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: 2.84). 03/1999; 46(2):155-64. DOI: 10.1016/S0022-3999(98)00073-7
Source: PubMed

ABSTRACT 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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    • "There is increasing recognition of the role of beliefs, frequently labeled illness perception, in psychological adjustment within health populations (Cameron and Moss-Morris, 2004). For example, Murphy et al., (1999) found that sufferers of rheumatoid arthritis who viewed their illness as serious and uncontrollable were more likely to experience depression, even when the level of physical disability was controlled. Similarly, illness perceptions have been observed to be associated with poorer mental health in samples of patients with Addison's disease (Heijmans, 1999) and psoriasis (Scharloo et al., 2000). "
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    ABSTRACT: : The role of injury-related beliefs and hopelessness on depression and anxiety in the acute phase following hip fracture was investigated in 103 hip fracture patients. Participants were assessed at two time points: as inpatients within one week of their surgery, and then 3-weeks later as outpatients. Abramson et al.'s (1989) theory of hopelessness-related depression was investigated as a possible explanatory model to account for depression following hip fracture. Results indicated that hopelessness mediated the relationship between beliefs regarding personal control and depression at the second assessment. Anxiety at follow-up was predicted by control beliefs whereas physical mobility, acute stress and pain made no significant contribution. This study is the first to provide tentative evidence that post-injury beliefs and hopelessness influence levels of depression and anxiety in hip fracture patients in the acute phase of their injury, and indicates that further study in this area is warranted.
    Journal of Behavioral Medicine 05/2007; 30(2):97-105. DOI:10.1007/s10865-006-9088-x · 3.10 Impact Factor
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    • "However, what has not been investigated is a possible relationship between help seeking and individuals' beliefs or illness perceptions about anxiety and depression. Consistent relationships have been found between illness perceptions and consultation, as well as treatment adherence for physical health problems (Murphy et al., 1999; Petrie et al., 1996). "
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    ABSTRACT: We investigated if reluctance to seek help could be explained by how people perceive an illness. Participants were members of the general public who had experienced mental health problems, for which approximately half had sought professional help. We asked them to rate the problems of 2 vignette characters using the Brief Illness Perception Questionnaire (BIPQ). Participants who had sought help were more likely to see the problems of the vignette characters as having more serious consequences and to understand their problems better, compared with those who had not sought help. The depression vignette character was seen as having a problem that was more serious but less amenable to treatment compared with the anxiety vignette character. Compared with men, women were likely to be more aware of the consequences and chronicity of depression. We conclude illness perceptions may help explain reluctance to seek help and discuss implications for encouraging consultation.
    Journal of Nervous & Mental Disease 04/2007; 195(3):258-61. DOI:10.1097/01.nmd.0000253781.49079.53 · 1.81 Impact Factor
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    • "In line with other studies on perceived control over arthritis, arthritis-related pain, or disability (Burckhardt & Bjelle, 1996; Murphy et al., 1999; Smith, 2002; Smith & Wallston, 1992), we found that higher perceived control (in our case, over OA-related activity limitation) was associated with lower levels of depressive symptoms. These findings can be interpreted in light of the learned helplessness theory (Seligman, 1975). "
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    ABSTRACT: The study focuses on perceived control and coping strategies regarding activity restriction due to osteoarthritis in a sample of older women. Using a cross-sectional design, it examines how these variables, separately and in combination, predict anxious symptoms and depressive symptoms. Perceived control did not predict anxious symptoms, while approach-type coping strategies did. Perceived control and approach-type coping strategies individually predicted depressive symptoms. Higher perceived control in interaction with avoidant-type coping strategies significantly predicted lower depressive symptoms. Overall, the findings suggest that perceived control and coping strategies with regard to activity restriction relate in different ways to anxious symptoms and to depressive symptoms.
    Canadian journal on aging = La revue canadienne du vieillissement 02/2007; 26(3):241-253. DOI:10.3138/cja.26.3.241 · 0.92 Impact Factor
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