A causal model of coping and well-being in elderly people with arthritis.

Abstract:

:The purpose of this longitudinal study was to test a model of the relationships among social economic status, gender, severity of impairment, stress emotions, coping strategies and psychological well-being. A sample of 78 elderly women and men, 60 years old or over, and diagnosed as having rheumatoid arthritis since mid-life, volunteered to participate in the study. Twelve months later, 64 of these elderly people were re-interviewed. Path analysis was used to examine the empirical import of the Lazarus and Folkman theory of stress and coping. Analysis of variance for repeated measures was used to test for changes over time among the study variable. A consistent relationship between severity of impairment, emotions, coping strategies and psychological well-being emerged from the data at time one and time two. Choice of coping strategies and psychological well-being were primarily influenced by emotions. The best predictor of psychological well-being at both time periods was the stress emotion of challenge. At both time periods, optimistic and self-reliant coping strategies were used most often and evasive and emotive strategies the least.

journal_name

J Adv Nurs

authors

Downe-Wamboldt BL,Melanson PM

doi

10.1046/j.1365-2648.1998.00621.x

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

1109-16

issue

6

eissn

0309-2402

issn

1365-2648

journal_volume

27

pub_type

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