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 |
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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. 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</subject><ispartof>Journal of behavioral medicine, 2000-08, Vol.23 (4), p.377-391</ispartof><rights>2000 INIST-CNRS</rights><rights>Plenum Publishing Corporation 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-53108c800bf56064eb374b7977cdaba7fd095fe23b8cfeb80f0e0f5164c75fba3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,12846,27924,27925,30999</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1448771$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10984866$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VAN LANKVELD, W</creatorcontrib><creatorcontrib>NÄRING, G</creatorcontrib><creatorcontrib>VAN'T PAD BOSCH, P</creatorcontrib><creatorcontrib>VAN DE PUTTE, L</creatorcontrib><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</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><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.</description><subject>Activities of Daily Living - psychology</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - psychology</subject><subject>Arthritis, Rheumatoid - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Coping</subject><subject>Diseases of the osteoarticular system</subject><subject>Exercise</subject><subject>Exercise - psychology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Inflammatory joint diseases</subject><subject>Life Style</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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Psychology</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Inflammatory joint diseases</topic><topic>Life Style</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Rheumatoid arthritis</topic><topic>Rheumatology</topic><topic>Sick Role</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VAN LANKVELD, W</creatorcontrib><creatorcontrib>NÄRING, G</creatorcontrib><creatorcontrib>VAN'T PAD BOSCH, P</creatorcontrib><creatorcontrib>VAN DE PUTTE, L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VAN LANKVELD, W</au><au>NÄRING, G</au><au>VAN'T PAD BOSCH, P</au><au>VAN DE PUTTE, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The negative effect of decreasing the level of activity in coping with pain in rheumatoid arthritis : An increase in psychological distress and disease impact</atitle><jtitle>Journal of behavioral medicine</jtitle><addtitle>J Behav Med</addtitle><date>2000-08-01</date><risdate>2000</risdate><volume>23</volume><issue>4</issue><spage>377</spage><epage>391</epage><pages>377-391</pages><issn>0160-7715</issn><eissn>1573-3521</eissn><coden>JBMEDD</coden><abstract>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.</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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