Procesos de afrontamiento y ajuste a la enfermedad en pacientes con artritis reumatoide

  1. Redondo Delgado, Marta M.ª
  2. Miguel Tobal, Juan José
  3. Cano Vindel, Antonio
Journal:
EduPsykhé: Revista de psicología y educación

ISSN: 1579-0207

Year of publication: 2005

Issue Title: cognición y emoción en la psicología clínica

Volume: 4

Issue: 2

Pages: 199-217

Type: Article

More publications in: EduPsykhé: Revista de psicología y educación

Abstract

The current paper explores the role played by coping strategies in Rheumatoid Arthritis (RA), a cronic desease related to high levels of pain, physical impairment and negative emotions. To carry out the research, it has been selected 89 sample of RA patients who have been evaluated with the following tools: Inventario de Valoración y Afrontamiento, IVA; Inventario de Situaciones y Respuestas de Ansiedad Breve, ISRA-B; Cuestionario de Tristeza Depresión, CTD; Inventario de Expresión de Ira Estado-Rasgo, STAXI-2; Frecuencia e Intensidad de Dolor, FID y Health Assessment Questionnaire, HAQ. Correlational analysis as well as regression analysis were carried out, in such way that the latter had coping strategies as the independent variables and desease adjustment as the dependent variables (negative emotions, pain and physical impairment). Results show significative and possitive correlations between two kinds of coping: passive and avoiding, and different adjustments measures (negative emotions, pain, and physical impairment). In regression analysis, those already mentioned coping ways (passive and avoiding) forecast higher levels of pain, physical impairment and negative emotion.

