Purpose in life in patients with rheumatoid arthritis

P. J. M. Verduin · Geertruida H. de Bock · T. P. M. Vliet Vlieland · Andreas J. Peeters · John Verhoef · Wilma Otten

40 citations0/0 files storedClinical Rheumatology

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Optimism, Hope, and Well-being Psychological Well-being and Life Satisfaction Health, psychology, and well-being

Abstract

To evaluate the role of purpose in life among people with rheumatoid arthritis (RA), a questionnaire comprising the Purpose in Life test (PIL) and the purpose in life dimension of the Psychological Well-Being test (PWB-pil) was sent to a random sample of 300 patients with RA. Additional questions comprised sociodemographic and disease characteristics, physical, mental and social functioning, coping (Coping with rheumatic stressors questionnaire), and quality of life (RAND-36). Associations between sociodemographic and disease characteristics, physical, mental and social functioning, and coping on the one side and the two measures of purpose in life on the other side and associations between the two purpose of life measures and physical and mental dimensions of quality of life were assessed by means of univariate and multivariate regression analyses. The response rate was 156 of 300 (52%). The median PIL and PWB-pil scores were 103 (range 63-131) and 82 (41-110), respectively. A lower age, a better mental health status, and an optimistic coping style were significantly associated with both higher PIL and PWB-pil scores, whereas more participation in leisure and/or social activities was associated with a higher PIL score. It was found that the PIL and PWB-pil contributed independently and significantly to the mental component summary scale of the RAND-36. In RA patients, lower age, a better mental health status, an optimistic coping style, and participation in leisure and/or social activities were significantly associated with more sense of purpose in life. Purpose in life pays a significant and independent contribution to the mental component of quality of life. These findings highlight the significance of the concept of purpose in life in patients with RA.

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References

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2013Development and validation of the positive affect and well-being scale for the neurology quality of life (Neuro-QOL) measurement system 2020Assessing meaning & purpose in life: development and validation of an item bank and short forms for the NIH PROMIS®2016Does spirituality confer meaning in life among heart failure patients and cancer survivors?2016The longitudinal relation between patterns of goal management and psychological health in people with arthritis: The need for adaptive flexibility

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