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Coping strategies, psychological impact and support preferences of men with rheumatoid arthritis: a multicentre survey

Flurey, Caroline and Hewlett, Sarah and RODHAM, Karen and White, Alan and Noddings, Robert and Kirwan, John (2017) Coping strategies, psychological impact and support preferences of men with rheumatoid arthritis: a multicentre survey. Arthritis Care & Research. ISSN 0004-3591

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Abstract or description

Objectives To investigate the existence and distribution of two typologies (termed ‘Factors’) of men with RA identified through our previous Q-methodology study (n=30) in a larger sample of men with RA, and whether differences in psychosocial impact or support preferences exist between the two factors, and between men and women with RA.
Methods A postal survey was sent to 620 men with RA from 6 rheumatology units across England, and the support preferences section of the survey was given to 232 women with RA.
Results 295 male patients (47.6%) and 103 female patients (44.4%) responded. Fifteen male participants had missing data, thus 280 were included in the analysis. Of these, 61 (22%) were assigned to Factor A (“accept and adapt”), 120 (35%) were assigned to Factor B (“struggling to match up”) and 99 (35%) were unassigned to either factor.
The two factors differed significantly with Factor B reporting more severe disease, less effective coping strategies and poorer psychological status. For support, men favoured a question and answer session with a consultant (54%) or specialist nurse (50%), a website for information (69%), a talk from researchers (54%), or a symptom management session (54%).
Overall, women reported more interest in support sessions than men, with ≥50% of women reporting interest in nearly every option provided.
Conclusions Some men accept and adapt to their RA, but others (43%) report severe disease, less effective coping and poor psychological status. Men’s preferences for support take the practical form, with a focus on expanding their knowledge.

Funded by Arthritis Research UK – study number: 20210

Item Type: Article
Faculty: School of Life Sciences and Education > Psychology
Depositing User: Library STORE team
Date Deposited: 13 Sep 2017 15:24
Last Modified: 30 Sep 2017 15:35

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