPubMed

25.

Lefebvre JC, Keefe FJ (2002) Memory for pain: the relationship of pain catastrophizing to the recall of daily rheumatoid arthritis pain. Clin J Pain 18:56–63CrossRefPubMed

26.

Scharloo M, Kaptein AA, Weinman JA, Hazes JM, Breedveld FC, Rooijmans HG (1999) Predicting functional status in patients with rheumatoid arthritis. J Rheumatol 26(8):1686–1693PubMed

27.

Parker J, Smarr K, Slaughter J, Johnston S, Priesmeyer M, Hanson K et al (2003) Management of depression in rheumatoid arthritis: a combined pharmacologic and cognitive-behavioural approach. Arthritis Rheum 49:766–777CrossRefPubMed

28.

Sharpe L, Sensky T, Allard S (2001) The course of depression in recent onset rheumatoid arthritis. The predictive role of disability, illness perceptions, pain and coping. J Psychosom Res 51:713–719CrossRefPubMed

29.

Evers A, Kraaimaat F, van Riel P, de Jong A (2002) Tailored cognitive-behavioural therapy in early rheumatoid arthritis for patients at risk: a randomized controlled trial. Pain 100:141–153CrossRefPubMed

30.

Lin EH, Katon W, Von Korff M, Tang L, Williams JW Jr, Kroenke K et al (2003) Effect of improving depression care on pain and functional outcomes among older adults with arthritis: a randomized controlled trial. JAMA 290:2428–2429CrossRefPubMed

31.

Halford J, Brown T (2009) Cognitive–behavioural therapy as an adjunctive treatment in chronic physical illness. Adv Psychiatr Treat 15:306–331CrossRef

32.

Evers A, Kraaimaat F, van Riel P, de Jong A (2002) Tailored cognitive-behavioral therapy in early rheumatoid arthritis for patients at risk: a randomized controlled trial. Pain 100(1–2):141–153CrossRefPubMed

Titel: The psychological impact of arthritis: the effects of illness perception and coping
verfasst von: Y. Zyrianova
B. D. Kelly
J. Sheehan
C. McCarthy
T. G. Dinan
Publikationsdatum: 01.03.2011
Verlag: Springer-Verlag
Erschienen in: Irish Journal of Medical Science (1971 -) / Ausgabe 1/2011
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-010-0522-2

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Abstract

Background

Aims

Methods

Results

Conclusions

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