Reactions to disability in patients with early versus established rheumatoid arthritis.

Abstract:

OBJECTIVES:This study examined differences in reactions to disability between early and established rheumatoid arthritis (RA) patients, and whether these reactions were related to age, physical functioning, acceptance of illness, or self-efficacy. METHODS:Thirty-four patients with early RA (< 2 years since diagnosis) and 84 patients with established RA (> 4 years since diagnosis) completed the Reactions to Impairment and Disability Inventory (RIDI), and measures of anxiety, depression, acceptance of illness, self-efficacy, and physical functioning. RESULTS:Early RA patients reported greater future denial than established RA patients. Younger patients reported more hostility than older patients. Accepting the illness was uniquely related to less anger and hostility. Higher self-efficacy for pain specifically related to greater shock, while patients with poorer self-efficacy for other symptoms reported worse anxiety, depression, shock, and anger. CONCLUSIONS:Denial may be a coping strategy in the early stages of RA: anxiety, depression, shock, and anger appear to persist. Longitudinal studies of RA patients from diagnosis are required to plan interventions timed to maximize patient benefit and optimize healthcare resource utilization.

journal_name

Scand J Rheumatol

authors

Treharne GJ,Lyons AC,Booth DA,Mason SR,Kitas GD

doi

10.1080/03009740310004685

keywords:

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

30-8

issue

1

eissn

0300-9742

issn

1502-7732

journal_volume

33

pub_type

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