Psychosocial Factors in Arthritis
Psychosocial factors play an important role in the etiology and course of rheumatic diseases. In this chapter, we introduce concepts that may aid the reader in understanding the relationship. Psychosocial challenges and physiological mechanisms involved in rheumatic disease manifestations may be best understood within the conceptual framework of stress and the individual response to stress. It has become increasingly evident that psychosocial factors are essential to understanding who is most affected by illness and other stressors, as well as when they are most vulnerable. We end the chapter with a discussion of resilience, as it important to acknowledge the capacities of individuals to cope successfully with their illness.
KeywordsRheumatoid Arthritis Patient Rheumatic Disease Social Connectedness Pain Catastrophizing Fibromyalgia Patient
- 10.Zautra AJ, Yocum DC, Villanueva I, et al. (2003). Immune activation and depression in women with rheumatoid arthritis. J Rheumatol 2003;31:457–463.Google Scholar
- 11.Conner T, Tennen H, Zautra AJ, Affleck G, Armeli S, Fifield J. Coping with chronic arthritis pain in daily life: within-person analyses reveal hidden vulnerability for the formerly depressed. Pain 2006;128:128–135.Google Scholar
- 26.Liotti G. Disorganized/disoriented attachment in the etiology of dissociative disorders. Dissociation, 1992;4:196–204.Google Scholar