Coping Strategies for Health and Daily-Life Stressors in Patients With Rheumatoid Arthritis, Ankylosing Spondylitis, and Gout: STROBE-compliant article

I. Peláez-Ballestas, A. Boonen, J. Vázquez-Mellado, I. Reyes-Lagunes, A. Hernández-Garduno, M.V. Goycochea, A.G. Bernard-Medina, J. Rodríguez-Amado, J. Casasola-Vargas, M.A. Garza-Elizondo, F.J. Aceves, C. Shumski, R. Burgos-Vargas*, the REUMAIMPACT group

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


This article aims to identify the strategies for coping with health and daily-life stressors of Mexican patients with chronic rheumatic disease.

We analyzed the baseline data of a cohort of patients with rheumatoid arthritis (RA), ankylosing spondylitis (AS), and gout. Their strategies for coping were identified with a validated questionnaire. Comparisons between health and daily-life stressors and between the 3 clinical conditions were made. With regression analyses, we determined the contribution of individual, socioeconomic, educational, and health-related quality-of-life variables to health status and coping strategy.

We identified several predominant coping strategies in response to daily-life and health stressors in 261 patients with RA, 226 with AS, and 206 with gout. Evasive and reappraisal strategies were predominant when patients cope with health stressors; emotional/negative and evasive strategies predominated when coping with daily-life stressors. There was a significant association between the evasive pattern and the low short-form health survey (SF-36) scores and health stressors across the 3 diseases. Besides some differences between diagnoses, the most important finding was the predominance of the evasive strategy and its association with low SF-36 score and high level of pain in patients with gout.

Patients with rheumatic diseases cope in different ways when confronted with health and daily-life stressors. The strategy of coping differs across diagnoses; emotional/negative and evasive strategies are associated with poor health-related quality of life. The identification of the coping strategies could result in the design of psychosocial interventions to improve self-management.

Original languageEnglish
Article numbere600
Number of pages7
Issue number10
Publication statusPublished - Mar 2015


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