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Meade T, Joyce C, Perich T, Manolios N, Conaghan PG, Katz P. Prevalence, Severity, and Measures of Anxiety in Rheumatoid Arthritis: A Systematic Review. Arthritis Care Res (Hoboken) 2024; 76:171-180. [PMID: 37779491 DOI: 10.1002/acr.25245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 08/07/2023] [Accepted: 09/22/2023] [Indexed: 10/03/2023]
Abstract
OBJECTIVE Many studies have reported high rates of anxiety in adults with rheumatoid arthritis (RA). The aim of this systematic review was to examine those findings and determine the overall prevalence, severity, and commonly used measures of anxiety in individuals with RA. METHODS Six databases were searched from January 2000 without restrictions on language/location, study design, or gray literature. All identified studies that examined anxiety prevalence and severity in adults with RA, as assessed with clinical diagnostic interview and/or standardized self-report measures, were considered for inclusion. Quality assessment of included studies was conducted using a modified Newcastle-Ottawa Evaluation Scale, and the findings were synthesized via a narrative approach. RESULTS Across the 47 studies (n = 11,085 participants), the sample size ranged from 60 to 1,321 participants with seven studies including healthy controls or groups with other health conditions. The studies were conducted across 23 countries, and anxiety prevalence ranged from 2.4% to 77%, predominantly determined with standardized self-report measures, of which Hospital Anxiety and Depression scale was used most frequently; only eight studies used a clinical diagnostic interview to confirm a specific anxiety diagnosis. Notable associations with anxiety in RA were physical disability, pain, disease activity, depression, and quality of life. CONCLUSION The reported prevalence of anxiety in RA varied widely potentially because of use of different self-report measures and cutoff points. Such cutoff points will need to be standardized to clinical thresholds to inform appropriate interventions for anxiety comorbidity in RA.
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Affiliation(s)
- Tanya Meade
- Western Sydney University, Sydney, New South Wales, Australia
| | - Caroline Joyce
- Western Sydney University, Sydney, New South Wales, Australia
| | - Tania Perich
- Western Sydney University, Sydney, New South Wales, Australia
| | - Nicholas Manolios
- The University of Sydney, Westmead Hospital, Sydney, New South Wales, Australia
| | - Phillip G Conaghan
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, and NIHR Leeds Biomedical Research Centre, Leeds, UK
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Victoria MSA, Lucio VR, Cristina HD. Patient self-reported instruments for assessing symptoms in rheumatoid arthritis. Rheumatol Int 2023; 43:1781-1790. [PMID: 37322354 DOI: 10.1007/s00296-023-05355-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 05/27/2023] [Indexed: 06/17/2023]
Abstract
Rheumatoid arthritis (RA) is a chronic joint autoimmune disease with a higher prevalence of depressive symptoms due to the burden of the disease. There are several patient-self-depression scales used for the assessment and a wide range of variations in the prevalence of depression could be related to this. No evidence was found that reports the most accurate, sensitive, and specific depression instrument through an extensive review in the literature. To determine the most precise depression instrument to evaluate RA patients. A systematic review search was directed, considering type of study, prevalence of depressive symptoms, usage of validated depression scales, and reported scale performance measurements. The data extraction followed the PRISMA guidelines, and the risk of bias was assessed using RoB 2, ROBINS-I, and QUADAS-2. From a total of 1958, only 28 articles included in the analysis. The total number of patients analyzed was 6405, with a mean age of 56.53 years, 4474 women (75.22%), and a mean prevalence of depressive symptoms of 27.4%. The most frequent and the best scale used was the CES-D (n = 12), considering all characteristics. The CES-D reported the best psychometric properties, and it was the most frequently used tool.
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Affiliation(s)
- Meza-Sánchez Ana Victoria
- Radiology Department, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Ventura-Ríos Lucio
- División de Reumatología, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico
| | - Hernández-Díaz Cristina
- Servicio de Reumatología. Hospital Juárez de México, Av. Instituto Politécnico Nacional 5160, Col. Magdalena de las Salinas, Del. Gustavo A. Madero, Mexico City, Mexico.
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Pankowski D, Wytrychiewicz-Pankowska K, Pisula E, Janowski K, Fal AM, Kisiel B, Tłustochowicz W. The role of cognitive appraisals and illness-related beliefs in adaptation to life with rheumatoid arthritis: variable- and person-centered approach. CURRENT PSYCHOLOGY 2023. [DOI: 10.1007/s12144-023-04604-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
Abstract
AbstractRheumatoid arthritis (RA) is a serious chronic disease that affects daily functioning and quality of life. Two studies were conducted to analyze the role of cognitive variables (namely cognitive appraisals and illness-related beliefs) in adaptation to life with chronic disease. A total of 150 people with rheumatoid arthritis (47 men and 103 women) were assessed both stationary (N = 69) and online (N = 81). The results of study 1 indicate that cognitive appraisals explain a greater percentage of variance than coping strategies with regard to the severity of depressive symptoms and the level of acceptance of living with the disease. In turn, the second study found that social support mediates the relationship between selected cognitive appraisals (loss, challenge and value) and anxiety. The latent profile analysis showed that the subgroups distinguished according to the illness-related beliefs levels differed in cognitive appraisals, but do not in the level of anxiety. The results indicate that cognitive appraisals, in line with theoretical assumptions, seem to be the key psychological factor determining the level of adaptation to life with rheumatoid arthritis. Social resources mediate the relationship between selected cognitive appraisals and anxiety. Cognitive appraisals are modeled through illness-related beliefs, which, in turn, can be modified, e.g. as part of psychological intervention.
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Pankowski D, Wytrychiewicz-Pankowska K, Janowski K, Pisula E. The relationship between primary cognitive appraisals, illness beliefs, and adaptation to rheumatoid arthritis: A systematic review and meta-analysis. J Psychosom Res 2023; 164:111074. [PMID: 36395531 DOI: 10.1016/j.jpsychores.2022.111074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Revised: 10/21/2022] [Accepted: 10/24/2022] [Indexed: 11/15/2022]
Abstract
UNLABELLED Rheumatoid arthritis is a chronic disease that negatively affects functioning; however, the relationship between cognitive appraisals and illness-related beliefs and adaptation indices remains unclear. OBJECTIVE The aim of this review was to assess the relationship between cognitive appraisals, illness beliefs and indicators of adaptation to life with a chronic disease, such as the severity of depressive symptoms, anxiety, and quality of life. METHODS A database search was carried out between May 13 and 18, 2022, with no time restrictions. Thirty studies (5 related to cognitive appraisals, 25 related to illness beliefs) were identified. RESULTS The studies identified in the review were of satisfactory quality. An analysis of the articles allowed for a meta-analysis focusing on the relationship between the belief related to illness consequences and the severity of depressive symptoms, which gave an overall correlation estimate of 0.50 [0.44-0.56]. CONCLUSION Both cognitive appraisals and illness beliefs are related to indicators of rheumatoid arthritis adaptation, such as depressive symptom severity, anxiety and acceptance levels. Further longitudinal research would be crucial in further elucidating the impact of cognitive factors on adjustment level and its trajectories over time. CLINICAL TRIAL REGISTRATION Review was pre-registered at https://osf.io/gd9cw (DOI:http://10.17605/OSF.IO/GD9CW).
