Relationship of social role quality to psychological well-being in women with rheumatoid arthritis (original) (raw)
Related papers
Roles and well-being among healthy women and women with rheumatoid arthritis
Journal of Advanced Nursing, 2008
Title. Roles and well-being among healthy women and women with rheumatoid arthritis. Aim. This paper is a report of a study examining the relationships among number of roles, role quality, role stress, role balance, and psychological well-being in women diagnosed with rheumatoid arthritis. Background. A substantial literature exists examining multiple roles in healthy women. However, less is known about multiple roles and well-being in women with a chronic illness such as rheumatoid arthritis. Methods. A questionnaire study was conducted in 2003 examining four role-related constructs (number of roles, quality of roles, role stress, and role balance) and psychological well-being in healthy women (n = 47) and women diagnosed with rheumatoid arthritis (n = 50). Correlation coefficients and multiple regression analyses were calculated to determine the nature of the relationships among the variables. Findings. The two groups were similar in demographics except for employment, with fewer women with rheumatoid arthritis employed. The two groups differed statistically significantly on psychological well-being. Women with rheumatoid arthritis had a lower mean psychological well-being score than healthy women. Regression analyses revealed that role stress was the only unique predictor of psychological well-being in healthy women, while role balance was the sole unique predictor among women with rheumatoid arthritis. Conclusion. Women with rheumatoid arthritis experienced lower levels of wellbeing than their healthy counterparts. Examination of the relationships among the variables can facilitate the development of interventions to improve these women's mental health. Nurses are in a position to assess the psychosocial needs of women with rheumatoid arthritis and assist those experiencing role stress and role imbalance.
A Multidimensional model of disability and role functioning in rheumatoid arthritis
Arthritis Care & Research, 2015
Objective-To examine a model addressing the roles of rheumatoid arthritis (RA) disease burden, mood disturbance, and disability as determinants of impairments in role functioning. Methods-In a cross-sectional design, 103 RA patients recruited from the community to participate in a clinical trial completed assessments of self-assessed disease burden (total joint pain and disease activity), mood disturbance (CES-D depressed mood, somatic symptoms, lack of positive affect, and interpersonal problems), disability (HAQ-DI gross and fine motor), and role functioning (SF-36 physical and social). Structural equation modeling (SEM) was used to examine direct and indirect mechanisms linking disease burden to role functioning. Results-SEM results indicated that the model had excellent fit, S-Bχ 2 (30) = 38.59, p = .135, CFI = .977, SRMR = .062, RMSEA = .053. Mediational analyses demonstrated that while disease burden was associated with poor role functioning, its effects were jointly mediated by mood disturbance and disability. After the effects of mood disturbance and disability were taken into account, the effect of disease burden on role functioning was not significant. Conclusion-The results indicate that mood disturbance and disability may serve as important pathways through which RA disease burden affects role functioning. Future longitudinal research is suggested to replicate these findings and further explore the mediational mechanisms examined in this study. Rheumatoid arthritis (RA) can interfere significantly with the functional adaptation and emotional wellbeing of patients and their families. While adjustment to RA varies across
The Effect of Social Role Participation on Quality of Life in Rheumatoid Arthritis
Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi
The aim of this study was to explore the impact of social role participation on quality of life in rheumatoid arthritis (RA) patients. Material and Methods: This study was conducted on 100 RA patients who applied to our outpatient clinic and 95 healthy controls. The outcome measures included Visual Analogue Scale (VAS) (rest and activity pain), Disease Activity Score (DAS-28) Scale, Rheumatoid Arthritis Quality of Life Questionnaire (RAQoL), and Social Role Participation Questionnaire (SRPQ) (role limitations, salience, satisfaction). Results: There were statistically significant differences in SRPQ role salience, SRPQ role limitation, and SRPQ role satisfaction scores between the RA patients and the healthy individuals (p<0.001). The RAQoL scores were positively correlated with SRPQ limitation scores and negatively correlated with SRPQ role satisfaction and SRPQ role salience scores (all, p<0.001). Negative correlations were found between SRPQ scores (salience, satisfaction) and DAS-28 and VAS (rest and activity pain) scores (all, p<0.05). Positive correlations were found between SRPQ role limitations scores and DAS-28 and VAS (rest and activity pain) scores (all, p<0.05). There was no correlation between SRPQ domains scores and age or disease duration in RA patients (all, p>0.05). RAQoL was positively correlated with VAS (rest and activity pain) and DAS-28 scores (all, p<0.001). Conclusion: This study showed that there is an association between social role participation and quality of life in RA patients. So, it may be useful to take into account the evaluation of social role participation in the management of RA patients.
