Cited by 126Rheumatoid Arthritis Research and TherapiesMusculoskeletal pain and rehabilitationPsychosomatic Disorders and Their Treatments

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Psychosocial predictors of functional change in recently diagnosed rheumatoid arthritis patients

Evers, Andrea W.M., Kraaimaat, Floris W., Geenen, Rinie, Bijlsma, Johannes W.J.·1998·Behaviour Research and Therapy

DOI 10.1016/s0005-7967(98)00019-9

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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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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)
ORCID: Evers, Andrea W.M.
Geenen, Rinie
Bijlsma, Johannes W.J.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 1998-02
Volume: 36
Issue: 2
Pages: 179-193
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/s0005-7967(98)00019-9
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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Psychosocial predictors of functional change in recently diagnosed rheumatoid arthritis patients

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