The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid Arthritis

Aim. Rheumatoid arthritis is one of the most severe chronic diseases. In many cases it leads to disability and results in a decreased quality of life and increased levels of anxiety and depression. The problem that needs to be addressed is the following: which mental processes lead to increased leve...

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Main Authors: Michal Ziarko, Ewa Mojs, Bartosz Piasecki, Wlodzimierz Samborski
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/585063
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author Michal Ziarko
Ewa Mojs
Bartosz Piasecki
Wlodzimierz Samborski
author_facet Michal Ziarko
Ewa Mojs
Bartosz Piasecki
Wlodzimierz Samborski
author_sort Michal Ziarko
collection DOAJ
description Aim. Rheumatoid arthritis is one of the most severe chronic diseases. In many cases it leads to disability and results in a decreased quality of life and increased levels of anxiety and depression. The problem that needs to be addressed is the following: which mental processes lead to increased levels of depression in patients with rheumatoid arthritis? Methods. 210 patients with rheumatoid arthritis hospitalized in rheumatology wards took part in the research. They filled in illness perception questionnaires (IPQ-R) and questionnaires for testing strategies of handling stress (Mini-COPE) and the level of depression (CES-D). Results. The observed correlation coefficients indicate that several elements of the perception of one’s disease moderately contribute to a high level of depression. Moreover, frequent use of dysfunctional coping strategies contributed to high levels of depression. Dysfunctional coping was moderately linked to depression. Conclusion. The conducted analyses confirmed the links between the beliefs about the disease and levels of depression and showed that the use of dysfunctional coping strategies mediates the relationship between the following elements of the representation of the disease: illness coherence, emotional representation, psychological attribution, risk factors, and the level of depression.
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spelling doaj-art-cec6683e68ad4c589ae9ef3bc302aea22025-02-03T07:23:49ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/585063585063The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid ArthritisMichal Ziarko0Ewa Mojs1Bartosz Piasecki2Wlodzimierz Samborski3Adam Mickiewicz University, Institute of Psychology, 89/AB Szamarzewskiego Street, 60-568 Poznan, PolandDepartment of Clinical Psychology, Poznan University of Medical Sciences, 70 Bukowska Street, 60-812 Poznan, PolandDepartment of Clinical Psychology, Poznan University of Medical Sciences, 70 Bukowska Street, 60-812 Poznan, PolandDepartment of Physiotherapy, Rheumatology and Rehabilitation, Poznan University of Medical Sciences, 135/147 28 Czerwca 1956r. Street, 61-545 Poznan, PolandAim. Rheumatoid arthritis is one of the most severe chronic diseases. In many cases it leads to disability and results in a decreased quality of life and increased levels of anxiety and depression. The problem that needs to be addressed is the following: which mental processes lead to increased levels of depression in patients with rheumatoid arthritis? Methods. 210 patients with rheumatoid arthritis hospitalized in rheumatology wards took part in the research. They filled in illness perception questionnaires (IPQ-R) and questionnaires for testing strategies of handling stress (Mini-COPE) and the level of depression (CES-D). Results. The observed correlation coefficients indicate that several elements of the perception of one’s disease moderately contribute to a high level of depression. Moreover, frequent use of dysfunctional coping strategies contributed to high levels of depression. Dysfunctional coping was moderately linked to depression. Conclusion. The conducted analyses confirmed the links between the beliefs about the disease and levels of depression and showed that the use of dysfunctional coping strategies mediates the relationship between the following elements of the representation of the disease: illness coherence, emotional representation, psychological attribution, risk factors, and the level of depression.http://dx.doi.org/10.1155/2014/585063
spellingShingle Michal Ziarko
Ewa Mojs
Bartosz Piasecki
Wlodzimierz Samborski
The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid Arthritis
The Scientific World Journal
title The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid Arthritis
title_full The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid Arthritis
title_fullStr The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid Arthritis
title_full_unstemmed The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid Arthritis
title_short The Mediating Role of Dysfunctional Coping in the Relationship between Beliefs about the Disease and the Level of Depression in Patients with Rheumatoid Arthritis
title_sort mediating role of dysfunctional coping in the relationship between beliefs about the disease and the level of depression in patients with rheumatoid arthritis
url http://dx.doi.org/10.1155/2014/585063
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