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Affiliation(s)
- Daniel Pankowski
- Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Warsaw 01-043, Poland; Faculty of Psychology, University of Warsaw, Warsaw 00-927, Poland.
| | - Kinga Wytrychiewicz-Pankowska
- Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Warsaw 01-043, Poland; Faculty of Psychology, University of Warsaw, Warsaw 00-927, Poland
| | - Konrad Janowski
- Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Warsaw 01-043, Poland
| | - Ewa Pisula
- Faculty of Psychology, University of Warsaw, Warsaw 00-927, Poland
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Chwaszcz J, Bartczuk RP, Niewiadomska I, Sławska-Jaroszewska P. Quality of life and prosocial or antisocial coping with resource deprivation: A cross-sectional study of people at risk of social exclusion. PLoS One 2022; 17:e0275234. [PMID: 36170340 PMCID: PMC9518875 DOI: 10.1371/journal.pone.0275234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 09/12/2022] [Indexed: 11/18/2022] Open
Abstract
(1) Background This paper presents a study based on Stevan Hobfoll’s conservation of resources theory and deals specifically with resources and coping as predictors of the quality of life of persons threatened by social exclusion. They have no access to public psychosocial resources, the acquisition and accumulation of which are closely linked to the perceived quality of life. (2) Method A cross-sectional self-reported questionnaire study. A sample of 1,074 individuals from various groups at risk of exclusion was surveyed using the Conservation of Resources-Evaluation Questionnaire, the Strategic Approach to Coping Scale, and the WHO Quality of Life Questionnaire. The research was done among people supported by Polish non-governmental organizations operating nationwide. Structural equation modeling was used to test mediational hypotheses in the analysis. (3) Results The significant variables that determined the relationship between resource gains and losses and the quality of life included active–passive and prosocial–antisocial coping strategies. The results were generally robust, but the level of education moderated the relationship between active antisocial coping and quality of life. (4) Conclusions The obtained dependencies are consistent with Hobfoll’s approach, confirming its usefulness. Prosocial coping mediates the effect of resource gain on the increase in quality of life and the effect of resource loss on the decline in quality of life, strengthening the former and weakening the latter.
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Affiliation(s)
- Joanna Chwaszcz
- Institute of Psychology, The John Paul II Catholic University of Lublin, Lublin, Poland
- * E-mail:
| | - Rafał P. Bartczuk
- Institute of Psychology, The John Paul II Catholic University of Lublin, Lublin, Poland
| | - Iwona Niewiadomska
- Institute of Psychology, The John Paul II Catholic University of Lublin, Lublin, Poland
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Rumrill P, Rumrill S, Sheppard-Jones K, Rumrill A, Graham-Smith M, Curry B, Wiley L, Fisher E, Kabeya A, Adams C, Espinosa-Bard C, Jones J. Identifying the job accommodation needs of American workers with mid-career neurological disabilities: A multiple case study investigation. JOURNAL OF VOCATIONAL REHABILITATION 2021. [DOI: 10.3233/jvr-211151] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: The COVID-19 pandemic has wrought an unprecedented toll on vocational rehabilitation efforts to assist workers with disabilities in maintaining their careers. OBJECTIVE: To demonstrate the use of a psychometrically sound assessment instrument and resource-driven planning procedure to help workers with disabilities resume or retain their employment. METHODS: Four employed people with neurological disabilities who took part in a larger job retention project funded by the United States Department of Labor completed structured interviews to determine their needs for employment accommodations during COVID-19. A trained interviewer administered the Work Experience Survey (WES) in teleconsultation sessions with each participant to identify: (a) barriers to worksite access, (b) difficulties performing essential job functions, (c) concerns regarding continued job mastery, and (d) extent of job satisfaction. RESULTS: Owing primarily to the sequelae of their disabling conditions and less so to social distancing requirements and telecommuting technology, participants reported a wide range of accessibility barriers and difficulties in performing essential functions of their jobs that they believed had the potential to significantly affect their ongoing productivity. Considering the stress and uncertainty that have accompanied the COVID-19 pandemic, it is surprising that the majority of participants reported high levels of job mastery and job satisfaction. CONCLUSION: The interviewer concluded the WES interview by recommending a job accommodation plan, which included suggestions from Job Accommodation Network (JAN) consultants.
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Rzeszutek M, Podkowa K, Pięta M, Pankowski D, Cyran-Stemplewska S. Comparative study of life satisfaction among patients with psoriasis versus healthy comparison group: the explanatory role of body image and resource profiles. Qual Life Res 2020; 30:181-191. [PMID: 32888104 PMCID: PMC7847870 DOI: 10.1007/s11136-020-02621-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2020] [Indexed: 01/07/2023]
Abstract
Purpose The aim of the study was first to examine the heterogeneity of body image and resources, as described by the conservation of resources theory (COR), in a sample of psoriatic patients and explore whether heterogeneity within these variables explains the possible differences in levels of life satisfaction among the participants. Second, we aimed to investigate if life satisfaction level among the observed profiles of psoriatic patients, extracted on the basis of their body image and resources, differed from that of the healthy comparison group. Methods The sample consisted of 735 participants, including 355 adults with a medical diagnosis of psoriasis and 380 healthy adults recruited from a non-clinical general population. Participants filled the Satisfaction with Life Scale, the Multidimensional Body-Self Relations Questionnaire and the COR evaluation questionnaire. Results Latent profile analysis revealed four classes of psoriatic patients with different levels of resources and body image. The group with the highest level of resources and the most positive body image did not differ from the healthy comparison group regarding satisfaction with life. The group with the lowest level of resources and the most negative body image was characterized by the lowest satisfaction with life. Conclusions The results of our study may change the simplifying trend that highlights the traditionally very poor well-being of psoriatic patients. Moreover, the discovery of specific profiles of these patients, which differ with regard to psychological variables, can lead to rethinking contemporary forms of psychological counselling in psoriatic patients.
