Details

Autor(en) / Beteiligte

• Pritchard, Mary L

Titel

Psychological Aspects of Rheumatoid Arthritis

Ist Teil von

• Recent Research in Psychology

Ort / Verlag

New York, NY : Springer New York

Erscheinungsjahr

1989

Link zum Volltext

• Volltext

Beschreibungen/Notizen

• 1 Introduction -- Rheumatoid Arthritis -- Psychological Issues in Rheumatoid Arthritis -- Plan of the Book -- 2 Psychological Distress in Rheumatoid Arthritis -- Incidence and Nature of Distress -- Explaining Psychological Distress in Rheumatoid Arthritis — Response or Antecedent? -- Predictors of Psychological Distress in Rheumatoid Arthritis -- Positive Reactions to Illness -- 3 Compliance with Medical Advice -- Incidence of Non-Compliance -- Problems with Compliance Research -- Factors Associated with Compliance -- Patient Knowledge -- 4 Unorthodox Treatment Use -- Limitations of Research on Unorthodox Treatment Use -- Why Do People Turn To Unorthodox Treatments? -- The Dimensionality of Unorthodox Treatment Use -- 5 Pilot Study 1 — An Exploration of Psychological Issues in Rheumatoid Arthritis -- Method -- Results and Discussion -- 6 Patients’ Knowledge and Misconceptions about their Illness -- Pilot Study 2 -- Conclusions -- Postal Questionnaire Study --^
• 7 Methodology of the Main Correlational Study -- Subjects -- Interview Schedule -- Questionnaires -- Statistical Analyses -- 8 Psychological Distress — Results and Discussion -- Incidence, Severity and Nature of Psychological Distress -- The Dimensionality of Distress -- Relationship of Adjustment and Demographic Variables -- Disease Variables and Adjustment -- Control and Adjustment -- Illness Knowledge and Adjustment -- Feelings about Conventional Medical Treatment and Adjustment -- Positive Effects of Illness -- Summary -- 9 Compliance with Conventional Medical Treatment — Results and Discussion -- Incidence of Non-Compliance -- The Dimensionality of Compliance -- Pain Locus of Control and Compliance -- Psychological Adjustment and Compliance -- Demographic Variables and Compliance -- Illness Knowledge, Health Beliefs and Compliance -- Summary -- 10 Use of Unorthodox Treatments — Results and Discussion -- Amount and Type of Use --^
• The Reasons Patients Gave for Trying Unorthodox Treatments -- The Dimensionality of Unorthodox Treatment Use -- Disease Variables and Unorthodox Treatment Use -- Psychological Distress and Use of Unorthodox Treatments -- Positive Effects of Illness and Unorthodox Treatment Use -- Pain Locus of Control and Unorthodox Treatment Use -- Conventional Medical Treatment and Unorthodox Treatment Use -- The Sophistication Hypothesis of Unorthodox Treatment Use -- Demographic Variables and Unorthodox Treatment Use -- Summary -- 11 Conclusions -- References
• The main research described in this book is concerned with assessing the interrelationship of psychological adjustment, compliance with medical advice and use of unorthodox treatments in a sample of rheumatoid arthritic out-patients. Basically this research is comprised of four components: two pilot studies; the development and postal administration of an illness knowledge assessment questionnaire; and a 'follow-up' correlational study. pilot study 1, which involved interviews with 18 patients, was a 'question seeking' study - the aim being to develop research questions of relevance to the Subject sample. The findings of this study suggested that poor illness knowledge and consequent misconceptions was contributing to psychological distress and affecting health behaviour among patients. In pilot study 2 a sample of 17 patients were questioned in detail - but using open-ended questions - about their understanding of their condition and treatment. The results of this study supported the impression gained in pilot study 1, that patients were typically ill-informed about their illness and tended, in the absence of correct information, to overestimate "the risks associated with rheumatoid arthritis and underestimate the value of treatments