Psychological distress in rheumatoid arthritis patients: An evaluation within the conservation of resources theory

Dirik, Gulay
Karancı, Ayşe Nuray
Rheumatoid arthritis (RA) is a chronic disease, which can lead to considerable psychological distress. The present study evaluated anxiety and depression symptoms for this chronic and painful illness within the framework of the conservation of resources (COR) theory. Coping strategies, coping self-efficacy, religiousness and social support are very important personal resources, which have been found to protect individuals from psychological distress. The aim of the present study was to examine the predictive values of socio-demographic and illness-related variables, perceived social support, ways of coping, religiousness, arthritis self-efficacy and resource loss for psychological distress in a sample of 117 RA patients from Turkey, a secular, Islamic, non-western developing country. The results revealed that RA patients experience considerable anxiety and depressive symptoms. The results of the regression analysis showed that gender, helplessness coping and resource loss are significant predictors of anxiety, whereas arthritis self-efficacy and resource loss are significant predictors of depression. Resource loss appeared as an important predictor for both anxiety and depression. This finding was consistent with the COR theory. The clinical implications of these findings are discussed.


Variables related to posttraumatic growth in Turkish rheumatoid arthritis patients
Dirik, Gulay; Karancı, Ayşe Nuray (2008-09-01)
Rheumatoid arthritis (RA) is a chronic, deteriorative disease, which can cause great psychological distress. Although RA has negative psychological consequences, it may also lead to positive changes, which has been given relatively little attention in the research literature. The Posttraumatic Growth Inventory (PTGI) has been used to evaluate growth in survivor's thinking, feeling and/or behavior following the experiencing of traumatic or severely adverse life events. The purpose of the current study was to...
Posttraumatic growth and psychological distress among rheumatoid arthritis patients : an evaluation within the conservation of resources theory
Dirik, Gülay; Karancı, Ayşe Nuray; Department of Psychology (2006)
Rheumatoid arthritis (RA) is a chronic, deteriorative disease, which leads to psychological distress. ‘Conservation of Resources theory (COR)’ is a relatively recent stress model, developed by Hobfoll (1988, 1989). This resource-oriented theory is based on the assumption that psychological stress is a reaction to a threat of loss of resources, loss of resources and/or lack of resource gain after investment in resources. Religiousness, coping abilities, coping self-efficacy and social support are very import...
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Erdemli, Özge; Tezcaner, Ayşen; Keskin, Dilek; Department of Engineering Sciences (2013)
Anti-TNFα drugs are widely used in treatment of rheumatoid arthritis. However, long term use of these drugs involves systemic effects. New era in medication involves controlled delivery systems that will provide local sustained release of drug. This study aims to develop a novel intra-articularly injectable etanercept (ETN) loaded poly(ε-caprolactone) (PCL) or methoxypoly(ethyleneglycol)-poly(ε-caprolactone)-methoxypoly(ethyleneglycol) (MPEG-PCL-MPEG) microspheres (patent pending) for the treatment of chron...
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Excessive occupational exposure to Manganese (Mn) has been associated with clinical symptoms resembling idiopathic Parkinson's disease (IPD), impairing cognitive and motor functions. Several studies point towards an involvement of the brain neurotransmitter system in Mn intoxication, which is hypothesized to be disturbed prior to onset of symptoms. Edited Magnetic Resonance Spectroscopy (MRS) offers the unique possibility to measure gamma-amminobutyric acid (GABA) and other neuro-metabolites in vivo non-inv...
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Citation Formats
G. Dirik and A. N. Karancı, “Psychological distress in rheumatoid arthritis patients: An evaluation within the conservation of resources theory,” PSYCHOLOGY & HEALTH, pp. 617–632, 2010, Accessed: 00, 2020. [Online]. Available: