Open Access
Subscription Access
Open Access
Subscription Access
Understanding the Predictors of Quality
Subscribe/Renew Journal
Rheumatoid arthritis (RA) is an inflammatory disease whose causes are still unknown. RA can be a significant hardship for those who suffer from it and their families. People with RA are afraid of long-term pain, stiffness, and exhaustion from a psychological standpoint. They are concerned about the loss of function, employment impairment, and the disease's potential socioeconomic consequences. Long-term medication can be a potential threat and harm the individual. Most people experience physical and psychosocial issues more than the general population. While compared to a healthy population, patients with RA report lower quality of life in various dimensions which consists of the physical state of health, one's attitude and surroundings, and degree of freedom. The onset of rheumatic diseases significantly affects the quality of life, resulting in a reduction in life satisfaction and well-being. Quality of life constitutes physical, psychological, and social well-being and the ability to participate in daily activities. The goal of this study is to find out what factors influence the quality of life in rheumatoid arthritis patients. A sample of 90 adults diagnosed with RA aged between 40-55 years is chosen from the locality of Kerala. The personal data sheet and standardized questionnaires were used to measure the quality of life, meaning in life, hope, and mindfulness. The study results indicated that hope, meaning in life and mindfulness positively predicted quality of life. The results indicated the interplay of psychological factors of individuals with rheumatoid arthritis which may contribute to designing psychological interventions emphasizing the role of hope, meaning in life, and mindfulness.
Keywords
meaning in life, hope, quality of life, and mindfulness
Subscription
Login to verify subscription
User
Font Size
Information
- Ashe, B., Taylor, M., & Dubouloz, C. J. (2005). The process of change: Listening to transformation in meaning perspectives of adults in arthritis health education groups. Canadian Journal of Occupational Therapy, 72(5), 280-288.
- Bacconnier, L., Nathalie, R., Rene-Marc, F., Philippe, G., Jean-Pierre, D., Jean- Philippe, B., & Bernard, C. (2015). Psychological distress overtime in early rheumatoid arthritis: Results from a longitudinal study in an early arthritis cohort. Rheumatology, 54(3), 520-527.
- Backman, C.L. (2006). Arthritis and pain. Psychosocial aspects in the management of arthritis pain. Arthritis Research and Therapy, 8(6), 1-7.
- Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using selfreport assessment methods to explore facets of mindfulness. Assessment, 13(1), 27- 45.
- Baumeister, R. F., & Wilson, B. (1996). Life stories and the four need for meaning. Psychological Inquiry, 7(4), 322-325.
- Bekenkamp, J., Groothof, H. A. K., Bloemers, W., & Tomic, W. (2014). The relationship between physical health and meaning in life among parents of special needs children. Europe's Journal of Psychology, 10(1), 67-78. https://doi.org/10 .5964/ejop.v10i1.674
- Bernardo, A. B., & Estrellado, A. F. (2014). Measuring hope in the Philippines: Validating the short version of the Locus-of-Hope Scale in Filipino. Social Indicators Research, 119(3), 1649-1661.
- Birnbaum, H., Pike, C., Kaufman, R., Maynchenko, M., Kidolezi, Y., & Cifaldi, M. (2010). Societal cost of rheumatoid arthritis patients in the US. Current Medical Research and Opinion, 26(1), 77-90.
- Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Addressing fundamental questions about mindfulness. Psychological Inquiry, 18(4), 272-281. https://doi.org/10 .1080/10478400701703344
- Cabrera-Marroquin, R., Contreras-Yáñez, I., Alcocer-Castillejos, N., & Pascual- Ramos, V. (2014). Major depressive episodes are associated with poor concordance with therapy in rheumatoid arthritis patients: The impact on disease outcomes. Clinical and Experimental Rheumatology, 32(6), 904-913.
- Clancy, J., & Hasthorpe, H. (2011). Pathophysiology of rheumatoid arthritis: Nature or nurture? Primary Health Care, 21(9), 29-36. https://doi.org/10.7748/phc2011.1 1.21.9.29.c8797
- Da Silva, J. P., & Pereira, A. (2017). Perceived spirituality, mindfulness and quality of life in psychiatric patients. Journal of Religion and Health, 56(1), 130-140.
- DiMatteo, M.R., Heidi, S. L., & Croghan, T.W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101- 2107.
- Dubouloz, C. J., Laporte, D., Hall, M., Ashe, B., & Smith, C. D. (2004). Transformation of meaning perspectives in clients with rheumatoid arthritis. The American Journal of Occupational Therapy, 58(4), 398-407.
- Dufault, K., & Martocchio, B. C. (1985). Symposium on compassionate care and the dying experience. Hope: Its spheres and dimensions. The Nursing Clinics of North America, 20(2), 379-391.
