COPING WITH CHRONIC PAIN IN RHEUMATOID ARTHRITIS: Patient Behaviors and Nursing Interventions *

Mooney, Nancy E.

doi:10.1002/j.2048-7940.1983.tb02324.x

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…Little research exists, however, in relation to other chronic illnesses. Although the pain, fatigue, and disability of arthritis often impair social interactions, recreational and work activities, and other activities of daily living (Bradley et al, 1984;Lambert, 1985;Mooney, 1983;Wiener, 1984), the National Arthritic Advisory Board (NAAB) states that there is a gross lack of information about psychological states of arthritis patients (Lambert, 1985). As in other chronic illnesses, such as back pain, not all patients with the same degree of pathology or severity of arthritic disease show the same amount or type of disability (Lambert, 1985).…”

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confidence: 99%

The effects of cognitive distortion and depression on disability in rheumatoid arthritis

Clough

1991

Research in Nursing & Health

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The question explored in this study was: What is the effect of cognitive distortion and depression on disability in arthritis patients when stage of disease is controlled? Patients (N = 165) completed the Sickness Impact Profile, two Cognitive Error Questionnaires, and the Symptom Questionnaire, and were staged for severity of disease. Findings indicated a significant effect of distortion on disability in rheumatoid arthritis patients; however, this effect varied by stage. Distortion and depression best explained total disability in Stage II (R2 = .60 using general distortion; R2 = .58 using arthritis distortion). Future nursing interventions designed to decrease or prevent distortion might reduce disability as well as depression.

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confidence: 99%

The effects of cognitive distortion and depression on disability in rheumatoid arthritis

Clough

1991

Research in Nursing & Health

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“…In another study, patients reported several specific feelings of shame and guilt with respect to wearing therapeutic footwear, such as shame for the condition of their feet when and while wearing the footwear and feelings of guilt about being perceived as a "difficult" patient by practitioners or about not wearing the provided foot wear [22]. Other studies have suggested that women with RA felt guilty about not being able to care for their family [23] or the possibility that they had passed their disease on to their children [24,25]. In a series of 89 patients with newly established disease, Eberhardt et al found that the reasons for the patients to feel guilty varied considerably, from not being a good sexual partner, not being able to do the same things with their children as healthy parents, to not being able to keep the house tidy [26].…”

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confidence: 99%

Feelings of guilt and shame in patients with rheumatoid arthritis

et al. 2014

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This study aims to determine whether patients with rheumatoid arthritis (RA) experience more general feelings of guilt and shame than their peers without RA and to examine possible correlates of guilt and shame in RA. In a cross-sectional survey study, 85 out-patients with RA (77 % female; median disease duration, 11 years) and 59 peer controls completed the Experience of Shame Scale (ESS) and the Test of Self-Conscious Affect (TOSCA). Patients additionally completed measures of health status, self-efficacy, cognitive emotion regulation, and numerical rating scales for life satisfaction and happiness. Patients and peer controls were well matched for sociodemographic characteristics. No significant differences between patients and controls were found for guilt or different types of shame as measured with the TOSCA or ESS. In multivariate analyses, female patients reported more feelings of bodily shame and higher guilt proneness, while younger patients reported more character and bodily shame. Worse social functioning and more self-blaming coping strategies were the strongest independent correlates of shame. Shame proneness was only independently associated with more self-blame, whereas guilt proneness was only associated with female sex. None of the physical aspects of the disease, including pain and physical functioning, correlated with feelings of guilt and shame. Patients with longstanding RA do not experience more general feelings of shame or guilt than their peers without RA. Shame and guilt in RA is primarily associated with demographic and psychosocial characteristics and not with physical severity of the disease.

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The Interaction of Physical Function and Emotional Well-being in Rheumatoid Arthritis—What is the Impact on Disease Activity and Coping?

Englbrecht

Kruckow

Araújo

et al. 2013

Seminars in Arthritis and Rheumatism

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COPING WITH CHRONIC PAIN IN RHEUMATOID ARTHRITIS: Patient Behaviors and Nursing Interventions *

Cited by 4 publications

References 4 publications

The effects of cognitive distortion and depression on disability in rheumatoid arthritis

The effects of cognitive distortion and depression on disability in rheumatoid arthritis

Feelings of guilt and shame in patients with rheumatoid arthritis

The Interaction of Physical Function and Emotional Well-being in Rheumatoid Arthritis—What is the Impact on Disease Activity and Coping?

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