Effect of valued activity disability, social comparisons, and satisfaction with ability on depressive symptoms in rheumatoid arthritis.
Abstract
This longitudinal study identified a model through which function affects the psychologicalwell-being of individuals with rheumatoid arthritis (RA). Results of hierarchical linear regression analyses (N = 436) demonstrated that greater physical impairment resulted in greater disability in valued activities and engagement in unfavorable social comparisons. All 3 factors--greater physical impairment, greater disability in valued activities, and unfavorable comparison evaluations--predicted low satisfaction with abilities. Low satisfaction with abilities was the most important predictor of higher depressive symptoms and mediated the impact of physical impairment, valued activity disability, and unfavorable comparisons on depressive symptoms. Results highlight the role of personal meaning attached to changes in functional status in predicting the long-term psychological well-being of individuals with chronic illnesses such as RA.
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A second mediating factor was the value ascribed to or satisfaction found in activity or social participation, which was measured and noted for its role in several studies.
“A second mediating factor, again broadly defined, was the value ascribed to or satisfaction found in activity or social participation, measured and noted for its role in several studies (Katz and Yelin 2001;Mullee et al. 2008 ;Neugebauer, Katz and Pasch 2003;Nimrod and Adoni 2006).”
From A critical review of the literature on social and leisure activity and wellbeing in later life (2011) · cites this paper as Neugebauer, Katz and Pasch 2003
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A prospective study of risk factors for unipolar depression
Lewinsohn, P. M., Hoberman, H. M., & Rosenbaum, M. (1988) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.97.3.251 · Cited by 404 · see citing works
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A critical review of the literature on social and leisure activity and wellbeing in later life
ADAMS, K. B., LEIBBRANDT, S., & MOON, H. (2011) · Ageing and Society · doi:10.1017/s0144686x10001091 · Cited by 773 · see citing works
- Authors
- Neugebauer, A., Katz, P. P., & Pasch, L. A.
- Affiliations
- University of California, San Francisco (US)
- Venue
- Health Psychology
- Published
- 2003
- Volume
- 22
- Issue
- 3
- Pages
- 253-262
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2002000249
- Cited by
- 59
- References
- 1
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 6
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- rheumatoid arthritis, depressive symptoms, social comparison, physical impairment, functional status, psychological well-being, chronic disease, mediation
- MeSH terms
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Arthritis, Rheumatoid, Female, Persons with Disabilities, Disabled Persons, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Social Support, Patient Satisfaction
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