Englbrecht M, Araujo MKE, Rech J, Schett G (2013)
Publication Type: Journal article
Publication year: 2013
Book Volume: 42
Pages Range: 482-491
Journal Issue: 5
DOI: 10.1016/j.semarthrit.2012.09.003
Objective: To evaluate the impact of the interaction of physical function and emotional well-being on disease-related parameters and coping with rheumatoid arthritis. Methods: A cross-sectional survey among 177 RA patients included demographic and disease-related variables as well as the following patient-reported outcome measures: Health Assessment Questionnaire-Disability Index (HAQ-DI) (physical function), Mental Component Summary Scale of the SF-36 (MCSS) for emotional well-being, Rheumatoid Arthritis Disease Activity Index (RADAI), and Coping with Rheumatoid Arthritis Questionnaire (C-RAQ). Based on HAQ-DI and MCSS, six categories representing various levels of physical and emotional impairment were formed. Multivariate analysis of variance and a subsequent discriminant analysis were used to evaluate whether demographic and disease-related variables and coping strategies differed between these categories. Results: Patients with moderate to high impairment of physical function and emotional well-being reported significantly higher disease activity and a more frequent use of distancing and active problem solving coping strategies than patients with low-level impairment (. p<0.001-0.043). Furthermore, these patients reported experiencing significantly higher levels of helplessness (. p<0.001-0.032). Results from the discriminant analysis highlighted a combination of disease activity and helplessness to differentiate best between patients with either low or high impairment of physical function and emotional well-being (. p<0.001). Conclusion: Aside from perceived disease activity, helplessness, and distancing as well as active problem solving allowed for a good discrimination between the different levels of impairment of physical function and emotional well-being. Encouraging and educating patients on how to cognitively reframe their current situation might play a key role in reducing the level of helplessness resulting from impairments of physical function and emotional well-being. © 2013 Elsevier Inc.
APA:
Englbrecht, M., Araujo, M.K.E., Rech, J., & Schett, G. (2013). The Interaction of Physical Function and Emotional Well-being in Rheumatoid Arthritis-What is the Impact on Disease Activity and Coping? Seminars in Arthritis and Rheumatism, 42(5), 482-491. https://doi.org/10.1016/j.semarthrit.2012.09.003
MLA:
Englbrecht, Matthias, et al. "The Interaction of Physical Function and Emotional Well-being in Rheumatoid Arthritis-What is the Impact on Disease Activity and Coping?" Seminars in Arthritis and Rheumatism 42.5 (2013): 482-491.
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