Major life stress, coping styles, and social support in relation to psychological distress in patients with systemic lupus erythematosus
| Autor: | T L Patterson, Frederick S. Wamboldt, Jeanette A. Waxmonsky, M C Ellison, Elizabeth Kozora |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Coping (psychology) Psychological intervention Arthritis Rheumatoid Life Change Events 03 medical and health sciences Social support 0302 clinical medicine Rheumatology Adaptation Psychological medicine Humans Lupus Erythematosus Systemic skin and connective tissue diseases Psychiatry 030203 arthritis & rheumatology Principal Component Analysis 030505 public health Lupus erythematosus Depression business.industry Case-control study Social Support Cognition Middle Aged medicine.disease Affect Mood Case-Control Studies Rheumatoid arthritis Regression Analysis Female 0305 other medical science business Stress Psychological |
| Zdroj: | Lupus. 14:363-372 |
| ISSN: | 1477-0962 0961-2033 |
| DOI: | 10.1191/0961203305lu2094oa |
| Popis: | The objective of this study was to examine psychological processes in systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) patients in relation to measures of life stress, coping styles, social support and cognitive ability. Fifty-two SLE patients without overt neuropsychiatric symptoms, 29 RA patients and 27 healthy controls completed measures of depression, mood, disease activity, perceived health, stressful life events, coping, and social support. Variables entered into the multiple regression analysis following principal component analysis were: group, major difficult event, major life threatening event, disengaging coping, emotional coping, social support, and cognitive impairment. Depressive symptoms were associated with SLE group status (P, 0.001), major life-threatening events (P, 0.01), disengage coping (P, 0.001) and emotional coping (P, 0.05). SLE group status (P, 0.05), disengage coping (P, 0.05) and emotional coping (P, 0.05) were associated with current distressed mood. SLE patients without overt, major neuropsychiatric symptoms had greater psychological distress compared to RA and control subjects. Increased depressive symptoms and distressed mood state in SLE patients were related to use of disengaging and emotional coping styles. These findings are limited to SLE patients with no overt neuropsychiatric illness and low disease activity, suggesting the need for future studies with a greater variety of SLE patients. Interventions aimed at improving active coping and minimizing emotional response to stress may lower psychological distress in SLE patients with mild disease. |
| Databáze: | OpenAIRE |
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