Are there more than cross‐sectional relationships of social support and support networks with functional limitations and psychological distress in early rheumatoid arthritis? The European Research on Incapacitating Diseases and Social Support Longitudinal Study

Demange, Valérie; Guillemin, Françis; Baumann, Michèle; Suurmeijer, Th.P.B.M.; Moum, Torbjørn; Doeglas, D; Briançon, Serge; Heuvel, W.J.A. van den

doi:10.1002/art.20694

Cited by 33 publications

(28 citation statements)

References 33 publications

(52 reference statements)

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“…Nevertheless, it must be emphasized that social support is a multi-dimensional phenomenon and a number of studies have explored its facets and its specific functions [7,14,26]. Furthermore, an important distinction has to be made in cases where social support can be addressed either as a structure reflecting one's rootedness in the social system or from a functional point of view [27]. According to Cohen [28], it is essential when exploring social support that the type of the support reflects the needs of the situation.…”

Section: Research Papermentioning

confidence: 99%

“…First, the patients were asked whether certain supporting transactions had occurred and how often; second, they were asked how satisfied they had been with the number of these transactions. The patients answered each question on a three-point Likert-type scale (1-3), with a higher score indicating more satisfaction with supportive transactions [27]. The theoretical range was 11-33 for ESS and 7-21 for INS.…”

Section: Social Supportmentioning

confidence: 99%

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Social support and psychological distress in rheumatoid arthritis: a 4-year prospective study

Benka

Nagyová

Rosenberger

et al. 2011

Disability and Rehabilitation

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Introduction:The objective of the study was to investigate the course of psychological distress in early rheumatoid arthritis patients and to explore the strength of its associations with disease-related variables over time. A further aim focused specifically on the associations between social support and psychological distress. Methods: The study had a longitudinal design, with four annual measurements over consecutive years. The course and stability of psychological distress on the individual level were investigated via test-retest correlation coefficients and changes over time were studied using the Friedman test for repeated measurements. Hierarchical regression analysis was performed to analyze the multilinear associations of disease activity, functional disability, joint tenderness, pain and social support with psychological distress. Results: Significant cross-sectional associations were found among functional disability, joint tenderness, pain, emotional support, instrumental support and psychological distress. However, after controlling for the erratic pattern of the disease and the relevant variables, only initial psychological distress and emotional support retained a significant relationship with psychological distress. The final regression model, in which functional disability, pain, emotional support and initial psychological distress were significant variables, explained 36% of the variance in psychological distress. Conclusion:The study stresses the importance of initial psychological distress, which was found to have the highest correlation with psychological distress experienced 4 years later. In addition, higher emotional support and lower pain were found to be the only variables independently associated with lower levels of psychological distress after controlling for the relevant variables.

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Section: Research Papermentioning

confidence: 99%

Section: Social Supportmentioning

confidence: 99%

Social support and psychological distress in rheumatoid arthritis: a 4-year prospective study

Benka

Nagyová

Rosenberger

et al. 2011

Disability and Rehabilitation

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“…Worse physical function may be associated with sociodemographic factors such as elder age, longer disease duration, a lower education level, being single, and female [9,10]. Functional disability was also positively associated with pain intensity and fatigue severity and negatively correlated with social support [11][12][13]. Studies of RA-related functional disability in developed countries reported some controversial conclusions on sociodemographic factors probably for different socioeconomic status and ethnicity.…”

Section: Introductionmentioning

confidence: 98%

Sociodemographic factors associated with functional disability in outpatients with rheumatoid arthritis in Southwest China

Zhao

Chen

2015

Clin Rheumatol

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With the rising number of patients with rheumatoid arthritis (RA), there is a limited understanding about sociodemographic factors that influence functional disability in Chinese patients. In order to provide more targeted interventions to improve health-related quality of life (HRQoL) for patients with RA, we conducted a cross-sectional study to investigate the level and influencing factors of functional disability. Convenient samples were collected in outpatients with RA from a rheumatological center in southwest China from September to December 2013. Data were collected by printed questionnaires, and functional disability was measured by the Health Assessment Questionnaire Disability Index (HAQ-DI). The results showed that 58.48 % of 607 outpatients had functional disability. Patients from rural residents, with lower household income and lower education level, were significantly associated with worse functional disability. Multivariate regression findings showed that pain, age, disease duration, total cost for treatment, and frequency of hospitalization were positively associated with functional disability. Meanwhile, subjective and available social support was the protective predictors for functional disability. The results suggested that systematic intervention and therapies should be provided as early as possible. Patients and health care providers should promote the awareness of the importance of accessible health education in early intervention of RA. Besides, pain management and social support are encouraged to postpone the process of disability of patients and improve the HRQoL. Lastly, but not least, prevention and intervention of RA should be incorporated into public health education.

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“…The social support program produced a significant reduction in trait anxiety after treatment only (Bradlex et al, 1987). Moreover, in the European Research on Incapacitating Diseases and Social Support cohort of patients with early RA it was demonstrated that patients with a greater amount of specific social support or a stronger specific support network experienced less functional limitation and less psychological distress (Demange et al, 2004). Controlled studies of RA patients demonstrated that the ability of self-management behaviours (accommodation, active remediation, perseverance) can decrease impact of RA-related stressors (pain, fatigue, physical limitations, joint changes, and symptom unpredictability) to perform life activities (p < 0.01 -0.0001) (Katz et al, 2005).…”

Section: Wwwintechopencommentioning

confidence: 99%

The Pathogenetic Link Between Stress and Rheumatic Diseases

Malysheva¹,

Baerwald²

2012

Insights and Perspectives in Rheumatology

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Are there more than cross‐sectional relationships of social support and support networks with functional limitations and psychological distress in early rheumatoid arthritis? The European Research on Incapacitating Diseases and Social Support Longitudinal Study

Cited by 33 publications

References 33 publications

Social support and psychological distress in rheumatoid arthritis: a 4-year prospective study

Social support and psychological distress in rheumatoid arthritis: a 4-year prospective study

Sociodemographic factors associated with functional disability in outpatients with rheumatoid arthritis in Southwest China

The Pathogenetic Link Between Stress and Rheumatic Diseases

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