Multidimensional Model of Disability and Role Functioning in Rheumatoid Arthritis
Arthritis Care & Research, 2015
Objective-To examine a model addressing the roles of rheumatoid arthritis (RA) disease burden, mood disturbance, and disability as determinants of impairments in role functioning. Methods-In a cross-sectional design, 103 RA patients recruited from the community to participate in a clinical trial completed assessments of self-assessed disease burden (total joint pain and disease activity), mood disturbance (CES-D depressed mood, somatic symptoms, lack of positive affect, and interpersonal problems), disability (HAQ-DI gross and fine motor), and role functioning (SF-36 physical and social). Structural equation modeling (SEM) was used to examine direct and indirect mechanisms linking disease burden to role functioning. Results-SEM results indicated that the model had excellent fit, S-Bχ 2 (30) = 38.59, p = .135, CFI = .977, SRMR = .062, RMSEA = .053. Mediational analyses demonstrated that while disease burden was associated with poor role functioning, its effects were jointly mediated by mood disturbance and disability. After the effects of mood disturbance and disability were taken into account, the effect of disease burden on role functioning was not significant. Conclusion-The results indicate that mood disturbance and disability may serve as important pathways through which RA disease burden affects role functioning. Future longitudinal research is suggested to replicate these findings and further explore the mediational mechanisms examined in this study. Rheumatoid arthritis (RA) can interfere significantly with the functional adaptation and emotional wellbeing of patients and their families. While adjustment to RA varies across
Social support, social disability, and psychological well-being in rheumatoid arthritis
Arthritis Care & Research, 1994
Purpose. Rheumatoid arthritis [RAJ is a disease that may lead to social disability. As a consequence, the psychological well-being of RA patients can be strained. Social support is a possible moderator of the relation between social disability and psychological well-being. The focus of the present study is on the main effect versus the buffering effect of social support. Methods. Data on 54 RA patients were gathered by means of a 2-hr interview at the patient's home. Results. Receiving more daily emotional support positively related to greater psychological well-being; whereas problem-oriented emotional support negatively related to some aspects of psychological wellbeing. People receiving more social companionship turned out to be less depressed. Conclusion. The assumption was confirmed that social support has a major effect on psychological wellbeing. A buffering effect of social support was not demonstrated.
Health Care for Women International, 1985
Higher education student often experienced financial problem during their study. This condition encourages them to seek financial support by working part-time. The challenge of being a part-time employee as well as being a student has influenced their psychological well-being condition. The problem will become more complicated when they received less than needed social support. Therefore, it is important to identify the relationship between social support and psychological wellbeing of part-time students. This study aimed to determine the relationship between social support and psychological well-being of students who work part-time. This research is a quantitative survey research. The scale used was social support and psychological well-being scale. The study shows that social support has a significant relationship with psychological well-being. Hypothesis test result show positive value that means if social support increase, psychological well-being will also increase. The correlation coefficient of 0.433 shows the relationship between variable classified as moderate.
Functional Ability, Social Support, and Depression in Rheumatoid Arthritis
Quality of Life Research, 2000
Objective: First, to investigate the patterns of functional ability, depressive feelings, and social support in early stage rheumatoid arthritis (RA) patients. Second, to demonstrate the stress buffering effect of social support. Social support is thought to reduce the impact of chronic stress on psychological well-being; for patients without social support the impact of functional ability on depressive feelings will be stronger. Methods: In 4 waves with an intervening period of 1 year, longitudinal data was collected of 264 Dutch RA patients, of which 65% was female. At T1, the mean age of these patients was 53 years, while their mean disease duration was 22 months. In an interview at the patients' homes, data was collected on functional ability, social support en psychological well-being. The buffering effect of social support was examined by testing the significance of the (computed) stressor by social support interaction term in a regression analysis on depressive feelings. Results: Although large differences between subjects existed, the mean scores on functional ability, social support, and depressive feelings barely changed from year to year. Patients who deteriorated in functional ability during one year had the best chances to improve next year, and visa versa. Furthermore, the stress by support interaction terms had no significant effect on depressive feelings in a regression analysis. Conclusions: This study demonstrated clearly the fluctuating pattern of RA in the first years after onset. The patients' level of depressive feelings was linearly related to the level of functional ability. Like many other studies, also this study could not provide evidence for the stress buffering effect of social support.
Social Science & Medicine, 2013
Little is known about life course differences in social role participation among those with chronic diseases. This study examined role salience (i.e., importance), role limitations, and role satisfaction among middle-and older-aged adults with and without osteoarthritis (OA) and its relationship to depression, stress, role conflict, health care utilization and coping behaviours. Participants were middleand older-aged adults with OA (n ¼ 177) or no chronic disabling conditions (n ¼ 193), aged !40 years. Respondents were recruited through community advertising and clinics in Ontario, Canada (2009e2010). They completed a 45e50 min telephone interview and 20 min self-administered questionnaire assessing demographics (e.g., age, gender); health (e.g., pain, functional limitations, health care utilization); the Social Role Participation Questionnaire (SRPQ) (role salience, limitations, satisfaction in 12 domains), and psychological variables (e.g., depression, stress, role conflict, behavioural coping). Analyses included twoway ANOVAs, correlations, and linear regression. Results indicated that middle-aged adults (40e59 years) reported greater role salience than older-aged adults (60 þ years). Middle-aged adults with OA reported significantly greater role limitations and more health care utilization than all other groups. Middle-aged adults and those with OA also reported greater depression, stress, role conflict, and behavioural coping efforts than older adults or healthy controls. Controlling for age and OA, those with higher role salience and greater role limitations reported more health care utilization. Those with greater role limitations and lower role satisfaction reported greater depression, stress, role conflict, and behavioural coping. This study has implications for research and interventions, highlighting the need to characterize role participation as multidimensional. It points to the importance of taking into account the meaning of roles at different ages among those with chronic diseases like OA when developing interventions to help understand the impact of roles on psychological well-being.
Understanding Social Role Participation: What Matters to People with Arthritis?
2000
Objective. To assess the importance of different social roles in the lives of people with osteoarthritis (OA), and satisfaction with time spent in roles and role performance, as well as the relationship of demographic, health, and psychological factors to role perceptions. Methods. Sixty women and 27 men (age 42-86 yrs) with hip or knee OA were recruited from rehabilitation programs