Coping strategies, anxiety, depression, and quality of life in rheumatoid arthritis patients

Year 2023, Volume: 40 Issue: 2, 278 - 283, 19.07.2023

Habibe İnci , Fatih İnci

Abstract

Objective: The purpose of this study was to evaluate the effect of Rheumatoid Arthritis (RA) disease, which is known to have negative psychological effects, on depression, anxiety, coping, and quality-of-life.
Methods: In the study, 59 RA patients and 56 healthy individuals (control-group) were included. Sociodemographic data form, Beck Anxiety Scale, Beck Depression Scale, COPE (coping) scale, and RA Quality-of-Life Questionnaire were used to collect data, and the groups were compared according to the results.
Results: The RA patients were observed to have higher levels of depression and anxiety compared to the control group (p<0.001, all). The RA patients were found to have moderate depression and mild anxiety. The RA group had significantly lower problem-focused coping scores (p=0.002) compared to the control group. It was found that as the RA patients’ anxiety and pain levels increased, so did their level of depression. Moreover, as their depression, anxiety, and pain levels increased, their quality-of-life decreased.
Conclusion: It was found that RA patients had higher depression and anxiety levels compared to the control group. It was observed that the RA patients’ level of depression increased with increasing anxiety and pain, while their quality of life decreased with increasing levels of depression, anxiety, and pain. We are of the opinion that psychiatric approaches can contribute to quality-of-life in patients with RA.

