Psychosocial predictors of functional change in recently diagnosed rheumatoid arthritis patients
Abstract
In order to examine the influence of active and passive pain-coping strategies and social support characteristics on the change in functional status in the first stage of the disease in rheumatoid arthritis patients, self-report data and clinical and laboratory measures were collected from 91 patients (70% female, mean age 57 yr) shortly after diagnosis and 1 yr later. Multiple regression analyses indicated that, after taking the influence of demographic variables, disease activity and pain into account, a decrease in functional status (mobility, self-care, grip strength) after 1 yr could be predicted by an initially more frequent use of the passive pain-coping strategies of worrying and resting. A decrease in mobility could be additionally predicted by an initially smaller social network. Results indicate the impact of passive pain-coping strategies and social network characteristics for the prognosis of functional outcome in the first stage of the disease and suggest the early manifestation of avoidance mechanisms, including behavioral, cognitive-emotional and social components, in face of a chronic stressor.
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Experimental pain studies show that receiving social support during a pain task attenuates blood pressure, heart rate, and cortisol reactivity and is associated with lower pain intensity and unpleasantness and higher pain threshold.
“experimental pain studies that demonstrate receiving social support during a pain task not only attenuates blood pressure, heart rate, and cortisol reactivity, but is also associated with reduced pain intensity and unpleasantness ratings and increased pain threshold 98–100.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [100]
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Self-citation
- Authors
- Evers, A. W. M., Kraaimaat, F. W., Geenen, R., & Bijlsma, J. W. J.
- Affiliations
- Radboud University Nijmegen (NL)
- Utrecht University (NL)
- University Medical Center Utrecht (NL)
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1998-02
- Volume
- 36
- Issue
- 2
- Pages
- 179-193
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1976144583
- Cited by
- 126
- References
- 69
- Citations by year
- 2026: 1 · 2025: 3 · 2022: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 8 · 2015: 4 · 2013: 4 · 2012: 5
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- rheumatoid arthritis, functional status, pain coping, passive coping, worry, rest, social support, social networks, mobility (physical function), self-care, grip strength, psychosocial predictors, prognosis, early-stage disease, chronic stress
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Arthritis, Rheumatoid, Defense Mechanisms, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Sick Role, Social Support
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