TY - JOUR
T1 - Coping Strategies for Health and Daily-Life Stressors in Patients With Rheumatoid Arthritis, Ankylosing Spondylitis, and Gout: STROBE-compliant article
AU - Peláez-Ballestas, I.
AU - Boonen, A.
AU - Vázquez-Mellado, J.
AU - Reyes-Lagunes, I.
AU - Hernández-Garduno, A.
AU - Goycochea, M.V.
AU - Bernard-Medina, A.G.
AU - Rodríguez-Amado, J.
AU - Casasola-Vargas, J.
AU - Garza-Elizondo, M.A.
AU - Aceves, F.J.
AU - Shumski, C.
AU - Burgos-Vargas, R.
AU - REUMAIMPACT group, the
PY - 2015/3
Y1 - 2015/3
N2 - 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.
AB - 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.
KW - QUALITY-OF-LIFE
KW - PSYCHOLOGICAL ADJUSTMENT
KW - DISEASE-ACTIVITY
KW - CRITERIA
KW - ILLNESS
KW - INDEX
KW - CLASSIFICATION
KW - DISABILITY
KW - IMPACT
KW - SELF
U2 - 10.1097/MD.0000000000000600
DO - 10.1097/MD.0000000000000600
M3 - Article
C2 - 25761177
SN - 0025-7974
VL - 94
JO - Medicine
JF - Medicine
IS - 10
M1 - e600
ER -