Arthritis and Perceptions of Quality of Life: An Examination of Positive and Negative Affect in Rheumatoid Arthritis Patients

Alex J. Zautra, Mary Burleson, Craig A. Smith, Susan J. Blalock, Kenneth A. Wallston, Robert F. DeVellis, Brenda M. DeVellis, Timothy W. Smith

Research output: Contribution to journalArticlepeer-review

110 Scopus citations

Abstract

The utility of measuring both positive and negative affective states for assessing rheumatoid arthritis (RA) patients was examined in 3 independent samples of male and female RA patients (Sample A: 179 women, 48 men; Sample B: 177 women, 24 men; Sample C: 134 women, 38 men). Confirmatory factor analyses of each sample indicated that positive and negative affect constituted separate, negatively correlated factors. The relations among disease variables, coping, and affects were consistent with a model in which coping mediates the relationship between disease variables and positive and negative affect. Patients with higher pain and limitation from RA had higher levels of maladaptive coping, and maladaptive coping was associated with lower positive affect and higher negative affect. Those RAs with higher activity limitation also reported less adaptive coping, which was associated with less positive affect.

Original languageEnglish (US)
Pages (from-to)399-408
Number of pages10
JournalHealth Psychology
Volume14
Issue number5
DOIs
StatePublished - Sep 1995

Keywords

  • affect
  • arthritis
  • coping
  • quality of life

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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