Spondyloarthritis & psoriatic arthritis
Coping with rheumatic stressors in long-standing axial spondyloarthritis: association with patient and disease characteristics
Authors' conclusion
Coping strategies in axSpA are more strongly influenced by stable personal traits than by variable health scores and remain stable over time, suggesting coping reflects individual disposition rather than disease state.
Study context
- Population
- Persons with long-standing axSpA in the Outcome in AS International Study (OASIS); coping assessed at year four and six of follow-up
- Participants
- 116 persons
- Outcome
- Use of eight coping strategies (COping with Rheumatic Stressors (CORS), score 1-4) and their associated factors; change over time
- Follow-up
- Year four and six
Methodological detailsmultivariable Generalized Estimation Equations (GEE)
- Multivariable Generalized Estimation Equations (GEE)
Main finding
As reported in the abstract
Optimism, mean (SD)
3.1
0.5
Comforting cognitions, mean (SD)
3.0
0.5
Showing consideration, mean (SD)
2.8
0.4
Observational data: associations, not effects.
Further findings
Education (higher education linked to more use) and comforting cognitions
- β
- −0.22 (−0.41; −0.03) (95% CI)
Education (higher education linked to more use) and optimism
- β
- −0.28 (−0.49; −0.07) (95% CI)
SF-36 Mental Component Score and comforting cognitions (very weak association)
- β
- 0.01 (0.00; 0.02) (95% CI)
SF-36 Mental Component Score and optimism (very weak association)
- β
- 0.01 (0.00; 0.02) (95% CI)
Fatigue (BASDAI Q1) and decreasing activities
- β
- 0.04 (0.00; 0.09) (95% CI)
Change in coping strategies over time
- Coping strategies did not change over time; range βtime per two years
- −0.04-0.07
Original publication
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