The psychological impact of arthritis: the effects of illness perception and coping

Zyrianova, Yulia; Kelly, Brendan D.; Sheehan, John; McCarthy, Christopher J.; Dinan, Timothy G.

doi:10.1007/s11845-010-0522-2

Cited by 33 publications

(31 citation statements)

References 24 publications

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“…They found that maladaptive rumination connected perceived identity, consequences of illness and emotional representation of illness and negative emotions with negative emotional outcomes, suggesting that although they are similar concepts encompassing many similar attributes there is an identifiable mechanism by which one can affect the other. The close interplay between illness perceptions and depression and anxiety has also been highlighted by Zyrianova et al, identifying illness perception as mediator in the relationship between depression, anxiety and pain (Zyrianova et al 2011). In addition illness perceptions are formed directly in response to an illness and influence coping skills developed to deal with that illness, rendering them illness specific.…”

Section: Discussionmentioning

confidence: 82%

The contribution of illness perception to psychological distress in heart failure patients

et al. 2014

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Background: The influences on the psychological well-being of heart failure (HF) patients have received limited attention. Illness perceptions are a specific set of cognitive representations that have been shown to predict health-related outcomes in other patient groups. This study sought to explore the role of illness perceptions in the psychological well-being of HF patients by creating a profile of illness perceptions in HF and examining their relations with anxiety and depression. Methods: Participants were 95 consecutive outpatients. Indices of psychological well-being were depression and anxiety, measured using the Hospital Anxiety and Depression Scale (HADS). Illness perceptions were measured using the Illness Perception Questionnaire -Revised (IPQ-R). Functional status was also determined using the New York Heart Association (NYHA) classification. Results: Illness perceptions were associated with indices of psychological well-being. Regression analyses showed that illness perceptions accounted for a significant proportion of the variance in both depression and anxiety. The contribution of illness perceptions was greater than that made by traditional covariates (socio-demographic variables and functional status). Conclusions: Results highlight dynamic interrelations between perceptions of illness and mental health indices. They also suggest that in considering the role of illness perceptions in psychological well-being, the primary focus should be on the overall dynamic of an individual's illness experience rather than on specific illness dimensions. Findings highlight the potential role of illness perceptions in depression and anxiety in HF. This has implications for interventions to maximise psychological well-being in this patient group.

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Section: Discussionmentioning

confidence: 82%

The contribution of illness perception to psychological distress in heart failure patients

et al. 2014

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“…This maladaptive coping strategy is correlated with psychological distress (e.g., depression and anxiety) (6). Zyrianova et al (12) examined the complex relationship between coping and illness perception of pain in 68 patients with longstanding RA using a structural model. They found that greater pain was detected in patients with higher scores on passive coping (similar to emotional coping), more physical disability, and increased depression and anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…Illness and living with chronic pain are stressful events, and the various strategies people use to reduce concomitant distress and/or symptoms associated with it have been studied in RA (12). Ramjeet et al (13) reviewed the literature on the relationship between coping and psychological and physical adjustment in RA; of the 31 studies examined, only a few included patients with recent diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Pain for Patients With Early Inflammatory Polyarthritis

Dobkin

Liu

Abrahamowicz

et al. 2013

Arthritis Care & Research

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Objective. To identify predictors of pain at 1 year in patients with early inflammatory polyarthritis (EIP).Methods. Using a prospective design, patients were examined by a rheumatologist and completed questionnaires at baseline and at 1 year after symptom onset. Separate regression analyses were run for pain intensity, sensory pain, and affective pain. Age and sex were adjusted in cross-sectional and longitudinal analyses; baseline potential predictors consisted of measures for corresponding pain values and disease activity, depression, coping scores, medication use, rheumatoid arthritis criteria being met, and duration of symptoms. Results. A total of 211 patients were enrolled in the study (mean ؎ SD age 58.8 ؎ 14.2 years, 63% women). There were significant improvements at 1 year for disease activity, instrumental coping, emotional coping, depression, and all 3 pain measures. At baseline, disease activity and depression were positively associated with all types of pain; in addition, instrumental coping was positively associated with sensory pain and palliative coping was positively associated with affective pain. At 1 year, pain intensity was predicted by baseline pain intensity, duration of symptoms, use of disease-modifying antirheumatic drugs (DMARDs), and emotional coping. Sensory pain was predicted by baseline sensory pain and DMARD use. Affective pain was predicted by baseline affective pain, DMARD use, and emotional coping. Conclusion. The majority of treated EIP patients can expect improvements in clinical and psychosocial variables over the first year of their illness. Emotional coping at baseline may contribute to pain in the future, and therefore it may be useful for patients to learn other means of dealing with this chronic disease.

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“…These aspects were not investigated in the present study, but they may be important factors in our patients. In addition, education may confer better coping skills -and this may mediate illness perception and the overall impact of a chronic illness such as RA (43).…”

Section: Discussionmentioning

confidence: 99%

Functional disability and health-related quality of life in South Africans with early rheumatoid arthritis

Hodkinson

Musenge

Ally

et al. 2012

Scandinavian Journal of Rheumatology

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The psychological impact of arthritis: the effects of illness perception and coping

Abstract: The hypothesised structural model has proven to be a useful paradigm for understanding the associations between multiple factors in RA presentation: clinical, emotional, personal and cognitive.

Cited by 33 publications

References 24 publications

The contribution of illness perception to psychological distress in heart failure patients

The contribution of illness perception to psychological distress in heart failure patients

Predictors of Pain for Patients With Early Inflammatory Polyarthritis

Functional disability and health-related quality of life in South Africans with early rheumatoid arthritis

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