The Use of Avoidance, Adjustment, Interaction and Acceptance Strategies to Handle Participation Restrictions Among Swedish Men with Early Rheumatoid Arthritis

Östlund, Gunnel; Thyberg, Ingrid; Valtersson, Eva; Björk, Mathilda; Sverker, Annette

doi:10.1002/msc.1131

Cited by 9 publications

(32 citation statements)

References 44 publications

(61 reference statements)

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“…However, most situation‐specific strategies used by the participants seemed to depend on the situation rather than the person as socially constructed by the environment (Burr, ). Gender is also understood to be socially constructed, but few gender differences were identified when the strategies of these women were compared with those found in a previous study of men' situation‐specific strategies (Östlund et al, ). The women in our study gave more varied descriptions of their dilemmas, especially in the ICF domains of domestic life and self‐care, than the men in the previous study, and our results might be partly explained by the existence of traditional gender roles, even though it is believed that Swedes experience equity and equal rights in family life and in society.…”

Section: Discussionmentioning

confidence: 92%

“…In the next step of the analysis, the quotes that included dealing with these critical incidents (participation restrictions) were abstracted from the transcripts by one of the interviewers, and organized in tabular form separated by gender. The analysis of situation‐specific coping was first explored in male participants' descriptions by two interviewers independently (Östlund et al, ). The same interviewers categorized the transcripts of the female participants, which included 363 situations.…”

Section: Methodsmentioning

confidence: 99%

“…In a recently published study, coping strategies were analysed in men 3 years after their diagnosis of RA. Four types of situation‐specific coping were identified: adjustments, avoidance, interaction and acceptance strategies, although these were often used in combination (Östlund, Thyberg, Valtersson, Björk, & Sverker, ). The aim of the present study was to explore how women describe their use of situation‐specific coping when managing RA in everyday life.…”

Section: Introductionmentioning

confidence: 99%

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Women's situation‐specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison

Östlund

Björk

Thyberg

et al. 2018

Musculoskeletal Care

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Section: Discussionmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Women's situation‐specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison

Östlund

Björk

Thyberg

et al. 2018

Musculoskeletal Care

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“…Previous findings do suggest that men with early RA may adapt their coping strategies to their situation. 24 …”

Section: Discussionmentioning

confidence: 99%

Identifying different typologies of experiences and coping strategies in men with rheumatoid arthritis: a Q-methodology study

et al. 2016

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ObjectiveTo identify typologies of experiences and coping strategies of men with rheumatoid arthritis (RA).DesignQ-methodology (a qualitative and quantitative approach to grouping people according to their subjective opinion). Men with RA sorted 64 statements relating to their experience of living with RA according to level of agreement across a normal distribution grid. Data were examined using Q-factor analysis.SettingRheumatology outpatient departments in the UK.Participants30 of 65 invited men with RA participated in this study (46%).ResultsAll participants ranked highly the need to be well informed about their medication and the importance of keeping a positive attitude. 2 factors describing the experiences and coping strategies of male patients living with RA were identified: factor A: ‘acknowledge, accept and adapt’ (n=14) take a proactive approach to managing the impact of RA and find different ways of doing things; while factor B: ‘trying to match up to a macho ideal’ (n=8) are determined to continue with their pre-RA lives, and therefore push themselves to carry on even if this causes them pain. They are frustrated and angry due to the impact of RA but they internalise this rather than directing it at others.ConclusionsWhile some men adapt to their RA by renegotiating their masculine identity, others struggle to relinquish their traditional masculine roles. Further research is needed to identify whether the finding that there are 2 distinct groups of men with RA can be generalised, and if so whether the differences can be explained by clinical, social or psychological factors, which may inform different therapeutic approaches.

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“…Masculinity is thought to be socially constructed (36); thus these results may be specific to Western culture and may not be relevant in a different sociocultural context. However, qualitative studies suggest commonalities between the UK and other European countries on the impact of inflammatory arthritis on masculinity (37)(38)(39). Thus, men's coping strategies and preferences for psychological support may be relevant to patients internationally.…”

mentioning

confidence: 99%

Coping Strategies, Psychological Impact, and Support Preferences of Men With Rheumatoid Arthritis: A Multicenter Survey

Flurey

Hewlett

Rodham

et al. 2018

Arthritis Care & Research

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ObjectiveTo investigate the existence and distribution of 2 typologies (termed “factors”) of men with rheumatoid arthritis (RA) identified through our previous Q‐methodology study (n = 30) in a larger sample of men with RA, and whether differences in psychosocial impact or support preferences exist between the 2 factors, and between men and women with RA.MethodsA postal survey was sent to 620 men with RA from 6 rheumatology units across England, and the support preferences section of the survey was given to 232 women with RA.ResultsA total of 295 male patients (47.6%) and 103 female patients (44.4%) responded; 15 male participants had missing data, and thus 280 were included in the analysis. Of these, 61 (22%) were assigned to factor A (“accept and adapt”), 120 (35%) were assigned to factor B (“struggling to match up”), and 99 (35%) were unassigned. The two factors differed significantly, with factor B reporting more severe disease, less effective coping strategies, and poorer psychological status. For support, men favored a question and answer session with a consultant (54%) or specialist nurse (50%), a website for information (69%), a talk by researchers (54%), or a symptom management session (54%). Overall, women reported more interest in support sessions than men, with ≥50% of women reporting interest in nearly every option provided.ConclusionSome men accept and adapt to their RA, but others (43%) report severe disease, less effective coping, and poor psychological status. Men's preferences for support are practical, with a focus on expanding their knowledge.

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The Use of Avoidance, Adjustment, Interaction and Acceptance Strategies to Handle Participation Restrictions Among Swedish Men with Early Rheumatoid Arthritis

Cited by 9 publications

References 44 publications

Women's situation‐specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison

Women's situation‐specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison

Identifying different typologies of experiences and coping strategies in men with rheumatoid arthritis: a Q-methodology study

Coping Strategies, Psychological Impact, and Support Preferences of Men With Rheumatoid Arthritis: A Multicenter Survey

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