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Affiliation(s)
- Marcin Rzeszutek
- Faculty of Psychology, University of Warsaw, Stawki 5/7, 00-183, Warsaw, Poland.
| | - Katarzyna Podkowa
- Faculty of Psychology, University of Warsaw, Stawki 5/7, 00-183, Warsaw, Poland
| | - Małgorzata Pięta
- Faculty of Psychology, University of Warsaw, Stawki 5/7, 00-183, Warsaw, Poland
| | - Daniel Pankowski
- Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Okopowa 59, 01-043, Warsaw, Poland
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Parenti G, Tomaino SCM, Cipolletta S. The experience of living with rheumatoid arthritis: A qualitative metasynthesis. J Clin Nurs 2020; 29:3922-3936. [PMID: 32702139 DOI: 10.1111/jocn.15428] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Revised: 06/30/2020] [Accepted: 07/10/2020] [Indexed: 12/12/2022]
Abstract
AIMS AND OBJECTIVES To develop a model of understanding of how rheumatoid arthritis (RA) affects daily life based on a third-order interpretation of qualitative findings. BACKGROUND Rheumatoid arthritis is a chronic condition subject to a progressive deterioration of joints, limiting the ability to move and causing severe impairment in patients' lives. DESIGN A qualitative metasynthesis. METHODS CINHAL, ProQuest, PsycINFO, PubMed, SCOPUS and Web of Science databases were searched for relevant studies applying appropriate criteria. Screening and selection of studies were performed following the PRISMA guidelines and the PRISMA checklist was completed. Thirty-eight qualitative articles were retrieved: in total, 17 were excluded for failing to meet inclusion criteria, and 21 were considered for synthesis. Data analysis followed a third-order interpretation of data for synthesising qualitative research. RESULTS Findings led to the creation of a model consisting of two overarching categories: "rheumatoid arthritis impact on life domains" and "Confronting the illness," and two cross-sectional codes: "Health" and "Independence and normality." CONCLUSION This meta-study provides a model that is both inclusive of participants' own viewpoint and solidly grounded in a health psychology model. RELEVANCE TO CLINICAL PRACTICE The model can be highly informative for both practitioners and researchers in developing tailored interventions of support and prevention.
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Affiliation(s)
- Giulia Parenti
- Department of General Psychology, University of Padua, Padova, Italy
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Katchamart W, Narongroeknawin P, Chanapai W, Thaweeratthakul P, Srisomnuek A. Prevalence of and factors associated with depression and anxiety in patients with rheumatoid arthritis: A multicenter prospective cross-sectional study. Int J Rheum Dis 2020; 23:302-308. [PMID: 31908153 DOI: 10.1111/1756-185x.13781] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Revised: 10/01/2019] [Accepted: 11/30/2019] [Indexed: 02/03/2023]
Abstract
AIM To investigate the prevalence of and factors associated with depression and anxiety in patients with rheumatoid arthritis (RA). METHODS This prospective cross-sectional study included patients who were consecutively enrolled in the Siriraj Rheumatoid Arthritis Registry or the Thai Army Rheumatoid Arthritis Cohort during the September 2016 to March 2018 study period. Demographic data and clinical variables, including disease activity, functional status, health-related quality of life, and cognitive function, were collected. Depression and anxiety were assessed using the Thai version of the Hospital Anxiety and Depression Scale (Thai HADS). RESULTS Four hundred and sixty-four patients were included. Mean age was 59 years, median disease duration was 9.9 years, and 85% of patients were female. Based on the Thai HADS cutoff value of 8 or higher, 12.5% and 14.5% of patients had some degree of depression and anxiety, respectively. Multivariate analysis revealed global health score (risk ratio [RR]: 0.98, P = .001) to be the only factor independently negatively associated with depression. Regarding anxiety, functional disability (RR: 2.46, P = .004) and married status (RR: 2.43, P = .009) were significantly associated with increased risk, whereas disease duration of 10 years or more (RR: 0.45, P = .007) and global health score (RR: 0.97, P < .001) were significantly associated with decreased risk of developing anxiety. CONCLUSION Depression and anxiety are common in patients with RA. Patients' perceptions of their current health are significantly related to mood disorders. Therefore, mental health status, especially mood disturbances, should be addressed in routine practice to improve quality of life in RA.
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Affiliation(s)
- Wanruchada Katchamart
- Department of Medicine, Division of Rheumatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Pongthorn Narongroeknawin
- Department of Medicine, Division of Rheumatology, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand
| | - Wanwisa Chanapai
- Research Department, Division of Clinical Trials, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Phakhamon Thaweeratthakul
- Department of Medicine, Division of Rheumatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Ananya Srisomnuek
- Research Department, Division of Clinical Trials, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Rzeszutek M, Pięta M, Huzar M. Profiles of resources and body image in health and illness: A comparative study among females with rheumatoid arthritis, females with breast cancer and healthy controls. Brain Behav 2020; 10:e01488. [PMID: 31802648 PMCID: PMC6955837 DOI: 10.1002/brb3.1488] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 10/16/2019] [Accepted: 11/14/2019] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The aim of this study was to examine whether or not profiles of resources (i.e., a multifaceted picture that simultaneously includes different types of resources), as described by the conservation of resources (COR) theory, and profiles of body image (i.e., a multidimensional picture that simultaneously includes different aspects of body image) differ between females that represent two clinical samples (rheumatoid arthritis [RA]; breast cancer [BC]) and a healthy control group. METHOD The sample comprised 328 females, including 141 women with RA, 102 with a BC diagnosis, and 85 healthy women as a control group, and was collected from the general population. To measure the level of COR resources in each participant, we used the COR evaluation questionnaire (COR-E). Participants' body image was assessed with the aid of the Multidimensional Body-Self Relations Questionnaire (MBSRQ). RESULTS A discriminant analysis revealed that females from the clinical groups differed with respect to their profiles of some resources and body image when compared to those of the healthy control group. In addition, we found differences in body image evaluations between women with RA and women with BC. CONCLUSIONS Women with RA or BC differ substantially with respect to their subjectively assessed resources and body image when compared to women with no chronic diseases. Therefore, psychological counselling designed for females with RA or BC should be employed to help them restore the aspects altered by their respective illnesses.
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Affiliation(s)
| | | | - Marek Huzar
- Faculty of Psychology, University of Warsaw, Warsaw, Poland
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11
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Dischinger MI, Lange L, Vehling S. Loss of resources and demoralization in the chronically ill. Gen Hosp Psychiatry 2019; 61:10-15. [PMID: 31518884 DOI: 10.1016/j.genhosppsych.2019.08.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 07/31/2019] [Accepted: 08/01/2019] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The study examined whether the association between the severity of physical symptoms and demoralization is mediated by loss of resources in individuals with chronic conditions including conventional diagnoses, functional somatic syndromes, and medically unexplained symptoms. METHOD This cross-sectional study evaluated N = 194 patients (mean age = 46, 83.5% female) who reported at least 3 months of persistent physical symptoms using the following self-report instruments: PHQ-15 (modified), Loss of Resources Inventory, Psychosocial Questionnaire - Demoralization Subscale, and PHQ-8. The mediation hypothesis was tested by multiple regression analyses controlling for age, race, employment status, income, educational attainment, and depression. RESULTS Participants experienced M = 9.3 out of 16 possible health-related losses (SD = 4.4). Average to severe demoralization scores were indicated by 59.1% of individuals, of which only 17.1% experienced high demoralization. Loss of resources fully mediated the effect of symptom severity on demoralization, explaining 56% of the variance of demoralization and inhibiting the initially significant effect of symptom severity on demoralization to nonsignificant levels [from b = 0.67, 95% CI (0.26, 1.07) to b = 0.03, 95% CI (-0.27, 0.32)]. CONCLUSION Early recognition of the loss of resources phenomena and interventions to reduce its progression through the introduction of resource gains may diminish, or even prevent, the installation of demoralization in individuals with chronic symptoms.
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Affiliation(s)
- M I Dischinger
- Department of Psychology, University of North Florida, Jacksonville, FL, United States.
| | - L Lange
- Department of Psychology, University of North Florida, Jacksonville, FL, United States
| | - S Vehling
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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12
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Pięta M, Rzeszutek M, Gasik R. Body image, pain and level of resources among arthritis patients: the moderating role of gender. PSYCHOL HEALTH MED 2019; 25:802-811. [PMID: 31526151 DOI: 10.1080/13548506.2019.1668566] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Arthritis is a highly debilitating group of chronic diseases that affects both physical and psychosocial functioning. The aim of this study was to examine the associations between body image, subjective pain intensity and level of resources described by Conservation of Resources (COR) theory among arthritis patients. In particular, the moderating role of the participants' gender was explored via multiple linear regression analysis. 200 arthritis patients were recruited, including 141 females and 59 males. Body image was evaluated using the Multidimensional Body-Self Relations Questionnaire, subjective pain intensity was measured via the Numerical Rating Scale and level of resources was assessed using the COR evaluation questionnaire. A negative relationship was confirmed between the level of satisfaction with body image and pain intensity among participants. A positive relationship was found between body-image subscales and level of COR resources. These relationships were moderated by the participants' gender, i.e. only among males a positive association between body image and pain and, respectively, body image and resources was found. Enhancing body awareness is an essential part of psychological counselling for patients with arthritis and our study added to the literature by showing how body image may be related to pain and resources in this patient group.
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Affiliation(s)
| | | | - Robert Gasik
- National Institute of Geriatrics, Rheumatology and Rehabilitation , Warsaw, Poland
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Jackson T, Xu T, Jia X. Arthritis self-efficacy beliefs and functioning among osteoarthritis and rheumatoid arthritis patients: a meta-analytic review. Rheumatology (Oxford) 2019; 59:948-958. [DOI: 10.1093/rheumatology/kez219] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 04/25/2019] [Indexed: 11/12/2022] Open
Abstract
Abstract
Objectives
The Arthritis Self-Efficacy Scale (ASES) is a widely used self-report measure of beliefs reflecting confidence in one’s capacity to function despite pain and control pain or other symptoms of arthritis. Despite evidence linking higher ASES scores to lower levels of impairment, pain and emotional distress, numerous modest, non-significant associations have also been observed. In this meta-analysis, we evaluated overall associations between ASES scores and adjustment in RA and OA samples as well as potential moderators that may explain the heterogeneity in these associations.
Method
Data from 48 samples that met all 10 inclusion criteria (N = 9222 patients) were subject to analyses.
Results
ASES scores had significant medium average effect sizes with functional impairment, pain severity and emotional distress but substantial heterogeneity was evident for each association. ASES–impairment associations were moderated by the diagnosis, ASES version and ASES subscale content: significantly larger effect sizes were found for studies that included RA patients, used the original 20-item ASES and assessed subscale content reflecting the pursuit of daily activities despite pain (i.e. functional self-efficacy) than for studies based exclusively on OA patients, the eight-item ASES and ASES pain control and other symptom subscales. Relations of ASES scores with pain severity and emotional distress were moderated by ASES version and subscale content, respectively.
Conclusion
The ASES has significant overall associations with key areas of functioning. Moderator analyses of the measure provide empirically grounded suggestions for optimal use of the ASES within OA and RA patient samples.
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Affiliation(s)
- Todd Jackson
- Key Laboratory of Cognition and Personality, China Education Ministry, Southwest University, Chongqing
- Department of Psychology, University of Macau, Taipa, Macau, S.A.R., China
| | - Ting Xu
- Key Laboratory of Cognition and Personality, China Education Ministry, Southwest University, Chongqing
| | - Xiaojun Jia
- Key Laboratory of Cognition and Personality, China Education Ministry, Southwest University, Chongqing
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Sörensen J, Rzeszutek M, Gasik R. Social support and post-traumatic growth among a sample of arthritis patients: Analysis in light of conservation of resources theory. CURRENT PSYCHOLOGY 2019. [DOI: 10.1007/s12144-019-0131-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
AbstractThe study examined the association between social support dimensions and post-traumatic growth (PTG) among a sample of arthritis patients. In particular, we wanted to verify the mediating role of resources, as described by the Conservation of Resources (COR) theory, on the aforementioned relationship. A total of 207 patients with a clinical diagnosis of arthritis were recruited to participate in the study, including 149 females and 58 males. This was a cross-sectional study, with PTG evaluated by the Post-Traumatic Growth Inventory (PTGI) and social support assessed via the Berlin Social Support Scales (BSSS). To assess the level of subjectively possessed resources among participants, we used the COR evaluation questionnaire (COR-E). Provided support, but not received support, was positively related to the level of PTG among participants. In addition, the level of spiritual resources mediated the aforementioned relationship. The results of this contribute to the literature on the psychological aspects of arthritis. It seems that providing support may be related to positive consequences among arthritis patients, in the form of PTG, with spiritual resources being of significant value in this process.
