Rheumatoid arthritisThe Impact of Coping Strategies on Mental and Physical Well-Being in Patients with Rheumatoid Arthritis
Section snippets
Study Design and Patients
Analyses were performed in the cross-sectional, international Rheumatoid Arthritis Impact of Disease Questionnaire (RAID) cohort of 434 RA patients coming from 12 European countries (ie, Estonia, the Netherlands, Finland, France, Germany, Greece, Italy, Norway, Romania, Spain, Turkey, the United Kingdom). Inclusion criteria were adult patients with definite RA having the capacity to fill in a questionnaire. All patients were recruited during March 2008 and April 2009. More information on the
Principal Component Analysis of Coping
We first performed a confirmatory principal component analysis to validate the questionnaire's content in a larger cohort. We were able to derive 4 principal components from the overall 18 items that were congruent with previous findings (14): (1) cognitive reframing, (2) distancing, (3) emotional expression, and (4) active problem-solving. Only 1 of the 18 items (ie, “Changed or grew as a person in a good way”) did not show the expected results and had a slightly higher loading on another
Discussion
In this study we show that the principal component structure of the 18-item coping strategy questionnaire was congruent with the findings of the previous study including a smaller RA cohort (14). Cronbach's α coefficients were constantly ≥0.7, indicating satisfactory internal consistency of all coping strategies with respect to their purpose (61). Hence, the use of this questionnaire can be regarded as a reasonable way to measure problem- and emotion-focused coping in RA. Moreover, we show that
Acknowledgments
The authors would like to thank all the investigators and participants that previously took part in the EULAR RAID validation project. The authors would especially like to thank the following investigators and participants for their dedication and support:
Maxime Dougados, MD; Nathalie Rincheval, MSc; Andra Balanescu, MD, PhD, Associate Professor; Dimitrios T. Boumpas, MD, FACP; Sandra Canadelo, EULAR Chair Standing Committee for PARE; Loreto Carmona, MD, PhD; Jean-Pierre Daurès, MD, PhD;
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The RAID validation project was funded by the European League Against Rheumatism (EULAR). The RAID database was used for data analysis of the present study but EULAR was not involved in the study design, analysis, and interpretation of data; writing of the manuscript; or decision to submit this manuscript for publication.