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Well-being in Rheumatoid Arthritis: The Effects of Disease Duration and Psychosocial Factors

Gareth J. Treharne

University of Birmingham and Dudley Group of Hospitals NHS Trust, UK, G.J.Treharne{at}bham.ac.uk

George D. Kitas

University of Birmingham and Dudley Group of Hospitals NHS Trust, UK

Antonia C. Lyons

Massey University, New Zealand

David A. Booth

University of Birmingham, UK

This study examined the multivariate relationships of psychosocial factors with well-being in rheumatoid arthritis (RA). Fifty-five patients with early RA (< six months), 52 with intermediate RA (one-seven years) and 47 with established RA (> seven years) completed questionnaires on psychosocial factors and psychological and physical well-being. Illness perceptions related to worse depression and life satisfaction (especially in early RA) and to longer morning stiffness (especially in intermediate RA). Optimism related to lower pain in early and intermediate RA. Social support related to lower fatigue in established RA. Indications for interventions targeted by disease duration are discussed.

Key Words: optimism • psychological well-being • rheumatoid arthritis • social support • symptoms

Journal of Health Psychology, Vol. 10, No. 3, 457-474 (2005)
DOI: 10.1177/1359105305051416
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