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Küçükakkaş O, Rezvani A, Yurdakul OV, Tolu S, Kılıçoğlu MS, Aydın T. Fear Assessment in Inflammatory Rheumatic diseases (FAIR) questionnaire: a cross-cultural adaptation and validation to the Turkish language. Clin Rheumatol 2018; 37:3247-3254. [PMID: 30054752 DOI: 10.1007/s10067-018-4239-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 07/19/2018] [Accepted: 07/23/2018] [Indexed: 02/05/2023]
Abstract
In chronic inflammatory rheumatic diseases (CIRD), it is important to understand patients' fears towards their disease in order to improve patient-physician dialog, to raise the quality of care offered, and to optimize treatment adherence. In this study, we aimed to translate the Fear Assessment in Inflammatory Rheumatic diseases (FAIR) questionnaire into Turkish and evaluate its psychometric properties in patients with CIRD. One hundred fifteen patients filled the provided socio-demographic information form, FAIR-Tr questionnaire, Hospital Anxiety and Depression Scale (HADS), and Beck's Hopelessness Scale (BHS). For the analysis of short-term reliability, 50 patients re-filled the FAIR-Tr questionnaire 1 week later. Internal consistency was evaluated with Cronbach's α coefficient and test-retest reliability was evaluated with intraclass correlation coefficients (ICC). Construct validity analysis was investigated based on the correlation with HADS and BHS. All patients found FAIR-Tr easily understandable and acceptable. FAIR-Tr internal consistency (Cronbach's α = 0.93) and test-retest reliability (ICC = 0.91) were excellent. Psychometric validation was proved upon observing high correlation with HADS (Anxiety, r = 0.77; Depression, r = 0.70) and moderate correlation with BHS (r = 0.65). FAIR-Tr is a questionnaire that has excellent internal consistency and test-retest reliability. The successful correlation with HADS and BHS supported its psychometric validity in terms of evaluating the fear in CIRD cases. We think that FAIR-Tr is a specific scale that can help to evaluate the disease- and treatment-related fears of the Turkish patients with CIRD and may be useful in both routine practice and clinical studies.
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Affiliation(s)
- Okan Küçükakkaş
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey.
| | - Aylin Rezvani
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Medipol University, Istanbul, Turkey
| | - Ozan Volkan Yurdakul
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey
| | - Sena Tolu
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Medipol University, Istanbul, Turkey
| | - Mehmet Serkan Kılıçoğlu
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey
| | - Teoman Aydın
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakıf University, 34093, Istanbul, Turkey
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Gossec L, Chauvin P, Saraux A, Hudry C, Cukierman G, de Chalus T, Dreuillet C, Saulot V, Tong S, Russo-Marie F, Joubert JM, Berenbaum F. Development and psychometric validation of a patient-reported outcome measure to assess fears in rheumatoid arthritis and axial spondyloarthritis: the Fear Assessment in Inflammatory Rheumatic diseases (FAIR) questionnaire. Ann Rheum Dis 2017; 77:258-263. [PMID: 29102955 PMCID: PMC5867422 DOI: 10.1136/annrheumdis-2017-212000] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Revised: 09/15/2017] [Accepted: 10/06/2017] [Indexed: 01/08/2023]
Abstract
Objectives To develop and validate an outcome measure for assessing fears in patients with rheumatoid arthritis (RA) and axial spondyloarthritis (axSpA). Methods Fears were identified in a qualitative study, and reformulated as assertions with which participants could rate their agreement (on a 0–10 numeric rating scale). A cross-sectional validation study was performed including patients diagnosed with RA or axSpA. Redundant items (correlation >0.65) were excluded. Internal consistency (Cronbach’s α) and factorial structure (principal component analysis) were assessed. Patients were classified into fear levels (cluster analysis). Associations between patient variables and fear levels were evaluated using multiple logistic regression. Results 672 patients were included in the validation study (432 RA, 240 axSpA); most had moderate disease activity and were prescribed biologics. The final questionnaire included 10 questions with high internal consistency (α: 0.89) and a single dimension. Mean scores (±SD) were 51.2 (±25.4) in RA and 60.5 (±22.9) in axSpA. Groups of patients with high (17.2%), moderate (41.1%) and low (41.7%) fear scores were identified. High fear scores were associated with high Arthritis Helplessness Index scores (OR 6.85, 95% CI (3.95 to 11.87)); high Hospital Anxiety and Depression Scale anxiety (OR 5.80, 95% CI (1.19 to 4.22)) and depression (OR 2.37, 95% CI (1.29 to 4.37)) scores; low education level (OR 3.48, 95% CI (1.37 to 8.83)); and high perceived disease activity (OR 2.36, 95% CI (1.10 to 5.04)). Conclusions Overall, 17.2% of patients had high fear scores, although disease was often well controlled. High fear scores were associated with psychological distress. This questionnaire could be useful both in routine practice and clinical trials.
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Affiliation(s)
- Laure Gossec
- Sorbonne Universités, UPMC Univ Paris 06,Institut Pierre Louis d'Epidémiologie et de Santé Publique (UMRS 1136), GRC-UPMC 08 (EEMOIS), Paris, France.,Rheumatology Department, Hôpital Pitié Salpêtrière, AP-HP, Paris, France
| | - Pierre Chauvin
- Department of Social Epidemiology, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (UMRS 1136), Paris, France
| | - Alain Saraux
- Department of Rheumatology, CHU de la Cavale-Blanche, Brest, France.,Université de Brest, LabEx IGO, UMR1227, Lymphocytes B et Autoimmunité, Brest, France
| | - Christophe Hudry
- Department of Rheumatology, Hôpital Cochin, AP-HP, Paris, France
| | | | | | | | | | | | | | | | - Francis Berenbaum
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Paris, France.,Department of Rheumatology, Hôpital Saint-Antoine, AP-HP, DHU i2B, Paris, France
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Tough H, Siegrist J, Fekete C. Social relationships, mental health and wellbeing in physical disability: a systematic review. BMC Public Health 2017; 17:414. [PMID: 28482878 PMCID: PMC5422915 DOI: 10.1186/s12889-017-4308-6] [Citation(s) in RCA: 128] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 04/26/2017] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Research has consistently found that favourable exchange with one's proximal social environment has positive effects on both mental health and wellbeing. Adults with physical disabilities may have fewer opportunities of favourable exchange, and therefore the effects on mental health and wellbeing may be less advantageous. The aim of this study is to systematically review quantitative studies exploring associations of social relationships with mental health and wellbeing in persons with physical disabilities. METHODS The databases PubMed, PsycINFO and Scopus were searched for relevant studies published between 1995 and 2016. Data was extracted on study and participants' characteristics, independent and dependent variables, used measures and effects sizes of associations between social relationships and mental health or wellbeing. A narrative review was performed to synthesize findings along the constructs social support, social networks, negative social interactions, family functioning and relationship quality. RESULTS Of the 63 included studies, 47 were cross-sectional and 16 longitudinal. Most studies included a measure of social support (n = 58), while other concepts were less often studied (social networks n = 6; negative social interaction n = 3; family functioning n = 2; relationship quality n = 1). Over half of studies included depression as outcome (n = 33), followed by wellbeing (n = 14), composite mental health measures (n = 10), anxiety (n = 8), psychological distress (n = 7), posttraumatic stress disorder (n = 3), and hopelessness (n = 1). Although trends for associations of social support with mental health and wellbeing were consistent, around a quarter of studies failed to report significant associations. Social networks were related to depression, but not to other mental health or wellbeing measures. Family functioning, negative social interactions and relationship quality showed consistent associations with mental health and wellbeing, however, only few studies were available. CONCLUSIONS This review indicates that social relationships play an important role in mental health and wellbeing in persons with disabilities, although findings are less consistent than in general populations and strength of associations vary between constructs. Integrating persons with disabilities into social networks seems not sufficient and rehabilitation professionals together with affected persons and their peers should ensure that high quality relationships and tailored support are available.
