The relationship between primary cognitive appraisals, illness beliefs, and adaptation to rheumatoid arthritis: A systematic review and meta-analysis.

Autor: Pankowski D; Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Warsaw 01-043, Poland; Faculty of Psychology, University of Warsaw, Warsaw 00-927, Poland. Electronic address: Daniel.pankowski@psych.uw.edu.pl., Wytrychiewicz-Pankowska K; Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Warsaw 01-043, Poland; Faculty of Psychology, University of Warsaw, Warsaw 00-927, Poland., Janowski K; Faculty of Psychology, University of Economics and Human Sciences in Warsaw, Warsaw 01-043, Poland., Pisula E; Faculty of Psychology, University of Warsaw, Warsaw 00-927, Poland.
Jazyk: angličtina
Zdroj: Journal of psychosomatic research [J Psychosom Res] 2023 Jan; Vol. 164, pp. 111074. Date of Electronic Publication: 2022 Oct 29.
DOI: 10.1016/j.jpsychores.2022.111074
Abstrakt: Rheumatoid arthritis is a chronic disease that negatively affects functioning; however, the relationship between cognitive appraisals and illness-related beliefs and adaptation indices remains unclear.
Objective: The aim of this review was to assess the relationship between cognitive appraisals, illness beliefs and indicators of adaptation to life with a chronic disease, such as the severity of depressive symptoms, anxiety, and quality of life.
Methods: A database search was carried out between May 13 and 18, 2022, with no time restrictions. Thirty studies (5 related to cognitive appraisals, 25 related to illness beliefs) were identified.
Results: The studies identified in the review were of satisfactory quality. An analysis of the articles allowed for a meta-analysis focusing on the relationship between the belief related to illness consequences and the severity of depressive symptoms, which gave an overall correlation estimate of 0.50 [0.44-0.56].
Conclusion: Both cognitive appraisals and illness beliefs are related to indicators of rheumatoid arthritis adaptation, such as depressive symptom severity, anxiety and acceptance levels. Further longitudinal research would be crucial in further elucidating the impact of cognitive factors on adjustment level and its trajectories over time.
Clinical Trial Registration: Review was pre-registered at https://osf.io/gd9cw (DOI:http://10.17605/OSF.IO/GD9CW).
Competing Interests: Declarations of interest None.
(Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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