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Abstract

Arthritic conditions are characterized by pain that contributes to functional impairments in physical, and often mental, health domains. The prevalence of arthritic conditions, including osteoarthritis (OA), rheumatoid arthritis (RA), and systemic lupus erythematosus (SLE) points to the importance of identifying and modifying factors that influence the development of and adaptation to arthritis. A prominent determinant of arthritic pain is stress. In this chapter, we adopt a biopsychosocial perspective to understand the relation between stress and health outcomes in individuals with OA, RA, and/or SLE. We begin by discussing the signs, symptoms, and demographic characteristics associated with OA, RA, and SLE. Next, we discuss the diathesis-stress process that links stress with health, including emotional, cognitive, and behavioral factors that moderate the relations between stress and outcomes in OA, RA, and SLE. Third, we review empirically-supported treatments and promising treatments that target stress-management and resilience resources in arthritis. Finally, future directions for research and practice are briefly discussed.

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Kothari, D.J., Davis, M.C., Thummala, K. (2016). Stress in Arthritis. In: Nicassio, P. (eds) Psychosocial Factors in Arthritis. Springer, Cham. https://doi.org/10.1007/978-3-319-22858-7_5

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