The self-regulatory model in women with rheumatoid arthritis: Relationships between illness representations, coping strategies, and illness outcome
Open Access
- 1 November 2005
- journal article
- Published by Wiley in British Journal of Health Psychology
- Vol. 10 (4), 571-587
- https://doi.org/10.1348/135910705x52309
Abstract
Objectives. The self-regulatory model proposes that an individual's cognitive representations of illness threat (illness representations) influence the selection and performance of strategies to cope with that illness (Leventhal, Meyer, & Nerenz, 1980). Also implicit in the model is the proposal that such coping strategies influence illness outcomes. These relationships represent a mediational model (Baron & Kenny, 1986). The aim of the present study is to test the hypothesis that coping strategies partially mediate the relationship between illness representations and illness outcome in women with rheumatoid arthritis. Design and methods. The study is an observational cross-sectional design. Self-report measures of illness representations, coping strategies, and illness outcome were collected from 125 women with rheumatoid arthritis attending rheumatology outpatient clinics. Clinical measures of disease activity and severity were obtained from hospital records. Results. Avoidant and resigned coping were found to partially mediate the relationship between symptom identity and the illness outcome measures of disability and psychiatric morbidity. As in other studies, strong relationships were found between illness representations and illness outcome. Conclusions. The finding that avoidant and resigned coping partially mediated the relationships between the illness representation dimension of symptom identity and two of the illness outcome measures (disability and psychiatric morbidity) provided some support for the hypothesis. However, the hypothesis was not fully supported, as coping did not partially mediate the relationship between any of the other illness representations and illness outcomesKeywords
This publication has 30 references indexed in Scilit:
- The impact of passive coping on rheumatoid arthritis painRheumatology, 2000
- Never the twain shall meet? Closing the gap between coping research and clinical intervention research.American Psychologist, 2000
- Improving arthritis self-management among older adults: ‘Just what the doctor didn't order’British Journal of Health Psychology, 1997
- The Functional Dimensions of Coping scale: Theory, reliability and validityBritish Journal of Health Psychology, 1997
- Pain and disability in osteoarthritis: A review of biobehavioral mechanismsJournal of Behavioral Medicine, 1992
- Attributional processes in rheumatoid arthritis patientsArthritis & Rheumatism, 1987
- Appraisals of control and predictability in adapting to a chronic disease.Journal of Personality and Social Psychology, 1987
- The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology, 1986
- Rheumatoid arthritis: Review of psychological factors related to etiology, effects, and treatment.Psychological Bulletin, 1985
- Self-efficacy: Toward a unifying theory of behavioral change.Psychological Review, 1977