Depression, illness perception and coping in rheumatoid arthritis

Department of Psychological Medicine, Manchester Royal Infirmary, University of Manchester, UK.
Journal of Psychosomatic Research (Impact Factor: 2.74). 03/1999; 46(2):155-64. DOI: 10.1016/S0022-3999(98)00073-7
Source: PubMed


This study aimed to establish the relationship between depression, illness perception, coping strategies, and adverse childhood events in rheumatoid arthritis patients. Sixty-two out-patients with rheumatoid arthritis (RA) completed the Hospital Anxiety and Depression Scale, Illness Perception Questionnaire, London Coping with Rheumatoid Arthritis Questionnaire, and Childhood Development Questionnaire, and underwent a clinical assessment of their physical state. Depressed patients were more disabled than the nondepressed, had a more negative view of their illness, and used more negative coping strategies. There was no association between depression and childhood adversity. Once disability was controlled for, there continued to be a significant correlation between depression and: (i) viewing the consequences of the illness negatively (Spearman's correlation coefficient [r]=0.37, p=0.003); and (ii) the perceived ability to control the illness (r= -0.26, p=0.04). The relationship between depression and negative coping strategies became insignificant. This study indicates the close relationship between depression and a negative view of the illness.

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    • "The management of SLE is complex and requires treatment adherence and significant lifestyle adjustment. It is important to consider subjective illness representations, based on implicit beliefs, which influence the individual's manner of coping with the disease and adherence to treatment and affect psychological well-being [2] [3]. The role of emotion regulation has recently received attention in psychological research and has been recognized by many authors as a relevant addition to existing psychological concepts in the interface between psychology and health [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]. "
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    • "This situation has been mainly linked to experiencing stronger pain, a higher level of disability, and a worse mental condition [23]. A link has also been made between the representation of the disease and the psychological well-being of patients with RA [24]. "
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    ABSTRACT: Aim: Rheumatoid arthritis is one of the most severe chronic diseases. In many cases it leads to disability and results in a decreased quality of life and increased levels of anxiety and depression. The problem that needs to be addressed is the following: which mental processes lead to increased levels of depression in patients with rheumatoid arthritis? Methods: 210 patients with rheumatoid arthritis hospitalized in rheumatology wards took part in the research. They filled in illness perception questionnaires (IPQ-R) and questionnaires for testing strategies of handling stress (Mini-COPE) and the level of depression (CES-D). Results: The observed correlation coefficients indicate that several elements of the perception of one's disease moderately contribute to a high level of depression. Moreover, frequent use of dysfunctional coping strategies contributed to high levels of depression. Dysfunctional coping was moderately linked to depression. Conclusion: The conducted analyses confirmed the links between the beliefs about the disease and levels of depression and showed that the use of dysfunctional coping strategies mediates the relationship between the following elements of the representation of the disease: illness coherence, emotional representation, psychological attribution, risk factors, and the level of depression.
    The Scientific World Journal 01/2014; 2014:585063. DOI:10.1155/2014/585063 · 1.73 Impact Factor
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    • "A meta-analysis of research on illness perceptions showed that illness perceptions predicted outcomes in various categories of chronic physical disorders [37]. Also, previous studies showed that illness perceptions can influence the process of adjustment and coping in a wide range of disease states [32] [38] [39]. Although adjusting personality is difficult, changing illness perceptions is possible, however. "
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    ABSTRACT: To examine the association between Type D personality and illness perceptions among colorectal cancer survivors 1-10years post-diagnosis. Data from two population-based surveys on colorectal cancer survivors was used. Patients diagnosed between 1998 and 2009, as registered in the Eindhoven Cancer Registry, received a questionnaire on Type D personality (DS14) and illness perceptions (B-IPQ); 81% (n=3977) responded. 750 (19%) patients had a Type D personality. They believe their illness has significantly more serious consequences, will last significantly longer, and experience significantly more symptoms that they attribute to their illness. Also, they are more concerned about their illness, and their disease more often influences them emotionally. Differences regarding 'consequences', 'concern' and 'emotional response' were also clinically relevant. The majority of patients stated that the cause of their disease was unknown (23.3%), hereditary (20.3%), lifestyle (15.1%), psychological distress (11.9%) or other (11.6%). Significant differences in perceptions on cause of disease between Type Ds and non-Type Ds were found for psychological distress (16.2 vs. 10.9%; p<0.01), randomness (1.7 vs. 5.3%; p<0.01) and unknown (18.8 vs. 24.4%; p<0.01). Multivariate analyses showed that Type D was negatively associated with 'coherence' and positively with 'consequences', 'timeline', 'identity', 'concern', and 'emotional representation'. These results elucidate the associations between personality and illness perceptions, demonstrating their close interrelatedness. Our study may be helpful in further developing theoretical models regarding giving meaning to illness and the illness perceptions that the illness elicits. Future studies should investigate whether interventions can positively impact illness perceptions of Type D cancer patients.
    Journal of psychosomatic research 09/2012; 73(3):232-9. DOI:10.1016/j.jpsychores.2012.07.004 · 2.74 Impact Factor
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