The negative effect of decreasing the level of activity in coping with pain in rheumatoid arthritis : An increase in psychological distress and disease impact

The objective of this study was to analyze the effect of coping with pain in rheumatoid arthritis (RA) on subsequent changes in psychological distress and disease impact. A sample of 109 randomly selected RA patients was asked to participate in a longitudinal study. Patients were measured at baselin...

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Veröffentlicht in:Journal of behavioral medicine 2000-08, Vol.23 (4), p.377-391
Hauptverfasser: VAN LANKVELD, W, NÄRING, G, VAN'T PAD BOSCH, P, VAN DE PUTTE, L
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container_end_page 391
container_issue 4
container_start_page 377
container_title Journal of behavioral medicine
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creator VAN LANKVELD, W
NÄRING, G
VAN'T PAD BOSCH, P
VAN DE PUTTE, L
description The objective of this study was to analyze the effect of coping with pain in rheumatoid arthritis (RA) on subsequent changes in psychological distress and disease impact. A sample of 109 randomly selected RA patients was asked to participate in a longitudinal study. Patients were measured at baseline and after 3 years. Both measurements were completed in 80 patients. At each assessment the following variables were assessed: disease activity, pain, physical and psychological distress, disease impact, and coping. The relation between coping with pain at baseline and subsequent changes in psychological distress and disease impact was analyzed using stepwise regression. Disease status variables assessed at baseline and after 3 years were entered in the regression analysis as control variables. Results show that cognitive coping with pain at baseline was not related to subsequent changes in psychological distress or disease impact. On the other hand, behavioral pain coping assessed at baseline was related to subsequent changes in psychological distress and disease impact. "Decreasing activity" was related to an increase in self-reported psychological distress and disease impact after controlling for disease status at both assessments. It was concluded that cognitive pain coping did not predict any subsequent changes in psychological distress or disease impact. "Decreasing activity" as a behavioral pain coping style has a negative effect on subsequent changes in psychological distress and disease impact.
doi_str_mv 10.1023/A:1005552901946
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A sample of 109 randomly selected RA patients was asked to participate in a longitudinal study. Patients were measured at baseline and after 3 years. Both measurements were completed in 80 patients. At each assessment the following variables were assessed: disease activity, pain, physical and psychological distress, disease impact, and coping. The relation between coping with pain at baseline and subsequent changes in psychological distress and disease impact was analyzed using stepwise regression. Disease status variables assessed at baseline and after 3 years were entered in the regression analysis as control variables. Results show that cognitive coping with pain at baseline was not related to subsequent changes in psychological distress or disease impact. On the other hand, behavioral pain coping assessed at baseline was related to subsequent changes in psychological distress and disease impact. "Decreasing activity" was related to an increase in self-reported psychological distress and disease impact after controlling for disease status at both assessments. It was concluded that cognitive pain coping did not predict any subsequent changes in psychological distress or disease impact. "Decreasing activity" as a behavioral pain coping style has a negative effect on subsequent changes in psychological distress and disease impact.</description><identifier>ISSN: 0160-7715</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1023/A:1005552901946</identifier><identifier>PMID: 10984866</identifier><identifier>CODEN: JBMEDD</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Activities of Daily Living - psychology ; Adaptation, Psychological ; Adult ; Aged ; Arthritis, Rheumatoid - psychology ; Arthritis, Rheumatoid - rehabilitation ; Biological and medical sciences ; Coping ; Diseases of the osteoarticular system ; Exercise ; Exercise - psychology ; Female ; Fundamental and applied biological sciences. 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A sample of 109 randomly selected RA patients was asked to participate in a longitudinal study. Patients were measured at baseline and after 3 years. Both measurements were completed in 80 patients. At each assessment the following variables were assessed: disease activity, pain, physical and psychological distress, disease impact, and coping. The relation between coping with pain at baseline and subsequent changes in psychological distress and disease impact was analyzed using stepwise regression. Disease status variables assessed at baseline and after 3 years were entered in the regression analysis as control variables. Results show that cognitive coping with pain at baseline was not related to subsequent changes in psychological distress or disease impact. On the other hand, behavioral pain coping assessed at baseline was related to subsequent changes in psychological distress and disease impact. "Decreasing activity" was related to an increase in self-reported psychological distress and disease impact after controlling for disease status at both assessments. It was concluded that cognitive pain coping did not predict any subsequent changes in psychological distress or disease impact. "Decreasing activity" as a behavioral pain coping style has a negative effect on subsequent changes in psychological distress and disease impact.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>10984866</pmid><doi>10.1023/A:1005552901946</doi><tpages>15</tpages></addata></record>
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subjects Activities of Daily Living - psychology
Adaptation, Psychological
Adult
Aged
Arthritis, Rheumatoid - psychology
Arthritis, Rheumatoid - rehabilitation
Biological and medical sciences
Coping
Diseases of the osteoarticular system
Exercise
Exercise - psychology
Female
Fundamental and applied biological sciences. Psychology
Humans
Illness and personality
Illness, stress and coping
Inflammatory joint diseases
Life Style
Longitudinal Studies
Male
Medical sciences
Middle Aged
Pain
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Rheumatoid arthritis
Rheumatology
Sick Role
Treatment Outcome
title The negative effect of decreasing the level of activity in coping with pain in rheumatoid arthritis : An increase in psychological distress and disease impact
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