Bibliographic References

  • Amir, M., Neumann, L., Bor, O., Shir, Y., Rubinow, A. y Buskila, D. (2000). Coping styles, anger, social support and suicide risk of women with fibromyalgia syndrome. Journal of Musculoskeletal Pain, 8, 7-20.
  • Anderson, K.O., Bradley, L.A., Young, L.D., McDaniel, L.K. y Wise, C.M. (1985). Rheumatoid Arthritis: review of psychological factors related to etiology, effects and treatment. Psychological Bulletin, 98, 358-387.
  • Aliaga, F. y Capafons, A. (1996). La medida del afrontamiento: revisión crítica de la “Escala de Modos de Coping” (Ways of Coping). Ansiedad y Estrés, 2 (1), 15-26.
  • Brown, G.K. y Nicassio, P.M. (1987). The development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain, 31, 53-65.
  • Cano-Vindel, A. y Miguel-Tobal, J.J. (1999). Valoración, afrontamiento y ansiedad. Ansiedad y Estrés, 5 (2-3), 129-143.
  • Cano-Vindel, A. y Miguel-Tobal, J.J. (1992). Inventario de Valoración y Afrontamiento (IVA). Facultad de Psicología. Universidad Complutense de Madrid. No publicado.
  • Creed, F. (1990). Psychological disorders in rheumatoid arthritis: A growing consensus?. Annals of the Rheumatic Disease, 49, 808-812.
  • Esteve-Vives, J., Batle-Gualda, E. y Reig, A. (1993). Spanish versión of the Health Assessment Questionnaire (HAQ): reliability, validity and transcultural equivalency. Grupo para la Adaptación del HAQ a la población Española. Journal of Rheumatology, 20, 2116-2122.
  • Evers, A.W., Kraaimaat, F.W., Greene, R. y Bijlsma, J.W. (1997). Determinants of Psychological Distress and its course in the first year after diagnosis in rheumatoid arthritis patients. Journal of Behavioral Medicine, 20, 489-504.
  • Felton, B.J., Revenson, T.A. y Hinrichsen, G.A. (1984). Stress and coping in the explanation of psychological adjustment among chronically ill adults. Soc. Sci. Med., 18, 889-898.
  • Folkman, S. y Lazarus, R.S. (1980). An analysis of coping in a middle-age community sample. Journal of Health and Social Behavior, 21, 219-239.
  • Fries, J.F., Spitz, P., Kraines, R.G. y Holman, H. (1980). Measurement of patient outcomes in arthritis. Arthritis and Rheumatism, 23, 137-145.
  • Fry, P.S. y Wong, P.T. (1991). Pain management training in the elderly: Matching interventions with subjects´ coping styles. Stress-Medicine, 7, 93-98.
  • Hagglund, K.J., Haley, W.E., Reveille, J.D. y Alarcón, G.S. (1989). Predicting individual differences in pain and functional impairment among patients with rheumatoid arthritis. Arthritis and Rheumatism, 32, 851-858.
  • Holmes, J.A. y Stevenson, C.A. (1990). Differential effects of avoidant and attentional coping strategies on adaptation to chronic and recent-onset pain. Health Psychology, 9, 577-584.
  • Jiménez García, G., Miguel-Tobal, J.J. y Cano-Vindel, A. (1996). Cuestionario Tridimensional de la Depresión –CTD–. Versión experimental. No publicado.
  • Katz, J., Ritvo, P., Irvine, M.J. y Jackson, M. (1996). Coping with chronic pain. En M. Zeidner y N.S. Endler (Eds.), Handbook of Coping: Theory, Research, Applications. New York: John Wiley & Sons, Inc.
  • Kazis, L.E., Meenan, R.G. y Anderson, J.J. (1983). Pain in the rheumatic diseases: Investigations of a Key health status component. Arthritis and Rheumatism, 26, 1022-1027.
  • Keefe, F.J. y Williams, D.A. (1990). A comparison of coping strategies in chronic pain patients in different age group. Journal of Gerontology, 45, 161-165.
  • León, L., Abásolo, L., Pérez Nieto, M.A., Redondo, M.M. y Jover, J.A. (2005). Dimesiones del dolor en pacientes con incapacidad temporal de origen musculoesquelético. Edupsykhé, 4, 3-18.
  • Lambert, V.A. (1985). Study of factors associated with psychological well-being in rheumatoid arthritis women. Journal of Nursing Scholarship, 17, 343-353.
  • Lazarus R.S. y Folkman S. (1986). Estrés y procesos cognitivos. Barcelona: Ediciones Martínez Roca (Versión original, 1984).
  • Lenhart, R.S. y Ashby, J.S. (1996). Cognitive coping strategies and coping models in relation to chronic pain disability. Journal of Applied Rehabilitation Counseling, 27, 15-18.
  • Lowman, E.W., Miller, S. y Lee, P.R. (1954). Psychological factors in rehabilitation of the chronic rheumatoid arthritis. Annals of Rheumatic Diseases, 13, 312- 316.
  • Meenan, R.F., Yelin, E.H., Nevitt, M. y Epstein, W.V. (1981). The impact of chronic disease. Arthritis and Rheumatism, 24, 544-549.
  • Miguel-Tobal, J.J., Casado, M., Cano-Vindel, A. y Spielberger, C.D. (2001). Inventario de Expresión de Ira Estado-Rasgo –STAXI 2–. Versión española. Madrid: TEA ediciones.
  • Miguel-Tobal, J.J y Cano-Vindel, A. (1994). Inventario de Situaciones y Respuestas de Ansiedad Breve –ISRA. B–. Versión experimental. No publicado.
  • Morgan, C. y Spiegel, T. (1987). The Artritis Coping Skills Inventory. Arthritis and Rheumatism, 30, S193.
  • Parker, J.C., McRae, C., Smarr, K.L., Beck, N.C., Frank, R.G., Anderson, S.K. y Walker, S.E. (1988). Coping strategies in rheumatoid arthritis. Journal of Rheumatology, 15, 1376-1383.
  • Redondo, M.M., Cano-Vindel, A. y Pérez Nieto, M.A. (2001). Afrontamiento y artritis reumatoide: Una revisión crítica. Ansiedad y Estrés, 7(2-3), 139-150.
  • Redondo, M.M. y Miguel-Tobal, J.J. (2001). Escala de frecuencia e intensidad del dolor –FID–. Versión experimental. No publicado.
  • Redondo, M.M., Pérez Nieto, M.A. e Iruarrizaga, I. (2003). Intervención psicológica en artritis reumatoide: caso clínico. Edupsykhé: Revista de Psicología y Psicopedagogía, 2, 27-50
  • Revenson, T.A. y Felton, B.J. (1989). Disability and coping as predictors of psychological adjustment to rheumatoid arthritis. Journal of Consulting and Clinical Psychology, 57, 344-348.
  • Rodríguez-Parra, M.J., Esteve, R. y López, A.E. (2000). Dolor crónico y estrategias de afrontamiento. Análisis y Modificación de Conducta, 26, 391-418.
  • Rosentiel, A.K. y Keefe, F.J. (1983). The use of coping strategies in chronic low back pain patients: relationship to patient functioning and treatment outcome. Behavior and. Therapy, 19, 191-201.
  • Savelkoul, M., Post, M.W., de Witte, L.P. y van den Borne, H.B. (2000). Social support, coping and subjective well-being in patients with chronic rheumatic disorders. Patient Education and Counseling, 39, 205-218.
  • Strahl, C., Kleinknecht, R. A. y Dinnel, D.L. (2000). The role of anxiety, coping and pain self-efficacy in rheumatoid arthritis patient functioning. Behavior Research and Therapy, 38, 863-873.
  • Vidal, M.I., Pérez-Nieto, M.A. y Redondo, M.M. (2005). Intervención psicológica en fibromialgia: un caso clínico. Edupsykhé: Revista de Psicología y Psicopedagogía, 4, 57-74.
  • Weickgenant, A.L., Slater, M.A., Patterson, T.L. y Atkinson, J.H. (1993). Coping activities in chronic low back pain: Relationship with depression. Pain, 53, 95-103.
  • Yelin, E. (1995). Musculoskeletal conditions and employment. Arthritis Care and Research, 8, 311-317.
  • Young, L.D. (1992). Psychological Factors in Rheumatoid Arthritis. Journal of Consulting and Clinical Psychology, 60, 619-627.