Effect of Coping Strategies on Patient and Physician Perceptions of Disease Severity and Disability in Systemic Sclerosis
| Autor: | Tracy M. Frech, Ami A. Shah, Theresa Smith, Dana DiRenzo, John D Pauling |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Quality of life
Coping (psychology) medicine.medical_specialty media_common.quotation_subject Immunology Psychological intervention Pain Severity of Illness Index Scleroderma Disability Evaluation Rheumatology Disease severity Physicians Adaptation Psychological Global health Humans Immunology and Allergy Medicine skin and connective tissue diseases media_common Scleroderma Systemic Disability business.industry Health assessment Quality of Life Physical therapy Systemic sclerosis Perception Pain catastrophizing Psychological resilience Coping business |
| Zdroj: | DiRenzo, D D, Smith, T R, Frech, T M, Shah, A A & Pauling, J D 2021, ' Effect of coping strategies on patient and physician perceptions of disease severity and disability in systemic sclerosis ', The Journal of Rheumatology, vol. 48, no. 10, pp. 1569-1573 . https://doi.org/10.3899/jrheum.201612 |
| ISSN: | 1499-2752 0315-162X |
| Popis: | ObjectiveSystemic sclerosis (SSc) results in impaired function, disability, and reduced health-related quality of life. We investigated the effect of coping strategies on the patient global assessment of health (PtGA) and Health Assessment Questionnaire–Disability Index (HAQ-DI), after controlling for clinical characteristics and disease activity. We also explored the relationship between coping strategies and the correlation between the PtGA and physician global assessment (PGA) in SSc.MethodsWe undertook posthoc analyses using baseline data obtained from the Raynaud Symptom Study (RSS). The PtGA, Coping Strategies Questionnaire, Pain Catastrophizing Scale, and Scleroderma Health Assessment Questionnaire were collected alongside the PGA, clinical characteristics, and patient demographics. Multivariable linear regression models and correlations were used to evaluate the relationship between coping strategies with the PtGA, HAQ-DI, and PGA.ResultsOf the 107 patients with SSc enrolled in the RSS, there were sufficient data available for the analysis of 91 participants. The mean PtGA was 40/100 (SD 27) and the mean HAQ-DI was 0.87/3.0 (SD 0.73). After controlling for clinical and patient demographics, pain catastrophizing and maladaptive coping skills were significantly associated with the PtGA and HAQ-DI scores (P < 0.05 for both), but not the PGA.ConclusionThe effect of coping strategies on PtGA and HAQ-DI (but not PGA in SSc) could influence the result of composite measures incorporating these outcome measures. Interventions to improve patient coping skills may support increased resilience and improve patient-perceived functional status and PtGA in SSc. |
| Databáze: | OpenAIRE |
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