Coping Strategies for Health and Daily-Life Stressors in Patients With Rheumatoid Arthritis, Ankylosing Spondylitis, and Gout

نویسندگان

  • Ingris Peláez-Ballestas
  • Annelis Boonen
  • Janitzia Vázquez-Mellado
  • Isabel Reyes-Lagunes
  • Adolfo Hernández-Garduño
  • Maria Victoria Goycochea
  • Ana G. Bernard-Medina
  • Jacqueline Rodríguez-Amado
  • Julio Casasola-Vargas
  • Mario A. Garza-Elizondo
  • Francisco J. Aceves
  • Clara Shumski
  • Ruben Burgos-Vargas
  • Robert L. Barkin.
چکیده

This article aims to identify the strategies for coping with health and daily-life stressors of Mexican patients with chronic rheumatic disease. We analyzed the baseline data of a cohort of patients with rheumatoid arthritis (RA), ankylosing spondylitis (AS), and gout. Their strategies for coping were identified with a validated questionnaire. Comparisons between health and daily-life stressors and between the 3 clinical conditions were made. With regression analyses, we determined the contribution of individual, socioeconomic, educational, and health-related quality-of-life variables to health status and coping strategy. We identified several predominant coping strategies in response to daily-life and health stressors in 261 patients with RA, 226 with AS, and 206 with gout. Evasive and reappraisal strategies were predominant when patients cope with health stressors; emotional/negative and evasive strategies predominated when coping with daily-life stressors. There was a significant association between the evasive pattern and the low short-form health survey (SF-36) scores and health stressors across the 3 diseases. Besides some differences between diagnoses, the most important finding was the predominance of the evasive strategy and its association with low SF-36 score and high level of pain in patients with gout. Patients with rheumatic diseases cope in different ways when confronted with health and daily-life stressors. The strategy of coping differs across diagnoses; emotional/negative and evasive strategies are associated with poor health-related quality of life. The identification of the coping strategies could result in the design of psychosocial interventions to improve self-management.

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عنوان ژورنال:

دوره 94  شماره 

صفحات  -

تاریخ انتشار 2015