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The impact of passive coping on rheumatoid arthritis pain
Abstract
OBJECTIVE: To determine the ability of coping to predict pain. METHODS: Data on 111 rheumatoid arthritis (RA) patients (86 women and 25 men) were gathered from a mail survey. Statistical analyses were conducted on a range of clinical and psychological variables: physical disability, disease duration, pain, depression, helplessness, and passive and active coping. Pain was measured with both the pain subscale of the Arthritis Impact Measurement Scales and a visual analogue scale, and coping was measured with the Vanderbilt Pain Management Inventory. RESULTS: A series of multiple regression analyses revealed that the optimal predictors of pain in RA were physical disability and passive coping, which accounted for 40% of the variance associated with pain. Path analysis revealed that passive coping mediates between the physical disability and pain, and between physical disability and depression. CONCLUSION: The results of this study have implications for the overall management of RA. In addition to the medical treatment, the experience of pain and depression in RA should be addressed through an intervention programme designed to enhance coping strategies.
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“PTSD, a psychiatric condition resulting from exposure to a traumatic event and characterized by hyperarousal, avoidance, and reexperiencing, is not only a risk factor for chronic pain 71, 72, but is associated with increased risk for the transition from acute to chronic pain.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [71]
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Evaluating psychosocial contributions to chronic pain outcomes
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Metadata
- Authors
- Covic, T., Adamson, B., & Hough, M.
- Affiliations
- The University of Sydney (AU)
- ORCID
- Hough, M.
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-09
- Volume
- 39
- Issue
- 9
- Pages
- 1027-1030
- ISSN
- 1462-0324 (ISSN-L)
- 1462-0332
- OpenAlex
- W2135260026
- Cited by
- 108
- References
- 20
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 3 · 2022: 7 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 5 · 2017: 1 · 2016: 6 · 2015: 8 · 2014: 6 · 2013: 4 · 2012: 5
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lara D. Veeken (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- rheumatoid arthritis, pain, passive coping, active coping, physical disability, depression, helplessness, pain prediction, mediation, coping interventions
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Arthritis, Rheumatoid, Data Collection, Depression, Disability Evaluation, Female, Forecasting, Humans, Male, Middle Aged, Pain, Regression Analysis
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