Is Coping Self-Efficacy Related to Psychological Distress in Early and Established Rheumatoid Arthritis Patients?
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The study aimed to explore associations between coping self-efficacy and psychological distress in early and established rheumatoid arthritis (RA) patients. Two samples differing in disease duration were collected at outpatient rheumatology clinics in Eastern Slovakia. The first sample consisted of 146 established patients with disease duration of 12 years or more (age = 58.02 SD = 10.38 years; disease duration = 16.08 SD = 3.60 years; 86 % women) and the second sample consisted of 102 early RA patients with disease duration of 4 years or less (age = 53.25 SD = 12.32; disease duration = 2.8 SD = 1.23 years; 75 % women). The patients underwent a routine rheumatology check and completed questionnaires regarding functional disability, neuroticism and extraversion, coping self-efficacy and psychological distress. The data were analyzed using hierarchical linear regression models. Coping self-efficacy was significantly negatively associated with psychological distress in both samples with the strongest association with anxiety in the early RA group. These associations remained significant after controlling for sociodemographic, disease related and personality variables. Psychological distress was further associated with disease activity, functional disability, neuroticism and extraversion. However, different patterns in respect to anxiety and depression with the duration of RA was observed. Coping self-efficacy accounted for a unique variance in psychological distress even after controlling for the influence of disease activity, functional status and personality traits. The strongest association was observed with anxiety in early RA patients. As a result, management and intervention programs increasing self-efficacy for coping strategies might be beneficial for reducing anxiety and depression especially during the early phase of the disease.
KeywordsRheumatoid arthritis Anxiety Depression Coping self-efficacy
This work was supported by the Slovak Research and Development Agency under contract No. APVV-20-038305 (20 %) and APVV-0220-10 (60 %). Furthermore, this work was partially supported by the Agency of the Slovak Ministry of the Education for the Structural Funds of the EU, under project no. ITMS: 26220120058 (20 %).
- Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer: Publishing Company Inc.Google Scholar
- Martens, M. P., Parker, J. C., Smarr, K. L., Hewett, J. E., Ge, B., Slaughter, J. R., & Walker, S. E. (2006). Development of a shortened center for epidemiological studies depression scale for assessment of depression in rheumatoid arthritis. Rehabilitation Psychology, 51(2), 135–139.CrossRefGoogle Scholar
- Nagyova, I., Stewart, R. E., Macejova, Z., van Dijk, J. P., & van den Heuvel, W. J. (2005). The impact of pain on psychological well-being in rheumatoid arthritis: the mediating effects of self-esteem and adjustment to disease. Patient Education and Counseling, 58, 55–62.PubMedCrossRefGoogle Scholar
- Perrot, S., Poiraudeau, S., Kabir, M., Bertin, P., Sichere, P., Serrie, A., et al. (2008). Active or passive pain coping strategies in hip and knee osteoarthritis? Results of a national survey of 4,719 patients in a primary care setting. Arthritis & Rheumatism-Arthritis Care & Research, 59(11), 1555–1562.CrossRefGoogle Scholar
- Pisanti, R. (2012). Coping self-efficacy and psychological distress: results from an Italian study on nurses. The European Health Psychologist, 14(1), 11–14.Google Scholar
- Sanderman, R., Arrindel, W.A., Ranchor, A.V., Eysenck, H.J., & Eysenck, S.B.G. (2012). Eysenck personality questionnaire. University of GroningenGoogle Scholar
- Somers, T. J., Shelby, R. A., Keefe, F. J., Godiwala, N., Lumley, M. A., Mosley-Williams, A., et al. (2010). Disease severity and domain-specific arthritis self-efficacy: relationships to pain and functioning in patients with rheumatoid arthritis. Arthritis Care & Research, 62(6), 848–856.CrossRefGoogle Scholar
- Suurmeijer, T. P. B. M., Van Sonderen, F. L. P., Krol, B., Doeglas, D. M., Van den Heuvel, W. J. A., & Sanderman, R. (2005). The relationship between personality, supportive transactions and support satisfaction, and mental health of patients with early rheumatoid arthritis. results from the dutch part of the euridiss study. Social Indicators Research, 73(2), 179–197.CrossRefGoogle Scholar
- Zautra, A. J., & Manne, S. L. (1992). Coping with rheumatoid arthritis: a review of a decade of research. Annals of Behavioral Medicine, 14, 31–39.Google Scholar