Psychosocial Factors In Arthritis

This book provides an integrative approach for the management and care of the arthritis patient. Many different psychological, social, and behavioral factors have been shown to affect the quality of life of arthritis patients beyond the effects of the disease and the response to medications and treatments. The book establishes a biopsychosocial framework for understanding the interplay between psychological and physical aspects of rheumatic disease and summarizes the research about the psychosocial aspects that affect patients with arthritis, including stress, social support, doctor-patient communication, and sleep patterns. It explores the practice of incorporating psychological and behavioral approaches in the rheumatology clinic in order to surmount the problems of access and enhance the quality of care, promotes a comprehensive perspective on the numerous issues affecting persons with arthritis, and provides clinical guidelines for management. Psychosocial Factors in Arthritis is a valuable resource for behavioral medicine researchers, behavioral clinicians, and a range of arthritis professionals, including rheumatologists, nurses, and other allied health service practitioners.

The main research described in this book is concerned with assessing the interrelationship of psychological adjustment, compliance with medical advice and use of unorthodox treatments in a sample of rheumatoid arthritic out-patients. Basically this research is comprised of four components: two pilot studies; the development and postal administration of an illness knowledge assessment questionnaire; and a 'follow-up' correlational study. pilot study 1, which involved interviews with 18 patients, was a 'question seeking' study - the aim being to develop research questions of relevance to the Subject sample. The findings of this study suggested that poor illness knowledge and consequent misconceptions was contributing to psychological distress and affecting health behaviour among patients. In pilot study 2 a sample of 17 patients were questioned in detail - but using open-ended questions - about their understanding of their condition and treatment. The results of this study supported the impression gained in pilot study 1, that patients were typically ill-informed about their illness and tended, in the absence of correct information, to overestimate "the risks associated with rheumatoid arthritis and underestimate the value of treatments.