Perceived importance of activities of daily living and arthritis helplessness in rheumatoid arthritis

Perceived importance of activities of daily living and arthritis helplessness in rheumatoid arthritis

Hommel KA; Wagner JL; Chaney John M; White MM; Mullins Larry L

A Prospective Investigation

2004

Female; Humans; Male; Pain; Adult; Questionnaires; Prospective Studies; Aged; Middle Aged; Attitude; Activities of Daily Living; Depression; Disability Evaluation; Health Behavior; Arthritis; Rheumatoid; Social Support and Chronic Pain

OBJECTIVE: To examine the contribution of perceived importance of activities of daily living (ADL) to arthritis-specific helplessness in a sample of rheumatoid arthritis (RA) patients over a 1-year period. METHOD: Forty-two individuals from an outpatient rheumatology clinic completed measures of ADL importance, helplessness, depression, pain, and disability; the physician's assistant provided objective ratings of disability. RESULTS: Time 1 importance of ADL predicted a significant amount of variance in Time 2 arthritis helplessness after statistically controlling disease and psychological covariates. Moreover, increased perceived ADL importance predicted decreased arthritis helplessness over the 1-year period. CONCLUSIONS: Results indicate that RA patients' experience of arthritis-specific helplessness may be minimized over time when performing ADL is perceived as important. Furthermore, these findings provide preliminary evidence for one possible antecedent to increased perceptions of arthritis helplessness in individuals with RA.

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