Roles and well‐being among healthy women and women with rheumatoid arthritis

Coty, Mary-Beth; Wallston, Kenneth A.

doi:10.1111/j.1365-2648.2008.04661.x

Cited by 24 publications

(34 citation statements)

References 59 publications

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“…They also highlighted benefits of roles for health related to resources, support and psychological well-being. This is in keeping with existing models of work–family conflict and quality that acknowledges the consequences engaging in one role has for other roles [15, 17–19, 22]. It is also similar to emerging literature that finds balancing arthritis, work and personal life stressful [13, 22].…”

Section: Discussionsupporting

confidence: 80%

“…Yet, research on arthritis typically has not examined work’s inter-relationship with other roles or the direction of role impacts. Exceptions are studies finding that balancing work, health and one’s personal life ranked as among the most stressful aspects of having arthritis [20] and that, in contrast to research with healthy adults [3, 21], occupying more roles was associated with lower well-being in women with RA [22]. A longitudinal study examining role conflict balancing work and arthritis found that greater conflict was associated with more job disruptions (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…A longitudinal study examining role conflict balancing work and arthritis found that greater conflict was associated with more job disruptions (e.g. lost work time), absenteeism and reduced hours, as well as with increased fatigue and health-care utilization [11, 22]. This suggests that inter-relationships among roles are important and that negative perceptions such as inter-role conflict and overload may act as indicators of poorer physical and psychological health, as well as decreased role participation.…”

Section: Introductionmentioning

confidence: 99%

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Tension at the borders: perceptions of role overload, conflict, strain and facilitation in work, family and health roles among employed individuals with arthritis

et al. 2011

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Objective. To examine inter-relationships among arthritis (A), work (W) and personal life (P) roles and their reciprocal influences, especially experiences of role balance/imbalance among individuals with inflammatory arthritis (IA) and OA.Methods. Eight focus groups were conducted with 24 women and 16 men (aged 29–72 years). A purposive sample was recruited from community advertising. Eligibility included current employment or having been employed within the previous year. Participants were asked about ways arthritis, work and personal life roles intersected and their impact. A standardized questionnaire collected demographic, symptom and employment data for descriptive purposes.Results. Participants noted that having arthritis affected their identity and intersected with work and personal roles, creating role overload, role conflict, role strain and role facilitation. Role overload highlighted that arthritis both affected and was impacted by work and personal life (A → W; A → P; W → A; P → A). Role conflict focused on A → W and A → P difficulties, whereas role facilitation emphasized the positive impact of work and personal life roles on arthritis (W → A; P → A). Role strain was pervasive and arose from numerous sources. Personal strategies (e.g. positive framing) and contextual factors (e.g. support) were important in contributing to or ameliorating role balance/imbalance.Conclusions. By comprehensively examining multiple types of role balance/imbalance and the context within which it occurs, this study identifies gaps in patient-oriented measurement of the impact of arthritis and areas of need in the development of arthritis intervention.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tension at the borders: perceptions of role overload, conflict, strain and facilitation in work, family and health roles among employed individuals with arthritis

et al. 2011

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“…Twenty-eight items were created using data from focus groups [42] and a review of arthritis-employment studies examining inter-role relationships [33, 45, 46]. Eight items asked about the impact of arthritis on work (e.g., “arthritis makes it hard to perform some of my work tasks”).…”

Section: Participants and Methodsmentioning

confidence: 99%

Striking a Balance: Work-Health-Personal Life Conflict in Women and Men with Arthritis and its Association with Work Outcomes