- Dures, E., Isobel, F., Celia, A., Alice, P., Judy, C., Jon, P., Nicholas, A., Marianne, M., & Sarah, H. (2017). Patients' perspectives on the psychological impact of inflammatory arthritis and meeting the associated support needs: Open-ended responses in a multicentre survey. Musculoskeletal Care, 15(3), 175-185.
- Eliott, J. A., & Olver, I. N. (2009). Hope, life, and death: A qualitative analysis of dying cancer patients' talk about hope. Death Studies, 33(7), 609-638.
- Godha, D., Lizheng, S., & Heather, M. (2010). Association between tendency towards depression and severity of rheumatoid arthritis from a national representative sample: The medical expenditure panel survey. Current Medical Research and Opinion, 26(7), 1685-1690.
- George, K. A., Dolatabadi, S., Moran, R., Li, N., Nicassio, P.M., & Weisman, M.H. (2012). Correlates and predictors of disability in vulnerable US Hispanics with rheumatoid arthritis. Arthritis Care and Research, 64(9), 1274-1281.
- Hawker, G.A., Monique, A.M.G., Elizabeth, B., Davis, A.M., French, M.R., Li, Y., Perruccio, A.V., Power, J.D., Sale, J., & Lou, W. (2011). A longitudinal study to explain the pain-depression link in older adults with osteoarthritis. Arthritis Care and Research, 63(10), 1382-1390.
- Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11(3), 255.
- Isik, A., Koca, S.S., Ozturk, A., & Mermi, O. (2007). Anxiety and depression in patients with rheumatoid arthritis. Clinical Rheumatology, 26(6), 872-878.
- Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144-156. https://doi.org/1 0.1093/clipsy.bpg016
- Katz, P.P., Morris, A., & Yelin, E.H. (2006). Prevalence and predictors of disability in valued life activities among individuals with rheumatoid arthritis. Annals of the Rheumatic Diseases, 65(6), 763-769.
- Kojima, M., Kojima, T., Suzuki, S., Oguchi, T., Oba, M., Tsuchiya, H., Sugiura, F., Kanayama, Y., Furukawa, T.A., Tokudome, S., & Ishiguro, N. (2009). Depression, inflammation, and pain in patients with rheumatoid arthritis. Arthritis Care and Research, 61(8), 1018-1024.
- Löwe, B., Willand, L., Eich, W., Zipfel, S., Ho, A.D., Herzog, W., & Fiehn, C. (2004). Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases. Psychosomatic Medicine, 66(3), 395-402.
- Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in medicine. Jama, 300(11), 1350- 1352.
- Mary-Beth, C., & Wallston, K.A. (2010). Problematic social support, family functioning, and subjective well-being in women with rheumatoid arthritis. Women and Health, 50(1), 53-70.
- Marshall, S., Deane, F., Crowe, T., White, A., & Kavanagh, D. (2013). Carers' hope, wellbeing and attitudes regarding recovery. Community Mental Health Journal, 49(3), 344-353.
- Megari, K. (2013). Quality of life in chronic disease patients. Health Psychology research, 1(3), e27.
- Nicassio, P. M., Kay, M. A., Custodio, M. K., Irwin, M. R., Olmstead, R., & Weisman, M. H. (2011). An evaluation of a biopsychosocial framework for health-related quality of life and disability in rheumatoid arthritis. Journal of Psychosomatic Research, 71(2), 79-85.
- Ødegård, S., Finset, A., Mowinckel, P., Kvien, T.K., & Uhlig, T. (2007). Pain and psychological health status over a 10-year period in patients with recent onset rheumatoid arthritis. Annals of the Rheumatic Diseases, 66(9), 1195-1201.
- Oliveira, L. N., de Vilela Araújo, A. T., Branco, J. N. R., De Claudio, J. C. M., Michel, J. L. M., & Machado, R. C. (2021). Mindfulness for patients with rheumatoid arthritis: Systematic review. Research, Society and Development, 10(2), e2610212047- e2610212047.
- Overman, C.L., Bossema, E.R., van Middendorp, H., Wijngaards-de Meij, L., Verstappen, S.M.M., Bulder, M., Jacobs, J.W.G., Bijlsma, J.W.J., & Geenen, R. (2012). The prospective association between psychological distress and disease activity in rheumatoid arthritis: A multilevel regression analysis. Annals of the Rheumatic Diseases, 71(2), 192-197.
- Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115-144.
- Park, C. L., Malone, M. R., Suresh, D. P., Bliss, D., & Rosen, R. I. (2008). Coping, meaning in life, and quality of life in congestive heart failure patients. Quality of Life Research, 17(1), 21-26.
- Perveen, S. (2019). Hope and health related life quality among thalassemic patients. Journal of Psychology and Clinical Psychiatry, 10(2), 73-76.
- Pincus, T., Callahan, L. F., & Vaughn, W. K. (1987). Questionnaire, walking time andbutton test measures of functional capacity as predictive markers for mortality in rheumatoid arthritis. The Journal of Rheumatology, 14(2), 240-251.