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Affiliation(s)
- Hannah Tough
- Swiss Paraplegic Research, Guido A. Zäch Strasse 4, 6207 Nottwil, Lucerne, Switzerland
- Department of Health Sciences and Health Policy, University of Lucerne, Frohburgstrasse 3, P.O. Box 4466, 6002 Lucerne, Switzerland
| | - Johannes Siegrist
- Senior Professorship ‘Work Stress Research’, Faculty of Medicine, University of Düsseldorf, Life-Science-Center, Merowingerplatz 1a, 40225 Düsseldorf, Germany
| | - Christine Fekete
- Swiss Paraplegic Research, Guido A. Zäch Strasse 4, 6207 Nottwil, Lucerne, Switzerland
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Sambamoorthi U, Shah D, Zhao X. Healthcare burden of depression in adults with arthritis. Expert Rev Pharmacoecon Outcomes Res 2017; 17:53-65. [PMID: 28092207 PMCID: PMC5512931 DOI: 10.1080/14737167.2017.1281744] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Accepted: 01/10/2017] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Arthritis and depression are two of the top disabling conditions. When arthritis and depression exist in the same individual, they can interact with each other negatively and pose a significant healthcare burden on the patients, their families, payers, healthcare systems, and society as a whole. Areas covered: The primary objective of this review is to summarize, identify knowledge gaps and discuss the challenges in estimating the healthcare burden of depression among individuals with arthritis. Electronic literature searches were performed on PubMed, Embase, EBSCOhost, Scopus, the Cochrane Library, and Google Scholar to identify relevant studies. Expert Commentary: Our review revealed that the prevalence of depression varied depending on the definition of depression, type of arthritis, tools and threshold points used to identify depression, and the country of residence. Depression exacerbated arthritis-related complications as well as pain and was associated with poor health-related quality of life, disability, mortality, and high financial burden. There were significant knowledge gaps in estimates of incident depression rates, depression attributable disability, and healthcare utilization, direct and indirect healthcare costs among individuals with arthritis.
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Affiliation(s)
- Usha Sambamoorthi
- a Department of Pharmaceutical Systems and Policy , School of Pharmacy, West Virginia University , Morgantown , WV , USA
| | - Drishti Shah
- a Department of Pharmaceutical Systems and Policy , School of Pharmacy, West Virginia University , Morgantown , WV , USA
| | - Xiaohui Zhao
- a Department of Pharmaceutical Systems and Policy , School of Pharmacy, West Virginia University , Morgantown , WV , USA
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Li F, Wang G, Li Y, Zhou R. Job demands and driving anger: The roles of emotional exhaustion and work engagement. ACCIDENT; ANALYSIS AND PREVENTION 2017; 98:198-205. [PMID: 27760407 DOI: 10.1016/j.aap.2016.10.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Revised: 09/06/2016] [Accepted: 10/09/2016] [Indexed: 06/06/2023]
Abstract
This study aimed to examine the effects of both hindrance and challenge demands on driving anger within the framework of the job demands-resources (JD-R) model. We collected self-reported data from 411 office workers driving to and from work each day in five cities in China. The results from a structural equation modeling analysis indicated that both hindrance and challenge demands were positively related to emotional exhaustion, which was in turn positively correlated with driving anger. Moreover, work engagement was positively correlated with driving anger. Implications of the present findings regarding both the JD-R model and driving safety research are discussed.
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Affiliation(s)
- Feng Li
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, No.16 LinCui Road, ChaoYang, Beijing, 100101, PR China.
| | - Guangxi Wang
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, No.16 LinCui Road, ChaoYang, Beijing, 100101, PR China.
| | - Yongjuan Li
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, No.16 LinCui Road, ChaoYang, Beijing, 100101, PR China.
| | - Ronggang Zhou
- School of Economics and Management, Beihang University, No.37 Xueyuan Road, Haidian District, Beijing, 100191, PR China.
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20
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Jia X, Jackson T. Pain beliefs and problems in functioning among people with arthritis: a meta-analytic review. J Behav Med 2016; 39:735-56. [DOI: 10.1007/s10865-016-9777-z] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 07/30/2016] [Indexed: 02/07/2023]
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21
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Coty MB, Salt EG, Myers JA, Abusalem SK. Factors affecting well-being in adults recently diagnosed with rheumatoid arthritis. J Health Psychol 2016; 22:493-504. [PMID: 26424809 DOI: 10.1177/1359105315604887] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This article examines role stress, key psychosocial variables, and well-being in adults recently diagnosed with rheumatoid arthritis. Patients recently diagnosed with rheumatoid arthritis must often learn to balance disease and role-related responsibilities. This was cross-sectional, descriptive study ( N = 80). Data were analyzed using correlation coefficients and linear regression models. Participants were predominantly female (78%), married, and employed. Mean age and disease duration were 54.2 years and 24.2 months, respectively. The findings suggest that well-being is influenced by feelings of being self-efficacious and having balance in their roles and less to do with social support received from others.
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22
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Flurey CA, Hewlett S, Rodham K, White A, Noddings R, Kirwan J. Men, rheumatoid arthritis, psychosocial impact and self-management: A narrative review. J Health Psychol 2016; 21:2168-82. [PMID: 25759375 DOI: 10.1177/1359105315572452] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Rheumatoid arthritis is a chronic disease affecting fewer men than women. We systematically reviewed the literature on impact and self-management of rheumatoid arthritis in men. A total of 28 papers were included and grouped into two categories: psychosocial impact of rheumatoid arthritis, and coping and self-management. This review finds gender differences relating to quality of life, work, distress, self-management, coping and support. We conclude that there is a dearth of literature focussing on rheumatoid arthritis in men only, and mixed gender studies include insufficient men to draw strong conclusions about men. Thus, further research is needed to understand the support needs of men with rheumatoid arthritis in depth.
