• The psychological impact of arthritis: the effects of illness perception and coping.

      Zyrianova, Y; Kelly, B D; Sheehan, J; McCarthy, C; Dinan, T G; UCD School of Psychotherapy, St. Vincent's University Hospital, Elm Park, Dublin , 4, Ireland. dr.yulia@ucd.ie (2012-02-01)
      BACKGROUND: Coping and illness perception are considered to be important contributors in the relationship between physical and psychological factors in rheumatoid arthritis (RA). AIMS: The aim of this study was to examine the complex relationship of coping and illness perception on physical and psychological factors in RA using a structural model. METHODS: We assessed coping, illness perception, depression, anxiety, pain, arthritis-related disability and perceived social support in 68 adults with RA. RESULTS: Greater pain was detected in patients with increased scores on passive coping scale, greater severity of physical disability and increased depression and anxiety. Illness perception was found to be a mediator in the relationship between physical disability and passive coping on one hand and depression, anxiety and pain on the other. CONCLUSIONS: The hypothesised structural model has proven to be a useful paradigm for understanding the associations between multiple factors in RA presentation: clinical, emotional, personal and cognitive.