title: The psychological impact of arthritis: the effects of illness perception and coping.
abstract: BACKGROUND
  Coping and illness perception are considered to be important contributors in the relationship between physical and psychological factors in rheumatoid arthritis (RA).
  
  
  OBJECTIVE
  The aim of this study was to examine the complex relationship of coping and illness perception on physical and psychological factors in RA using a structural model.
  
  
  METHODS
  We assessed coping, illness perception, depression, anxiety, pain, arthritis-related disability and perceived social support in 68 adults with RA.
  
  
  RESULTS
  Greater pain was detected in patients with increased scores on passive coping scale, greater severity of physical disability and increased depression and anxiety. Illness perception was found to be a mediator in the relationship between physical disability and passive coping on one hand and depression, anxiety and pain on the other.
  
  
  CONCLUSIONS
  The hypothesised structural model has proven to be a useful paradigm for understanding the associations between multiple factors in RA presentation: clinical, emotional, personal and cognitive.
authors.affiliation: UCD School of Psychotherapy, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. dr.yulia@ucd.ie
authors.forename: Y
authors.initials: Y
authors.lastname: Zyrianova
authors.forename: B D
authors.initials: BD
authors.lastname: Kelly
authors.forename: J
authors.initials: J
authors.lastname: Sheehan
authors.forename: C
authors.initials: C
authors.lastname: McCarthy
authors.forename: T G
authors.initials: TG
authors.lastname: Dinan
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000523:psychology*; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D012944:Social Support