The effects of cognitive distortion and depression on disability in rheumatoid arthritis.
The question explored in this study was: What is the effect of cognitive distortion and depression on disability in arthritis patients when stage of disease is controlled? Patients (N = 165) completed the Sickness Impact Profile, two Cognitive Error Questionnaires, and the Symptom Questionnaire, and were staged for severity of disease. Findings indicated a significant effect of distortion on disability in rheumatoid arthritis patients; however, this effect varied by stage. Distortion and depression best explained total disability in Stage II (R2 = .60 using general distortion; R2 = .58 using arthritis distortion). Future nursing interventions designed to decrease or prevent distortion might reduce disability as well as depression.
Clough
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College of Nursing, University of New Mexico, Albuquerque 87131.
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000503:physiopathology / Q000523:psychology*; D003072:Cognition Disorders / Q000150:complications / Q000451:nursing / Q000523:psychology*; D003866:Depressive Disorder / Q000150:complications / Q000451:nursing / Q000523:psychology*; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires