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Coping Strategies, Psychological Impact, and Support Preferences of Men With Rheumatoid Arthritis: A Multicenter Survey

Flurey, Caroline A., Hewlett, Sarah, RODHAM, Karen, White, Alan, Noddings, Robert and Kirwan, John R. (2018) Coping Strategies, Psychological Impact, and Support Preferences of Men With Rheumatoid Arthritis: A Multicenter Survey. Arthritis Care & Research, 70 (6). pp. 851-860. ISSN 2151-464X

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Abstract or description

Objective
To investigate the existence and distribution of 2 typologies (termed “factors”) of men with rheumatoid arthritis (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 2 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
A total of 295 male patients (47.6%) and 103 female patients (44.4%) responded; 15 male participants had missing data, and 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. The two factors differed significantly, with factor B reporting more severe disease, less effective coping strategies, and poorer psychological status. For support, men favored a question and answer session with a consultant (54%) or specialist nurse (50%), a website for information (69%), a talk by 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.

Conclusion
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 are practical, with a focus on expanding their knowledge.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Flurey, C., Hewlett, S., Rodham, K., White, A., Noddings, R. and Kirwan, J. (2018) Coping strategies, psychological impact and support preferences of men with rheumatoid arthritis: A multicentre survey. Arthritis Care & Research. ISSN 2151-464X, which has been published in final form at http://dx.doi.org/10.1002/acr.23422. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. ** From Crossref via Jisc Publications Router. ** Licence for VoR version of this article starting on 16-04-2018: http://creativecommons.org/licenses/by/4.0/
Uncontrolled Keywords: Rheumatology
Faculty: School of Life Sciences and Education > Psychology
SWORD Depositor: JISC pubrouter
Depositing User: JISC pubrouter
Date Deposited: 20 Aug 2018 15:23
Last Modified: 20 Aug 2018 15:23
URI: http://eprints.staffs.ac.uk/id/eprint/4693

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