Adjustment in patients with rheumatoid arthritis and their children.
To assess everyday life stress and emotional adjustment in patients with rheumatoid arthritis (RA) and their children.
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.
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.
The patients with RA in this study showed good adaptation, but experienced less pleasure in their daily lives. (...)
Mots-clés Pascal : Polyarthrite rhumatoïde, Evaluation, Qualité vie, Relation interindividuelle, Milieu familial, Enfant, Homme, Stress, Adaptation sociale, Emotion émotivité, Santé mentale, Etude comparative, Chronique, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire, Immunopathologie, Maladie autoimmune, Psychologie
Mots-clés Pascal anglais : Rheumatoid arthritis, Evaluation, Quality of life, Interindividual relation, Family environment, Child, Human, Stress, Social adjustment, Emotion emotionality, Mental health, Comparative study, Chronic, Diseases of the osteoarticular system, Inflammatory joint disease, Immunopathology, Autoimmune disease, Psychology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0170322
Code Inist : 002B15D. Création : 21/07/1998.