- Priya, G., & Kalra, S. (2018). Mindbody interactions and mindfulness meditation in diabetes. European Endocrinology, 14(1), 35.
- Rupp, I., Boshuizen, H. C., Jacobi, C. E., Dinant, H. J., & van den Bos, G. A. (2004). Impact of fatigue on health-related quality of life in rheumatoid arthritis. Arthritis Care and Research, 51(4), 578-585.
- Ryan, S. (1996). Living with rheumatoid arthritis: A phenomenological exploration. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 10(41), 45-48.
- Ryff, C.D., & Singer, B. (1998). The contours of positive human health. Psychological Inquiry, 9(1), 1-28.
- Seligman, M. E., Railton, P., Baumeister, R. F., & Sripada, C. (2013). Navigating into the future or driven by the past. Perspectives on Psychological Science, 8(2), 119- 141.
- Shannon, C.S., Rao, J.K., Winfield, J.B., & Callahan, L.F. (2003). Performance of a generic health-related quality of life measure in a clinic population with rheumatic disease. Arthritis Care and Research: Official Journal of the American College of Rheumatology, 49(5), 658-664.
- Sharpe, L. (2016). Psychosocial management of chronic pain in patients with rheumatoid arthritis: Challenges and solutions. Journal of Pain Research, 9, 137.
- Shih, M., Hootman, J.M., Strine, T.W., Chapman, D.P., & Brady, T.J. (2006). Serious psychological distress in US adults with arthritis. Journal of General Internal Medicine, 21(11), 1160-1166.
- Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., Yoshinobu, L., Gibb, J., Langelle, C., & Harney, P. (1991). Hope Scale. PsycTESTS Dataset. https://doi.org/10.1037/t00088-000
- Snyder, C. R., Feldman, D. B., Taylor, J. D., Schroeder, L. L., & Adams, V. H. (2000). The roles of hopeful thinking in preventing problems and enhancing strengths. Applied and Preventive Psychology, 9(4), 249-269.
- Stang, P., Brandenburg, N., Lane, M., Merikangas, K.R., Von Korff, M., & Kessler, R. (2006). Mental and physical comorbid conditions and days in role among persons with arthritis. Psychosomatic Medicine, 68(1), 152.
- Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80.
- Straub, L.E., & Cisternas, M.G. (2017). Psychological well-being among US adults with arthritis and the unmet need for mental health care. Open Access Rheumatology: Research and Reviews, 9, 101.
- Suh, C. H., Lee, K., Kim, J. W., & Boo, S. (2022). Factors affecting quality of life in patients with rheumatoid arthritis in south Korea: a cross-sectional study. Clinical Rheumatology, 41(2), 367-375.
- Uhlig, T., Loge, J.H., Kristiansen, I.S., & Kvien, T.K. (2007). Quantification of reduced health-related quality of life in patients with rheumatoid arthritis compared to the general population. The Journal of Rheumatology, 34(6), 1241-1247.
- van Zanten, J. J. V., Fenton, S. A., Brady, S., Metsios, G. S., Duda, J. L., & Kitas, G. D. (2020). Mental health and psychological well-being in rheumatoid arthritis during COVID-19 can physical activity help? Mediterranean Journal of Rheumatology, 31(Suppl 2), 284.
- Verduin, P. J., De Bock, G. H., Vliet Vlieland, T. P., Peeters, A. J., Verhoef, J., & Otten, W. (2008). Purpose in life in patients with rheumatoid arthritis. Clinical Rheumatology, 27(7), 899-908.
- Verduin, P. J., De Bock, G. H., Vliet Vlieland, T. P., Peeters, A. J., Verhoef, J., & Otten, W. (2008). Purpose in life in patients with rheumatoid arthritis. Clinical Rheumatology, 27(7), 899-908.
- Wolfe, F., & Michaud, K. (2009). Predicting depression in rheumatoid arthritis: The signal importance of pain extent and fatigue, and comorbidity. Arthritis Care and Research: Official Journal of the American College of Rheumatology, 61(5), 667-673.
- Whoqol Group (1998). Development of the world health organization WHOQOLBREF quality of life assessment. Psychological Medicine, 28(3), 551-558.
- Yılmaz, V., Umay, E., Gündoğdu, İ., Karaahmet, Z.Ö., & Öztürk, A.E. (2017). Rheumatoid arthritis: Are psychological factors effective in disease flare? European Journal of Rheumatology, 4(2), 127.
- Zomorrodi, S., Tabatabaie, S. K. R., Azadfallah, P., Ebrahimidaryani, N., & Arbabi, M. (2015). Long term effects of mindfulness on quality of life in irritable bowel syndrome. Iranian Journal of Psychiatry, 10(2), 100.
Abstract Views: 208
PDF Views: 0