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Problematic and Positive Support in Relation to Depression in People with Rheumatoid Arthritis

Robert P. Riemsma

University of York, UK

Erik Taal

Oene Wiegman

University of Twente, the Netherlands

Johannes J. Rasker

Medisch Spectrum Twente and University of Twente, the Netherlands

George A.W. Bruyn

Medisch Centrum Leeuwarden, the Netherlands

Henk C. Van Paassen

St Franciscus Gasthuis, Rotterdam, the Netherlands

This study focuses on the associations of both positive and problematic aspects of social support with depression in patients with rheumatoid arthritis. In a hierarchical multiple regression analysis we found that stressors such as functional limitations and pain are strongly related to depression. Positive and problematic support each explain an additional significant portion of the variance in depression. More positive support is associated with fewer feelings of depression and more problematic support is associated with more feelings of depression. An interaction effect between positive and problematic social support indicates that the negative aspects of problematic support may be partly diminished by positive support (buffering effect). Patients receiving more problematic support and less positive support experience the most feelings of depression.

Key Words: depression • problematic support • rheumatoid arthritis • social support

Journal of Health Psychology, Vol. 5, No. 2, 221-230 (2000)
DOI: 10.1177/135910530000500212
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