Adjustment in patients with rheumatoid arthritis and their children

Julie M Turner-Cobb, A Steptoe, L Perry, J Axford

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

OBJECTIVE: To assess everyday life stress and emotional adjustment in patients with rheumatoid arthritis (RA) and their children.

METHODS: We conducted a 6 month study of 14 patients with RA with children aged 4-16 years (25 children) and 24 control families (53 children). Life event stress and functional capacity were assessed at the beginning and end of the study, and minor stressors (hassles), positive events (uplifts), and salivary cortisol were recorded weekly. Emotional adjustment was measured monthly in adults by self-report, and bimonthly in children using the Child Behavior Checklist (completed by parents). Social support and psychological coping responses were also measured.

RESULTS: Patients with RA experienced fewer positive events than did controls, and they tended to have smaller support networks. Daily hassle levels correlated with severity of disability, and differences in psychological coping were also observed. Children from RA families reported nearly 50% more hassles per week than did controls, and their social networks were significantly smaller. They were rated as having greater problems of social adjustment than controls. Cortisol concentration was greater among children who experienced more life event stress over the study period, but did not differ between groups.

CONCLUSION: The patients with RA in this study showed good adaptation, but experienced less pleasure in their daily lives. The children of patients with RA may have heightened vulnerability to stress related problems, with fewer social resources and difficulties in behavioral adjustment.

Original languageEnglish
Pages (from-to)565-571
Number of pages7
JournalJournal of Rheumatology
Volume25
Issue number3
Publication statusPublished - 1998

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Social Adjustment
Rheumatoid Arthritis
Psychological Stress
Social Support
Hydrocortisone
Psychology
Pleasure
Child Behavior
Checklist
Self Report
Parents

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Turner-Cobb, J. M., Steptoe, A., Perry, L., & Axford, J. (1998). Adjustment in patients with rheumatoid arthritis and their children. Journal of Rheumatology, 25(3), 565-571.

Adjustment in patients with rheumatoid arthritis and their children. / Turner-Cobb, Julie M; Steptoe, A; Perry, L; Axford, J.

In: Journal of Rheumatology, Vol. 25, No. 3, 1998, p. 565-571.

Research output: Contribution to journalArticle

Turner-Cobb, JM, Steptoe, A, Perry, L & Axford, J 1998, 'Adjustment in patients with rheumatoid arthritis and their children', Journal of Rheumatology, vol. 25, no. 3, pp. 565-571.
Turner-Cobb JM, Steptoe A, Perry L, Axford J. Adjustment in patients with rheumatoid arthritis and their children. Journal of Rheumatology. 1998;25(3):565-571.
Turner-Cobb, Julie M ; Steptoe, A ; Perry, L ; Axford, J. / Adjustment in patients with rheumatoid arthritis and their children. In: Journal of Rheumatology. 1998 ; Vol. 25, No. 3. pp. 565-571.
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AB - OBJECTIVE: To assess everyday life stress and emotional adjustment in patients with rheumatoid arthritis (RA) and their children. METHODS: We conducted a 6 month study of 14 patients with RA with children aged 4-16 years (25 children) and 24 control families (53 children). Life event stress and functional capacity were assessed at the beginning and end of the study, and minor stressors (hassles), positive events (uplifts), and salivary cortisol were recorded weekly. Emotional adjustment was measured monthly in adults by self-report, and bimonthly in children using the Child Behavior Checklist (completed by parents). Social support and psychological coping responses were also measured. RESULTS: Patients with RA experienced fewer positive events than did controls, and they tended to have smaller support networks. Daily hassle levels correlated with severity of disability, and differences in psychological coping were also observed. Children from RA families reported nearly 50% more hassles per week than did controls, and their social networks were significantly smaller. They were rated as having greater problems of social adjustment than controls. Cortisol concentration was greater among children who experienced more life event stress over the study period, but did not differ between groups. CONCLUSION: The patients with RA in this study showed good adaptation, but experienced less pleasure in their daily lives. The children of patients with RA may have heightened vulnerability to stress related problems, with fewer social resources and difficulties in behavioral adjustment.

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