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In the previous issue of Arthritis Research and Therapy, Brionez and colleagues show that helplessness, depression, and passive coping account for significant variability in self-reported functional limitations in patients with ankylosing spondylitis, beyond the effect of age, inflammation and radiographic damage.
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Results of regression analyses showed that religious coping accounted for significant unique variance in measures of adjustment (stress-related growth, religious outcome, physical health, mental health, and emotional distress) after controlling for the effects of demographics and global religious measures (frequency of prayer, church attendance, and religious salience).
The two factors, labeled 'functional coping' and 'dysfunctional coping,' accounted for 33.9% and 21.6% of the explained variance.
They found that in patients with AS helplessness, depression and passive coping accounted for significant variability in self-reported functional limitations as measured with the BASFI questionnaire.
Arthritis helplessness, depression, and passive coping accounted for significant variability in self-reported functional limitation beyond demographic and clinical variables in patients with AS.
Three-factor solution using principal component analysis was identified in the CCBQ: will power, compulsive behavior, and negative coping, accounting for 54.6% of the variance.
Together, the variables of the transactional stress and coping model accounted for 39 and 43% of the variance in mother-reported internalizing and externalizing behavior problems and for 68% of the variance in child-reported problems.
To examine whether coping strategies accounted for a small, medium, or large amount of the variance in HRQoL, we used Cohen's convention for small (f 2 = .02), medium (f 2 = .15), and large effects (f 2 = .35) [ 39].
In line with the cognitive theory of anxiety (e.g., Beck et al. 1985) and empirical research (e.g., Bögels and Zigterman 2000) we expected that the cognitive errors 'threat conclusion' and 'underestimation of the ability to cope' would account for a significant amount of the variance in anxiety.
We hypothesized that one reason for this finding is that these studies failed to take coping style into account.
In conclusion, our findings point to the importance of taking individual coping strategies into account when evaluating the impact of disease on psychosocial wellbeing.
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