Rheumatology Advance Access published online on June 16, 2003
Rheumatology, doi:10.1093/rheumatology/keg369
Rheumatology © British Society for Rheumatology 2003; all rights reserved
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Original Papers
1 School of Behavioural and Community Health Sciences, University of Sydney, Sydney, Australia
* Corresponding author. E-mail: tcovic{at}csu.edu.au.
Received 23 June 2002
; accepted 24 March 2003
Objective. To cross-validate a biopsychosocial model using physical disability, helplessness and passive coping to predict depression and pain in rheumatoid arthritis (RA). Methods. Clinical and psychological measures were collected from 157 RA patients at three time points over a period of 12 months. Path analysis was used for cross-sectional and longitudinal prediction of depression and pain. Results. Helplessness and passive coping were found to be significant mediators of the relationship between the physical disability and future depression and pain. Cross-sectionally, the predictive model could account for 52-94% of the variance of pain and 37-71% of the variance of depression. Longitudinally, the predictive model could explain 29-43% of the variance of pain and 21-33% of the variance of depression. Conclusions. These results suggest that physical disability, helplessness and passive coping have a significant impact on the levels of pain and depression experienced by RA patients.
Key words: Biopsychosocial model, Rheumatoid arthritis, Physical disability, Pain, Helplessness, Passive coping, Depression.
A biopsychosocial model of pain and depression in rheumatoid arthritis: a 12-month longitudinal study
2 Department of Rheumatology, Westmead Hospital, Sydney, Australia
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  E. Fuller-Thomson and J. Nimigon Factors associated with depression among individuals with chronic fatigue syndrome: findings from a nationally representative survey Fam. Pract., December 1, 2008; 25(6): 414 - 422. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. G. Sinclair and D. S. Blackburn Adaptive coping with rheumatoid arthritis: the transforming nature of response shift Chronic Illness, September 1, 2008; 4(3): 219 - 230. [Abstract] [PDF]
|
|
|
|
 |
|
 C. Sheehy, E. Murphy, and M. Barry Depression in rheumatoid arthritis--underscoring the problem Rheumatology, November 1, 2006; 45(11): 1325 - 1327. [Full Text] [PDF]
|
|
|
|
|
|
G. J. Treharne, E. D. Hale, A. C. Lyons, D. A. Booth, M. J. Banks, N. Erb, K. M. Douglas, D. L. Mitton, and G. D. Kitas Cardiovascular disease and psychological morbidity among rheumatoid arthritis patients Rheumatology, February 1, 2005; 44(2): 241 - 246. [Abstract] [Full Text] [PDF]
|
|