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    Serious and Life Threatening Illness

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    maria
    This document summarizes research on coping strategies and psychological impacts for men with rheumatoid arthritis (RA). The study surveyed 280 men and 103 women with RA. Through factor analysis, men were assigned to one of two factors: "Accept & adapt" or "struggling to match up." Men in the struggling group were less likely to be retired, considered themselves less physically active, and more often received biologic therapies. They also used avoidance and resignation coping strategies less, accepted their RA less, and had poorer psychological well-being. Both men and women favored informational support like Q&A sessions, websites, and talks. Overall, women reported more interest in support sessions than men.

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    Serious and Life Threatening Illness

    Uploaded by

    maria
    31 views27 pages
    This document summarizes research on coping strategies and psychological impacts for men with rheumatoid arthritis (RA). The study surveyed 280 men and 103 women with RA. Through factor analysis, men were assigned to one of two factors: "Accept & adapt" or "struggling to match up." Men in the struggling group were less likely to be retired, considered themselves less physically active, and more often received biologic therapies. They also used avoidance and resignation coping strategies less, accepted their RA less, and had poorer psychological well-being. Both men and women favored informational support like Q&A sessions, websites, and talks. Overall, women reported more interest in support sessions than men.

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    Serious and Life Threatening illness

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    This document summarizes research on coping strategies and psychological impacts for men with rheumatoid arthritis (RA). The study surveyed 280 men and 103 women with RA. Through factor analysis, men were assigned to one of two factors: "Accept & adapt" or "struggling to match up." Men in the struggling group were less likely to be retired, considered themselves less physically active, and more often received biologic therapies. They also used avoidance and resignation coping strategies less, accepted their RA less, and had poorer psychological well-being. Both men and women favored informational support like Q&A sessions, websites, and talks. Overall, women reported more interest in support sessions than men.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    31 views27 pages

    Serious and Life Threatening Illness

    Uploaded by

    maria
    This document summarizes research on coping strategies and psychological impacts for men with rheumatoid arthritis (RA). The study surveyed 280 men and 103 women with RA. Through factor analysis, men were assigned to one of two factors: "Accept & adapt" or "struggling to match up." Men in the struggling group were less likely to be retired, considered themselves less physically active, and more often received biologic therapies. They also used avoidance and resignation coping strategies less, accepted their RA less, and had poorer psychological well-being. Both men and women favored informational support like Q&A sessions, websites, and talks. Overall, women reported more interest in support sessions than men.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 27

    Serious and Disabling Chronic Illnesses: Causes, Management, & Coping

    Sohail Aftab
    Maria Fida &
    Shah Sidra
    Chronic Illness
    • Diseases that have slow progress, of longer duration and are not
    contagious.
    Types
    • Alzheimer’s Disease, Arthritis, Asthma, Cancer, Cystic Fibrosis,
    Diabetes, Eating Disorders, Heart Disease, Obesity, Oral Health,
    Sudden Cardiac Arrest in Youth, similar other diseases
    Adjusting to Chronic Illness
    Shock-an Initial Reaction of a sudden discovery of having chronic
    health issue
    2. Emotion focused Strategies
    • Changing the
    perception of the
    problem than
    trying to solve
    the problem
    • Denial: It’s a
    minor issue and I
    can still eat what
    I have been
    eating in the
    past.
    The Effects of Emotion-focused Strategies
    • The physical symptoms are aggravated
    The Need of Making Adjustments
    • Adjustments in
    • Life style
    • Food
    • Exercise are required
    Crisis Theory
    Illness-Related Factors
    • The greater the threat of the disease, the harder is coping with its
    conditions e.g. deformity, moving with machines, odors of medicine,
    muscle spasms and seizures
    Background & Personal Factors
    • Resilient people cope well with their illness
    • They find meanings in the difficult situations
    Other Factors
    • Age, gender,
    social class,
    philosophical and
    religious
    commitments,
    emotional
    maturity and self-
    esteem affect
    their coping
    mechanism
    Physical, Social & Environmental Factors
    • The physical environment of hospital
    • The social relationships and their behavior
    The Coping Process
    • To Crisis Theory
    • Coping begins with Patient’s cognitive appraisal of the chronic
    condition for which they design adaptive tasks and formulate skills to
    do these tasks
    Task Related to the Illness or Treatment
    • Cope with the symptoms of disability
    • Adjusting to the hospital environment & medical procedures
    • And keeping in good terms with health care staff
    General Psychosocial Functioning
    • Control negative feelings and maintain positive approach to the future
    Healthy Self-image
    Healthy Social Relationship
    Dealing with an Uncertain Future
    Role of Family in the Patient’s Coping
    Coping Strategies for the Chronic Health
    Problems
    Strategy Benefit/Explanation

    Denial Saves the patient from getting overwhelmed by the idea


    of being ill for a long time

    Seeking information The patient knows more about the disease and care

    Learning Self-care Giving insulin shots, improves sense of control

    Setting Concrete Goals Attending social get to gathers & maintaining regular
    routine of exercise, diet, etc.

    Getting Instrumental/ Emotional support From friends, practitioners and family

    Considering possible Future Events To be prepared for future and related difficulties

    Gaining a manageable perspective Finding meanings in the leftover life


    A Journey to Adaptation
    • Suffering from Chronic illness requires acceptance of the disease and
    long term efforts to adapt to the ongoing changes in lifestyle, diet and
    social relationships that requires psychological help.
    Coping Strategies Psychological Impact, and
    Support Preferences of Men With Rheumatoid
    Arthritis: A Multicenter Survey (Flurey et al., 2018)
    Research Questions:
    1. Are factors A (‘Accept & adapt’) and B (‘struggling to match up’)
    generalizable across men with RA, and can they be explained by
    demographics, disease status, coping strategies, or psychological status?
    2. Is there a difference in the support preferences of men in factor A, men in
    factor B, and women with RA?
    Research Type
    • Quantitative/Survey: Used two rating scales:
    • A) Numeric Rating Scale (NRS): The survey respondents were asked to
    rate their Rheumatoid Arthritis (RA) symptoms on NRS. ‘The first
    questionnaire also measured coping strategies, acceptance of illness,
    perceived stress, depression and anxiety, and mental well-being’
    (2018). The other questionnaire was about what the patients
    preferred to have as ‘self-management support’, the way help will be
    delivered and what time of the day they would like to receive it
    (2018).
    Method
    No of Responses: 280 Males & 103 Female Patients

    Through factor analysis the items loaded on two factors. Factor A:


    ‘Accept & adapt’, Factor B: ‘struggling to match up’ & third group of
    participants were not assigned to any factor.
    Results: There were no differences between males of group A and
    group B on the basis of demographics.
    Results Continued
    participants assigned to factor B (“struggling to match up”) were less
    likely to be retired, less likely to consider their role to be particularly
    physically active or autonomous, and more of them were receiving
    biologic therapies
    They were more likely to use the coping strategies of confrontation &
    avoidance and resignation and less accepted their RA.
    They had poorer psychological status, with significantly more cases or
    borderline cases of both anxiety and depression than those assigned to
    factor A as well as higher levels of perceived stress and lower levels of
    mental well-being
    Results
    ‘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.’
    Thank you

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