title: Patterns of change over time in learned response to chronic illness among participants in a systemic lupus erythematosus self-help course.
abstract: The findings of this descriptive study of learned response to chronic illness over time of 291 persons having a diagnosis of systemic lupus erythematosus (SLE) who had attended a series of self-management classes demonstrated significant change in learned response over time. Self-help model variables that significantly contributed to the change were uncertainty, depression, enabling skill, self-efficacy, and self-worth. Uncertainty and depression decreased over time while enabling skill, self-efficacy, and self-worth increased. Subjects also demonstrated significant increases in self-help course tied variables of SLE knowledge and both the range and number of rest, relaxation, heat, and exercise activities.
authors.affiliation: University of Arizona College of Nursing, Tucson, AZ 85721, USA.
authors.forename: C J
authors.initials: CJ
authors.lastname: Braden
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D012657:Self-Help Groups / Q000458:organization & administration*; D012803:Sick Role