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23
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Stress and cortisol in disaster evacuees: an exploratory study on associations with social protective factors. Appl Psychophysiol Biofeedback 2016; 40:33-44. [PMID: 25787070 DOI: 10.1007/s10484-015-9270-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Though cumulative emotional and physical effects of disasters may diminish evacuees' short and long-term mental and physical health, social factors may buffer such consequences. We approached survivors of the October 2007 San Diego, California firestorms. We gathered data during the evacuation and 3 months afterward. Questionnaires measured social support as well as PTSD, depression, and anxiety symptoms. Saliva samples were used to assess the stress hormone, cortisol. Analyses, adjusting for age, gender, and socioeconomic status, showed PTSD symptoms were associated with flattening of the diurnal cortisol rhythm during evacuation. Secondary analyses showed those reporting a family emphasis on moral and religious values had lower psychological distress. Though anxiety symptoms had significantly decreased in the overall sample at follow-up, blunted cortisol rhythms persisted among those individuals with continued high anxiety. Results highlight a possible psychological, and perhaps a physiological, benefit of social and existential factors in disaster situations. Future work should explore the role of psychosocial factors and stress physiology in the development of long-term health concerns among individuals exposed to disaster.
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24
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Eikelenboom N, Smeele I, Faber M, Jacobs A, Verhulst F, Lacroix J, Wensing M, van Lieshout J. Validation of Self-Management Screening (SeMaS), a tool to facilitate personalised counselling and support of patients with chronic diseases. BMC FAMILY PRACTICE 2015; 16:165. [PMID: 26560970 PMCID: PMC4641335 DOI: 10.1186/s12875-015-0381-z] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Accepted: 10/28/2015] [Indexed: 01/08/2023]
Abstract
Background A rising number of people with chronic conditions is offered interventions to enhance self-management. The responsiveness of individuals to these interventions depends on patient characteristics. We aimed to develop and validate a tool to facilitate personalised counselling and support for self-management in patients with chronic diseases in primary care. Methods We drafted a prototype of the tool for Self-Management Screening (SeMaS), comprising 27 questions that were mainly derived from validated questionnaires. To reach high content validity, we performed a literature review and held focus groups with patients and healthcare professionals as input for the tool. The characteristics self-efficacy, locus of control, depression, anxiety, coping, social support, and perceived burden of disease were incorporated into the tool. Three items were added to guide the type of support or intervention, being computer skills, functioning in groups, and willingness to perform self-monitoring. Subsequently, the construct and criterion validity of the tool were investigated in a sample of 204 chronic patients from two primary care practices. Patients filled in the SeMaS and a set of validated questionnaires for evaluation of SeMaS. The Patient Activation Measure (PAM-13), a generic instrument to measure patient health activation, was used to test the convergent construct validity. Results Patients had a mean age of 66.8 years and 46.6 % was female. 5.9 % did not experience any barrier to self-management, 28.9 % experienced one minor or major barrier, and 30.4 % two minor or major barriers. Compared to the criterion measures, the positive predictive value of the SeMaS characteristics ranged from 41.5 to 77.8 % and the negative predictive value ranged from 53.3 to 99.4 %. Crohnbach’s alpha for internal consistency ranged from 0.56 to 0.87, except for locus of control (α = 0.02). The regression model with PAM-13 as a dependent variable showed that the SeMaS explained 31.7 % (r2 = 0.317) of the variance in the PAM-13 score. Conclusions SeMaS is a short validated tool that can signal potential barriers for self-management that need to be addressed in the dialogue with the patient. As such it can be used to facilitate personalised counselling and support to enhance self-management in patients with chronic conditions in primary care. Electronic supplementary material The online version of this article (doi:10.1186/s12875-015-0381-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Nathalie Eikelenboom
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ healthcare, P.O. Box 9101, 114, 6500, HB, Nijmegen, The Netherlands. .,DOH care group, P.O. Box 704, , 5600, AS, Eindhoven, The Netherlands.
| | - Ivo Smeele
- DOH care group, P.O. Box 704, , 5600, AS, Eindhoven, The Netherlands.
| | - Marjan Faber
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ healthcare, P.O. Box 9101, 114, 6500, HB, Nijmegen, The Netherlands.
| | - Annelies Jacobs
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ healthcare, P.O. Box 9101, 114, 6500, HB, Nijmegen, The Netherlands.
| | - Frank Verhulst
- Doen en blijven doen, Icaruslaan 39, 5631 LH, Eindhoven, The Netherlands.
| | - Joyca Lacroix
- Philips Research, High Tech Campus 34, 5656 AE, Eindhoven, The Netherlands.
| | - Michel Wensing
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ healthcare, P.O. Box 9101, 114, 6500, HB, Nijmegen, The Netherlands.
| | - Jan van Lieshout
- Radboud University Medical Centre, Radboud Institute for Health Sciences, IQ healthcare, P.O. Box 9101, 114, 6500, HB, Nijmegen, The Netherlands.
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Iaquinta M, McCrone S. An Integrative Review of Correlates and Predictors of Depression in Patients with Rheumatoid Arthritis. Arch Psychiatr Nurs 2015; 29:265-78. [PMID: 26397428 DOI: 10.1016/j.apnu.2015.04.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2014] [Revised: 04/12/2015] [Accepted: 04/15/2015] [Indexed: 01/04/2023]
Abstract
Depression creates an additional burden for adults with rheumatoid arthritis (RA), negatively affecting disease outcomes and quality of life. An integrative literature review of twenty-three quantitative studies was conducted on correlates and factors predictive of depression in adults with RA. Methodological assessment tools were used to independently evaluate the data quality by two reviewers. Prevalence rates ranged from 6.6 to 66.25%. Correlates included pain, functional status, disease duration, and RA treatment. Predictors, including sociodemographics, pain, coping ability, support, functional status, and clinical factors, varied depending upon the sample, standardized measure, and geographic location. Understanding correlates/predictors could guide the development of comprehensive care.
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Affiliation(s)
| | - Susan McCrone
- West Virginia University School of Nursing, Morgantown, WV.
