The impact of illness representations and disease activity on adjustment in women with rheumatoid arthritis: A longitudinal study

Groarke, AnnMarie; Curtis, Ruth; Coughlan, Robert J.; Gsel, Amina

doi:10.1080/14768320500094177

Cited by 69 publications

(66 citation statements)

References 48 publications

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“…5,6,[32][33][34] However, these relationships were not found in our study. In the literature, there are a few studies investigating the relationship between illness perceptions and disease activity in RA and the results are contradictory.…”

Section: Discussioncontrasting

confidence: 55%

“…Main limitation of this study is its cross-sectional design, so it is not possible to show how illness representations change over time to infer direction or causality of the correlations. Although in studies with longitudinal designs, authors found no change in the mean illness perception scores taken at intervals, 33,40 longitudinal studies would be needed to detect how illness representations and clinical features interact and change over time during the adaptation to RA. Patients' education program about RA or presence of close relatives with RA may increase patients' understanding about the disease.…”

Section: Discussionmentioning

confidence: 99%

“…5,6,[32][33][34][35] Patients with poor well-being had more symptoms attributed to RA, and perceived negative consequences and negative emotions due to RA. Patients who believed that they understood their disease had lower level of depression and more life satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…36 With respect to RA, different domains of illness perceptions have been shown to be related to depression. 5,6,8,[32][33][34][35] The association between the illness perceptions, and depression and life satisfaction scores in Turkish RA patients may be mutual. Patients may view their illness more negatively because of the poor well-being, or negative beliefs of the patients about their RA may cause them to become depressive and less satisfied with life.…”

Section: Discussionmentioning

confidence: 99%

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Are Illness Perceptions Associated With Disease Activity or Psychological Well-Being in Rheumatoid Arthritis? A Study With the Evidence of Confirmatory Factor Analysis

et al. 2017

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Objectives: This study aims to assess the factor structure of the Turkish Revised Illness Perception Questionnaire (IPQ-R) in patients with rheumatoid arthritis (RA) and the relationship of illness perceptions with disease activity and psychological well-being. Materials and methods: One hundred and fifty RA patients (8 males, 142 females; mean age 51.1±12.7 years; range 21 to 81 years) were included in the study. Confirmatory factor analysis was used to test the factor structure of the IPQ-R. Pain was assessed by visual analog scale, disease activity by Disease Activity Score 28, depression by Beck Depression Inventory, global life satisfaction by the Satisfaction with Life Scale, and illness perception by the IPQ-R. Results: Three items (items 12, 18, 19) were deleted because of poor factor loadings. The modified 35-item model showed good reliability and discriminant validity. Beck Depression Inventory scores were correlated with identity, consequences, and emotional representations subscales positively (p<0.001); and with illness coherence subscale negatively (p<0.05). There were positive correlations between Satisfaction with Life Scale scores, and treatment control and illness coherence subscales (p<0.05). Satisfaction with Life Scale scores were negatively correlated with identity, emotional representation, and timeline acute/chronic subscales (p<0.05), and consequences subscale (p<0.001). Disease Activity Score 28 was not correlated with IPQ-R domains (p>0.05). Conclusion:The Turkish IPQ-R appears to be a useful clinical assessment tool to evaluate RA-related illness perceptions. RA healthcare should include psychological intervention to strengthen patients' beliefs about their RA regardless of disease activity.

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Are Illness Perceptions Associated With Disease Activity or Psychological Well-Being in Rheumatoid Arthritis? A Study With the Evidence of Confirmatory Factor Analysis

et al. 2017

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“…The cognitive dimension refers to the way patients think about their pain, evaluate its intensity, consequences and personal meaning and their expectations of personal efficacy to deal with it. In patients with chronic pain, competence of managing pain predicts its intensity (33,34). Patients who perceived as more capable to control the pain, experienced less distress and associated disease with milder symptoms (35-39).…”

Section: Participantsmentioning

confidence: 99%

Psychosocial factors associated with chronic disease self-efficacy in patients with rheumatic diseases

Mineva¹,

Petrova²

2017

TJS

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Self-efficacy is central to the management of chronic disease. Purpose: The purpose of the study is to identify the influence of optimism, general self-efficacy and perceived social support on self-efficacy for managing chronic disease in patients with rheumatic diseases. Methods: A cross-sectional design was used. 113 rheumatic disease patients completed instruments related to chronic disease self-efficacy, general self-efficacy, optimism and negative expectancies, perceived social support and demographic/clinical variables. Results: Optimism, general self-efficacy and perceived social support significantly and positively influence chronic disease selfefficacy. Behavioral, cognitive and affective mechanism of these factors influence on self-efficacy is discussed. Newly diagnosed patients perceived lower competence to manage symptoms and particular the pain. Conclusions: Chronic-disease self-efficacy is influenced by personal (optimism, general self-efficacy) and social factors (supportive social environment) but not by clinical and demographic factors.

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Impact of Psychological Factors on Subjective Disease Activity Assessments in Patients With Severe Rheumatoid Arthritis

Cordingley

Prajapati

Plant

et al. 2014

Arthritis Care & Research

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ObjectiveThe Disease Activity Score in 28 joints (DAS28), used to assess disease activity in rheumatoid arthritis (RA), is a composite score comprising clinical, biochemical, and patient self-report measures. We hypothesized that psychological factors (cognitions and mood) would be more strongly associated with patient-reported components of the DAS28 than clinical or biochemical components.MethodsA cross-sectional, observational study of 322 RA patients with active disease (mean DAS28 6.0) awaiting therapy with a biologic agent was undertaken. Patients' illness beliefs, treatment beliefs, and mood were measured using the Brief Illness Perception Questionnaire (IPQ), the Beliefs about Medicines Questionnaire (BMQ), and the Hospital Anxiety and Depression Scale (HADS), respectively. Relationships between psychological factors and 1) total DAS28 and 2) individual components of the DAS28 were analyzed using linear regression.ResultsTotal DAS28 produced significant but weak associations with 2 of the Brief IPQ items, but no associations with BMQ or HADS scores. There were larger significant associations between the patient-reported visual analog scale (VAS) with 5 items of the Brief IPQ and with HADS depression. Low illness coherence was associated with higher tender joint count. Three Brief IPQ items and HADS anxiety scores were significantly associated with C-reactive protein level or erythrocyte sedimentation rate. No psychological factors were associated with the swollen joint count.ConclusionOne of the subjective components of the DAS28, patient VAS, was highly correlated with cognitive factors and depression in those with severe RA. By reporting individual DAS28 components, clinicians may be better able to assess the impact of therapies on each component, adjusting approaches according to patients' needs.

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The impact of illness representations and disease activity on adjustment in women with rheumatoid arthritis: A longitudinal study

Cited by 69 publications

References 48 publications

Are Illness Perceptions Associated With Disease Activity or Psychological Well-Being in Rheumatoid Arthritis? A Study With the Evidence of Confirmatory Factor Analysis

Are Illness Perceptions Associated With Disease Activity or Psychological Well-Being in Rheumatoid Arthritis? A Study With the Evidence of Confirmatory Factor Analysis

Psychosocial factors associated with chronic disease self-efficacy in patients with rheumatic diseases

Impact of Psychological Factors on Subjective Disease Activity Assessments in Patients With Severe Rheumatoid Arthritis

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