ArticleRheumatology international2015
Sense of coherence and self-sacrificing defense style as predictors of psychological distress and quality of life in rheumatoid arthritis: a 5-year prospective study.
Article in Rheumatology international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 33 citations in OpenAlex.
- Gratitude and psychological distress among cancer patients undergoing radiotherapy: The chain-mediating roles of optimism and sense of coherence.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Radiographic damage in early rheumatoid arthritis is associated with increased disability but not with pain-a 5-year follow-up study.Arthritis research & therapy · 2023Article
- Life satisfaction, generalized sense of self-efficacy and acceptance of illness in rheumatoid arthritis patients depending on age and severity of the disease.Reumatologia · 2023Article
- Multiple sclerosis and mental health related quality of life: The role of defense mechanisms, defense styles and family environment.AIMS neuroscience · 2023Article
- Personality, Defense Mechanisms and Psychological Distress in Women with Fibromyalgia.Behavioral sciences (Basel, Switzerland) · 2022Article
- A survey of ovarian reserve and quality of life in female survivors of pediatric cancer.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Predictors of unacceptable pain with and without low inflammation over 5 years in early rheumatoid arthritis-an inception cohort study.Arthritis research & therapy · 2021Article
- Associations Between Defence-Style, Eating Disorder Symptoms, and Quality of Life in Community Sample of Women: A Longitudinal Exploratory Study.Frontiers in psychology · 2021Article
- Associations of sense of coherence with psychological distress and quality of life in inflammatory bowel disease.World journal of gastroenterology · 2015Observational
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7 authors at 3 institutions in 2 countries.
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Abstract
Individual differences in adjustment during a disease's course determine psychological response and outcome. This study aimed to investigate prospectively whether coping with health stressors and self-sacrificing defense style could predict psychological adjustment and health-related quality of life (HRQoL) in patients with rheumatoid arthritis (RA). Seventy-four consecutive RA patients attending a rheumatology clinic were assessed for psychological distress (SCL-90-R), sense of coherence (SOC scale), self-sacrificing defense style (Defense Style Questionnaire-88), disease activity (DAS-28), pain, disability (Health Assessment Questionnaire) and HRQoL (World Health Organization Quality of Life Instrument, Short Form) at baseline and 5 years later. Multiple regression and moderator analyses were carried out. The results showed that disease activity (p < .001), pain (p = .005), psychological distress (p = .031), social relations HRQoL (p = .042) and environment HRQoL (p = .020) significantly improved over time. SOC was found an independent predictor of improvement in psychological distress (p = .003), overall general health (p = .002) and social relations HRQoL (p = .004); self-sacrificing independently predicted environment HRQoL (p = .042). The self-sacrificing defense style moderated the relationships between improvement in pain and improvement in overall general health (p = .024) and between improvement in pain and improvement in social relations HRQoL (p = .006). These findings indicate that, in RA, SOC predicts improvement in psychological distress and HRQoL over time, while a self-sacrificing defense style moderates the relationship of pain with HRQoL in the long term. These variables may partly explain inter-individual differences in adaptation to RA. Therefore, the design of psychotherapeutic trials targeting the patients' defensive profiles and coping with health stressors capacities is an important research perspective.
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