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26
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Wan SW, He HG, Mak A, Lahiri M, Luo N, Cheung PP, Wang W. Health-related quality of life and its predictors among patients with rheumatoid arthritis. Appl Nurs Res 2015; 30:176-83. [PMID: 27091275 DOI: 10.1016/j.apnr.2015.07.004] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Revised: 07/19/2015] [Accepted: 07/31/2015] [Indexed: 01/13/2023]
Abstract
BACKGROUND Limited studies have examined the predictors of HRQoL among patients with rheumatoid arthritis. This study helped to ascertain the predictors of HRQoL from the pool of influencing factors identified by previous studies. AIM This study investigated the health-related quality of life (HRQoL) of adult patients with rheumatoid arthritis and its predictors. METHODS Using a descriptive correlational design, this study explored the relationship between HRQoL and pain, functional disability, anxiety, depression, medication adherence and social support. Eligible outpatients (n=108) were recruited via their attending doctors who were co-investigators of this study. Informed consent forms were distributed and questionnaires administered in a teaching hub by the main researcher. RESULTS Significant correlations were found between HRQoL and all of the study variables. Pain, functional disability and depression were main predictors of HRQoL. CONCLUSIONS Future evidence-based interventions focusing on pain relief, delaying disability or improving functional ability and reducing depressive symptoms are required to enhance the HRQoL of patients with rheumatoid arthritis.
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Affiliation(s)
- Su Wei Wan
- Division of Nursing, National University Hospital, Singapore.
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Anselm Mak
- Division of Rheumatology, National University Hospital, Singapore.
| | - Manjari Lahiri
- Division of Rheumatology, National University Hospital, Singapore.
| | - Nan Luo
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
| | - Peter P Cheung
- Division of Rheumatology, National University Hospital, Singapore.
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
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Marks R. Self-efficacy and arthritis disability: An updated synthesis of the evidence base and its relevance to optimal patient care. Health Psychol Open 2014; 1:2055102914564582. [PMID: 28070346 PMCID: PMC5193269 DOI: 10.1177/2055102914564582] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Self-efficacy, denoting the degree of confidence an individual has in carrying out a specific activity, was initially discussed in the 1970s as a potential correlate of disease outcomes. Drawn from 35 years of related research, this review provides an updated understanding of the concept of self-efficacy and its relevance for arthritis management. There is a consistent link between self-efficacy, arthritis pain and disability, and adherence to recommended therapeutic strategies. A wide variety of intervention strategies improve arthritis self-efficacy, as well as outcomes. Steps to assess and intervene thoughtfully to maximize self-efficacy beliefs are likely to impact arthritis disability outcomes quite favorably and significantly, regardless of disease type, duration, or sociodemographic factors.
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Affiliation(s)
- Ray Marks
- The City University of New York, USA; Columbia University, USA
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28
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Armon G. Type D personality and job burnout: The moderating role of physical activity. PERSONALITY AND INDIVIDUAL DIFFERENCES 2014. [DOI: 10.1016/j.paid.2013.10.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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29
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Zeidner M, Ben-Zur H. Effects of an experimental social stressor on resources loss, negative affect, and coping strategies. ANXIETY STRESS AND COPING 2013; 27:376-93. [DOI: 10.1080/10615806.2013.862523] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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30
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The reciprocal relationship between vigor and insomnia: a three-wave prospective study of employed adults. J Behav Med 2013; 37:664-74. [DOI: 10.1007/s10865-013-9517-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2012] [Accepted: 04/26/2013] [Indexed: 10/26/2022]
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31
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Tajvar M, Fletcher A, Grundy E, Arab M. Social support and health of older people in Middle Eastern countries: A systematic review. Australas J Ageing 2012; 32:71-8. [DOI: 10.1111/j.1741-6612.2012.00639.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
| | - Astrid Fletcher
- Faculty of Epidemiology and Population Health; London School of Hygiene and Tropical Medicine; London; UK
| | - Emily Grundy
- Faculty of Epidemiology and Population Health; London School of Hygiene and Tropical Medicine; London; UK
| | - Mohammad Arab
- Department of Health Management and Economic Sciences; School of Public Health; Tehran University of Medical Sciences; Tehran; Iran
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Kinser PA, Goehler LE, Taylor AG. How might yoga help depression? A neurobiological perspective. Explore (NY) 2012; 8:118-26. [PMID: 22385566 PMCID: PMC3293477 DOI: 10.1016/j.explore.2011.12.005] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2011] [Indexed: 11/28/2022]
Abstract
Depression is a prevalent mental health condition worldwide and is the leading cause of disability in adults under the age of 45. Most individuals with major depressive disorder (MDD) report only a 50% decrease in symptoms with the use of the standard allopathic treatments for depression. The mechanisms underlying depression remain poorly understood even though stress and its correlates contribute to multiple aspects of the phenomenology of depression. Thus, stress and depression are clearly linked, as stress may precipitate or exacerbate depressive symptoms and depression may be a cause and/or outcome of acute or chronic stress. Therefore, use of additional therapeutic approaches to address stress and depression, such as complementary therapies including yoga, may contribute importantly to symptom reduction. Based on an emerging picture of how stress and mood are regulated within the nervous system, and considering the Executive Homeostatic Network concept that we have recently advanced, we provide an integrative overview of biological mechanisms and substrates that may mediate depression, which should be targets for research to evaluate how the practice of yoga can mitigate depressive symptomatology.
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Affiliation(s)
- Patricia Anne Kinser
- Center for the Study of Complementary and Alternative Therapies, School of Nursing, University of Virginia, Charlottesville, VA 22908, USA.
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Benka J, Nagyova I, Rosenberger J, Calfova A, Macejova Z, Middel B, Lazurova I, van Dijk JP, Groothoff JW. Social support and psychological distress in rheumatoid arthritis: a 4-year prospective study. Disabil Rehabil 2011; 34:754-61. [PMID: 22004369 DOI: 10.3109/09638288.2011.619618] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
INTRODUCTION The objective of the study was to investigate the course of psychological distress in early rheumatoid arthritis patients and to explore the strength of its associations with disease-related variables over time. A further aim focused specifically on the associations between social support and psychological distress. METHODS The study had a longitudinal design, with four annual measurements over consecutive years. The course and stability of psychological distress on the individual level were investigated via test-retest correlation coefficients and changes over time were studied using the Friedman test for repeated measurements. Hierarchical regression analysis was performed to analyze the multilinear associations of disease activity, functional disability, joint tenderness, pain and social support with psychological distress. RESULTS Significant cross-sectional associations were found among functional disability, joint tenderness, pain, emotional support, instrumental support and psychological distress. However, after controlling for the erratic pattern of the disease and the relevant variables, only initial psychological distress and emotional support retained a significant relationship with psychological distress. The final regression model, in which functional disability, pain, emotional support and initial psychological distress were significant variables, explained 36% of the variance in psychological distress. CONCLUSION The study stresses the importance of initial psychological distress, which was found to have the highest correlation with psychological distress experienced 4 years later. In addition, higher emotional support and lower pain were found to be the only variables independently associated with lower levels of psychological distress after controlling for the relevant variables.
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Affiliation(s)
- Jozef Benka
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovak Republic.
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