et al. 2013

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Purpose To examine men and women’s perceptions of inter-role balance/imbalance in work, arthritis, and personal roles and its association with demographic, health and employment factors, including job stress, career satisfaction, job disruptions, absenteeism and perceived productivity losses. Methods Participants were employed, aged ≥40 years and diagnosed with osteoarthritis or inflammatory arthritis. They were recruited through community advertising and rheumatology clinics in two Canadian provinces. Respondents completed a 35–45 min telephone interview and a 20-min self-administered questionnaire assessing role perceptions [(arthritis negatively impacts work (A → W); work/personal life negatively impact arthritis (W/P → A); work as a positive role (W +))], demographic, health and work context information. Analyses included exploratory factor analysis and multivariate regressions. Results Findings revealed similarities between men (n = 104) and women (n = 248) in health, work and role perceptions, although women reported more benefits of working with arthritis (W+) than men. Some gender differences were found in factors associated with inter-role perceptions highlighting the importance of children, fatigue, unpredictable work hours, job control, and workplace activity limitations. Role perceptions were associated with work outcomes but only one perception, W/P → A, interacted with gender. Among men, greater perceptions that work and personal demands interfered with managing arthritis were associated with more job disruptions. Conclusions This study revealed negative and positive inter-role perceptions related to working with a chronic illness and associations with work outcomes. It highlights potentially modifiable factors that could assess risk and inform interventions to improve role balance and working experiences.

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“…The mental health and psychological functioning of RA patients has most frequently been operationalized through measures of depression, anxiety and quality of life 9. Symptoms of depression and anxiety have implications for disease activity and despite well controlled inflammatory disease markers may indicate significant psychological morbidity and non-inflammatory pain, rather than true disease activity 10.…”

Section: Introductionmentioning

confidence: 99%

Are we missing the diagnosis of depression in patients with rheumatoid arthritis at a tertiary care facility?

Masood

Salim²,

Nasim

et al. 2017

Pak J Med Sci

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Objectives:To determine if we are missing clinical depression in patients with Rheumatoid Arthritis and its relationship with functional disability and level of formal education in such patients.Methods:The data for this cross-sectional, analytical study was gathered from May 2015 till December 2015 and comprised of 128 with Rheumatoid arthritis diagnosed according to ACR/EULAR 2010 criteria. The study was conducted at Fauji Foundation Hospital Rawalpindi. Functional status was assessed with Modified Health Assessment Questionnaire (mHAQ) and Beck’s Depression Inventory (BDI) was used for evaluation of symptoms of depression. The relation between depression, functional disability and educational status was established using Pearson correlation coefficient.Results:The study included 128 patients with no previous diagnosis of depression. 122 (95.3%) were females and 6 (4.7%) were males. The mean age was 51.75 ± 9.25 years. Mean duration of disease was 8.95 ± 7.1 years. According to this study, the diagnosis of clinical depression was missed in 47.7% of patients with Rheumatoid Arthritis who had been under regular follow up at a tertiary care facility. About 18% were keen to seek professional help for depressive symptoms while 62.6% had functional disability (mild – severe). There is a positive correlation with BDI (Pearson’s correlation +1) and functional disability. No correlation could be established between level of education and depression as out of 79 (61.7%) patients with no basic education, 45.5% had depression. In remaining 49 (38.2%) patients, with some formal education, 51.3% had clinical depression.Conclusion:Almost half of the patients with Rheumatoid Arthritis coming to a tertiary care set up had clinical depression but were never diagnosed or referred to a Psychiatrist. There is a positive correlation between depression and functional disability; however no statistically significant correlation could be established with the level of formal education. The study further emphasizes the importance of early recognition and swift referral of such patients to a psychiatrist since it is known to improve both treatment outcomes and functional status.

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Roles and well‐being among healthy women and women with rheumatoid arthritis

Cited by 24 publications

References 59 publications

Tension at the borders: perceptions of role overload, conflict, strain and facilitation in work, family and health roles among employed individuals with arthritis

Tension at the borders: perceptions of role overload, conflict, strain and facilitation in work, family and health roles among employed individuals with arthritis

Striking a Balance: Work-Health-Personal Life Conflict in Women and Men with Arthritis and its Association with Work Outcomes

Are we missing the diagnosis of depression in patients with rheumatoid arthritis at a tertiary care facility?

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