Department of Medicine, University of Alberta, 4000 Research Transition Facility, 8308-114 Street, T6G 2V2 Edmonton, AB, Canada.
Clin Rheumatol. 2010 Dec;29(12):1445-8. doi: 10.1007/s10067-010-1551-y. Epub 2010 Aug 17.
In pain conditions, active coping has been found to be associated with less severe depression, increased activity level and less functional impairment. Studies indicate that there is a high expectation for chronic disability following a diagnosis of rheumatoid arthritis. The objective of this study was to compare both the expectations and the coping style for rheumatoid arthritis in disease-naïve subjects.
The Vanderbilt Pain Management Inventory was administered to university students. Subjects who had not yet experienced rheumatoid arthritis (RA) and did not know a person with RA were given a vignette concerning a new onset diagnosis of RA and were asked to indicate how likely they were to have thoughts or behaviours indicated in the coping style questionnaire. Subjects also completed expectations regarding daily functioning according to the Stanford Health Assessment Questionnaire (HAQ) for RA.
The mean active coping style score for RA was 27.3 ± 4.6 (40 is the maximum score for active coping). The mean passive coping style score was 26.2 ± 7.0 (50 is the maximum score for passive coping). Those with high passive coping styles had a higher mean expectation score (higher HAQ score) of disability from rheumatoid arthritis. The correlation between passive coping style score and expectation score was 0.48, while the correlation between active coping style score and expectation was -0.34.
Both expectations and coping styles may interact or be co-modifiers in the outcomes of RA patients. Further studies of coping styles and expectations in RA are required.
在疼痛情况下，积极应对被发现与抑郁程度较轻、活动水平提高和功能障碍较少有关。研究表明，类风湿关节炎诊断后，人们对慢性残疾的期望很高。本研究的目的是比较疾病初发患者的预期和类风湿关节炎的应对方式。
范德比尔特疼痛管理量表(Vanderbilt Pain Management Inventory)被用于对大学生进行评估。研究对象尚未经历类风湿关节炎(RA)，也不认识患有 RA 的人，他们会得到一个关于新确诊 RA 的病例，并被要求表明他们有多大可能会出现应对方式问卷中指出的想法或行为。研究对象还根据斯坦福健康评估问卷(HAQ)对 RA 的日常功能完成了预期评估。
RA 的积极应对方式平均得分为 27.3 ± 4.6(40 为积极应对的最高得分)。被动应对方式的平均得分为 26.2 ± 7.0(50 为被动应对的最高得分)。具有较高被动应对方式的人对类风湿关节炎残疾的预期评分(较高的 HAQ 评分)更高。被动应对方式评分与预期评分之间的相关性为 0.48，而积极应对方式评分与预期评分之间的相关性为-0.34。
预期和应对方式都可能在 RA 患者的结局中相互作用或共同调节。需要进一步研究 RA 中的应对方式和预期。
