A meta-analysis of coping strategies and psychological distress in rheumatoid arthritis

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2024-05-05 DOI:10.1111/bjhp.12726

Rebecca Hinch, Fuschia M. Sirois

{"title":"A meta-analysis of coping strategies and psychological distress in rheumatoid arthritis","authors":"Rebecca Hinch, Fuschia M. Sirois","doi":"10.1111/bjhp.12726","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>Theory and research indicate that coping plays a central role in the experience of psychological distress in people with rheumatoid arthritis (RA). This study meta-analysed the associations of adaptive and maladaptive coping strategies with psychological distress in people with RA to quantify and better understand the proposed differential relationships, as well as the factors that might influence these links.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Searches of four databases identified eligible studies according to a pre-registered protocol. Two random effects meta-analyses examined the direction and magnitude of the links between adaptive coping (problem-focused and emotional approach coping) and maladaptive coping (emotional avoidance and pre-occupation coping) and psychological distress (stress, anxiety, and depression). Study quality was evaluated using a bespoke tool. Moderator analyses for sample characteristics and distress type were conducted.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Searches identified 16 eligible studies with 46 effects. Meta-analysis of maladaptive coping and distress yielded a significant, medium sized association, <i>k</i> = 12, <i>r</i> = .347, 95% CIs [.23, .46]. Moderator analyses were significant only for type of distress, with effects for depression being larger than that for combined distress. Effects did not vary as a function of age, participant sex, or disease duration. Meta-analysis for adaptive coping was not significant, <i>k</i> = 10, <i>r</i> = −.155, 95% CIs [−.31, .01].</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Findings from this first meta-analysis of coping and distress in RA indicate that maladaptive but not adaptive coping is associated with greater distress. Further research is needed to grow the evidence base to verify the current findings especially with respect to adaptive coping.</p>\n </section>\n </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"29 3","pages":"771-787"},"PeriodicalIF":3.5000,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12726","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjhp.12726","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

Theory and research indicate that coping plays a central role in the experience of psychological distress in people with rheumatoid arthritis (RA). This study meta-analysed the associations of adaptive and maladaptive coping strategies with psychological distress in people with RA to quantify and better understand the proposed differential relationships, as well as the factors that might influence these links.

Methods

Searches of four databases identified eligible studies according to a pre-registered protocol. Two random effects meta-analyses examined the direction and magnitude of the links between adaptive coping (problem-focused and emotional approach coping) and maladaptive coping (emotional avoidance and pre-occupation coping) and psychological distress (stress, anxiety, and depression). Study quality was evaluated using a bespoke tool. Moderator analyses for sample characteristics and distress type were conducted.

Results

Searches identified 16 eligible studies with 46 effects. Meta-analysis of maladaptive coping and distress yielded a significant, medium sized association, k = 12, r = .347, 95% CIs [.23, .46]. Moderator analyses were significant only for type of distress, with effects for depression being larger than that for combined distress. Effects did not vary as a function of age, participant sex, or disease duration. Meta-analysis for adaptive coping was not significant, k = 10, r = −.155, 95% CIs [−.31, .01].

Conclusions

Findings from this first meta-analysis of coping and distress in RA indicate that maladaptive but not adaptive coping is associated with greater distress. Further research is needed to grow the evidence base to verify the current findings especially with respect to adaptive coping.

Abstract Image

查看原文本刊更多论文

类风湿性关节炎患者应对策略和心理困扰的荟萃分析。

目的：理论和研究表明，应对策略在类风湿关节炎（RA）患者的心理压力体验中起着核心作用。本研究对RA患者的适应性应对策略和适应不良应对策略与心理困扰之间的关系进行了荟萃分析，以量化和更好地理解所提出的不同关系，以及可能影响这些关系的因素：方法：根据预先登记的协议，在四个数据库中搜索符合条件的研究。两项随机效应荟萃分析检验了适应性应对（问题集中应对和情绪接近应对）和适应性应对（情绪回避应对和先占应对）与心理困扰（压力、焦虑和抑郁）之间的联系的方向和程度。研究质量采用定制工具进行评估。对样本特征和困扰类型进行了调节分析：搜索发现了 16 项符合条件的研究，共产生了 46 项影响。对适应不良的应对方式和痛苦进行的元分析表明，两者之间存在显著的中度关联，k = 12, r = .347, 95% CIs [.23, .46]。调节因子分析仅对苦恼类型有显著影响，抑郁的影响大于综合苦恼的影响。影响与年龄、参与者性别或病程无关。适应性应对的荟萃分析不显著，k = 10, r = -.155, 95% CIs [-.31, .01]：本研究首次对RA患者的应对方式和痛苦进行了荟萃分析，结果表明，适应不良的应对方式与更大的痛苦相关，而适应性应对方式与更大的痛苦无关。还需要进一步的研究来扩大证据基础，以验证当前的发现，尤其是适应性应对方面的发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.