title: Emotion regulation predicts change of perceived health in patients with rheumatoid arthritis.
abstract: OBJECTIVE
  To examine whether emotion regulation predicts change of perceived health in patients with rheumatoid arthritis (RA).
  
  
  METHODS
  Sixty six patients (44 female, 22 male; mean (SD) age 57.7 (11.6) years) participated in a prospective study. Hierarchical regression analysis was used to predict change of perceived health between study entry and follow up (1(1/2) years later) from the emotion regulation styles ambiguity, control, orientation, and expression at study entry.
  
  
  RESULTS
  Valuing and intensely experiencing emotions (emotional orientation) predicted a decrease of positive affect. Difficulty recognising and expressing emotions (ambiguity) predicted an increase of perceived disease activity. Emotion regulation showed no associations with change of negative affect and social and physical functioning.
  
  
  CONCLUSIONS
  Two styles of emotion regulation were shown to have a significant though modest role in the prediction of perceived health change in patients with RA. This suggests that the monitoring of emotion regulation may help to identify patients who are at risk for a reduction of perceived health. If our findings were confirmed by experimental research, improving emotion regulation skills might favourably affect perceived health.
authors.affiliation: Department of Health Psychology, Utrecht University, Heidelberglaan 1, PO Box 80.140, 3508 TC Utrecht, The Netherlands. H.vanMiddendorp@fss.uu.nl
authors.forename: H
authors.initials: H
authors.lastname: van Middendorp
authors.forename: R
authors.initials: R
authors.lastname: Geenen
authors.forename: M J
authors.initials: MJ
authors.lastname: Sorbi
authors.forename: L J P
authors.initials: LJ
authors.lastname: van Doornen
authors.forename: J W J
authors.initials: JW
authors.lastname: Bijlsma
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000523:psychology*; D004644:Emotions; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012044:Regression Analysis; D018434:Sickness Impact Profile; D012944:Social Support