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The stress process in rheumatoid arthritis

M L Hurwicz¹, E Berkanovic

¹Department of Anthropology, University of Missouri, St. Louis 63121-4499.

The Journal of Rheumatology

|November 1, 1993

Summary

Personal and social resources help explain how rheumatoid arthritis (RA) stressors like pain and disability affect depression. The Stress Process Model effectively describes these relationships in RA patients.

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Area of Science:

Rheumatology
Psychology
Sociology

Background:

Rheumatoid arthritis (RA) significantly impacts patients' quality of life, often leading to increased depressive symptoms.
The Stress Process Model provides a framework for understanding how stressors and resources influence health outcomes.

Purpose of the Study:

To evaluate the applicability of Pearlin's Stress Process Model in the context of rheumatoid arthritis.
To examine the mediating roles of personal and social resources in the relationship between RA-related stressors and depressive symptoms.

Main Methods:

Utilized data from 285 rheumatoid arthritis patients.
Employed the Center for Epidemiologic Studies-Depression (CES-D) scale, Arthritis Impact Measurement Scale (AIMS) for functioning and pain, and the Lubben Social Network scale.
Conducted hierarchical regression analyses with interaction terms to analyze the data.

Main Results:

The observed relationships between RA stressors, resources, and depressive symptoms were substantially consistent with the Stress Process Model.
Personal and social resources demonstrated a mediating effect in the stress process.

Conclusions:

The findings support the Stress Process Model's relevance in understanding depression in rheumatoid arthritis.
Further prospective studies are recommended to establish causal relationships and inform psychosocial intervention design.

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