Keywords

Rheumatoid Arthritis, Anxiety, Depression, Quality of Life

Project Number

yok

References

• 1. Aslan SH, Karaköse H, Soy M, Alparslan ZN. Romatoid artriti olan kadın hastalarda beden algısı, benlik saygısı, aleksitimi, depresyon ve kaygı. Düşünen Adam. 1996;9(4):23-7.
• 2. Mistik S, Ünalan D, Erol K, Çal1 M. The effect of disease activity index and level of pain on the disease coping attitudes in rheumatoid arthritis patients. 2018;7(3):78-84.
• 3. Anderson KO, Bradley LA, Young LD, McDaniel LK, Wise CM. Rheumatoid arthritis: review of psychological factors related to etiology, effects, and treatment. Psychological bulletin. 1985;98(2):358.
• 4. Delen M, Oskay D, Bağlan S, Zeynep T, Oğuzhan M, Gökkurt A, et al. Romatoid artritli kadın hastalarda skapular diskinezinin hastalık aktivitesi, yaşam kalitesi ve engel seviyesine etkisi. Ergoterapi ve Rehabilitasyon Dergisi. 2018;6(2):125-34.
• 5. Özüberk M. Fibromiyalji sendromu ve romatoid artrit hastalarının sıkıntıya ve rahatsızlığa dayanma derecelerinin karşılaştırılması: Hasan Kalyoncu Üniversitesi; 2018.
• 6. Emine K, ÖZDİLLİ K, Yorulmaz H. Body Image and self-esteem in patients with rheumatoid arthritis. Nöro Psikiyatri Arşivi. 2013;50(3):202.
• 7. Altan L, Bingöl Ü, Sağırkaya Z, Sarandöl A, Yurtkuran M. Romatoid artritli hastalarda anksiyete ve depresyon. Romatizma. 2004;19(1):7-13.
• 8. Barlow JH, Cullen LA, Rowe I. Educational preferences, psychological well-being and self-efficacy among people with rheumatoid arthritis. Patient education and counseling. 2002;46(1):11-9.
• 9. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh JJAogp. An inventory for measuring depression. 1961;4(6):561-71.
• 10. Hisli NJJP. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability and validity study of Beck Depression Inventory in a university student sample). 1989;7:3-13.
• 11. Beck AT, Steer R. Beck anxiety inventory (BAI). Überblick über Reliabilitäts-und Validitätsbefunde von klinischen und außerklinischen Selbst-und Fremdbeurteilungsverfahren. 1988:7.
• 12. Buenaver LF, Edwards RR, Smith MT, Gramling SE, Haythornthwaite JAJTJoP. Catastrophizing and pain-coping in young adults: associations with depressive symptoms and headache pain. J Pain. 2008;9(4):311-9.
• 13. Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989;56(2):267.
• 14. Agargün MY, Besiroglu L, Kiran ÜK, Özer ÖA, Kara H. COPE (Basa çikma tutumlarini degerlendirme ölçegi): Psikometrik özelliklere iliskin bir ön çalisma/The psychometric properties of the COPE inventory in Turkish sample: a preliminary research. Anadolu Psikiyatri Dergisi. 2005;6(4):221.
• 15. Tijhuis G, De Jong Z, Zwinderman A, Zuijderduin W, Jansen L, Hazes J, et al. The validity of the rheumatoid arthritis quality of life (RAQoL) questionnaire. Rheumatology. 2001;40(10):1112-9.
• 16. Kutlay S, Küçükdeveci AA, Gönül D, Tennant A. Adaptation and validation of the Turkish version of the Rheumatoid Arthritis Quality of Life Scale. Rheumatology international. 2003;23(1):21-6.
• 17. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis care & research. 2011;63(11):240-52.
• 18. Frank RG, Beck NC, Parker JC, Kashani JH, Elliott TR, Haut AE, et al. Depression in rheumatoid arthritis. J Rheumatol. 1988;15(6):920-5.
• 19. Zautra AJ, Smith BW. Depression and reactivity to stress in older women with rheumatoid arthritis and osteoarthritis. Psychosomatic Medicine. 2001;63(4):687-96.
• 20. El-Miedany YM, El Rasheed AH. Is anxiety a more common disorder than depression in rheumatoid arthritis? Joint Bone Spine. 2002;69(3):300-6.
• 21. Bendtsen P, Hörnquist JO. Rheumatoid arthritis, coping and well-being:Cross-sectional sub-group comparisons and correlational analyses. Scand J Soc Med. 1994;22(2):97-106.
• 22. Altınkesen E. Erken ve geç dönem romatoid artrit'li hastalarda semptomlar, fonksiyonel durum ve yaşam kalitesi arasındaki ilişkinin incelenmesi: DEÜ Sağlık Bilimleri Enstitüsü; 2006.
• 23. Stucki G, Cieza A, Geyh S, Battistella L, Lloyd J, Symmons D, et al. ICF Core Sets for rheumatoid arthritis. J Rehab Med. 2004;36(0):87-93.
• 24. Van Lankveld W, Näring G, Van der Staak C, van't Pad Bosch Pv, Van de Putte L. Stress caused by rheumatoid arthritis: relation among subjective stressors of the disease, disease status, and well-being. J Behav Med. 1993;16(3):309-21.
• 25. Krol B, Sanderman R, Sanderman R, Suurmeijer T, Doeglas D, Van Rijswijk M, Van Leeuwen M. Disease characteristics, level of self-esteem and psychological well-being in rheumatoid arthritis patients. Scand J Rheumatol. 1994;23(1):8-12.
• 26. Murphy H, Dickens C, Creed F, Bernstein R. Depression, illness perception and coping in rheumatoid arthritis. J Psychosom Res. 1999;46(2):155-64.
• 27. Katz PP, Yelin EH. The development of depressive symptoms among women with rheumatoid arthritis the role of function. Arthritis Rheum. 1995;38(1):49-56.
• 28. McFarlane A, Brooks P. Determinants of disability in rheumatoid arthritis. Rheumatology. 1988;27(1):7-14.
• 29. Skevington SM, Blackwell F, Britton N. Self‐esteem and perception of attractiveness: An investigation of early rheumatoid arthritis. Br J Med Psychol. 1987;60(1):45-52.
• 30. Sharpe L, Sharpe L, Sensky T, Allard S. The course of depression in recent onset rheumatoid arthritis: the predictive role of disability, illness perceptions, pain and coping. J Psychosom Res. 2001;51(6):713-9.