An analysis of coping profiles and adjustment in persons with rheumatoid arthritis
Titel:
An analysis of coping profiles and adjustment in persons with rheumatoid arthritis
Auteur:
Smith, Craig A. Wallston, Kenneth A.
Verschenen in:
Anxiety, stress and coping
Paginering:
Jaargang 9 (1996) nr. 2 pagina's 107-122
Jaar:
1996
Inhoud:
The present study adopts a multivariate approach to the analysis of coping and adjustment to chronic illness using two different techniques. First, using the newly developed Vanderbilt Multidimensional Pain Coping Inventory (VMPCI; C. A. Smith et al., 1995), a cluster analysis indicated that a sample of 165 persons with rheumatoid arthritis could be classified into four groups, each characterized by a distinctive coping profile across the 11 coping strategies assessed by the VMPCI. After controlling for differences in arthritis-related pain, the four clusters differed reliably in psychological adjustment as assessed by measures of positive and negative affect, depressive symptoms, and life satisfaction. Second, regression analyses examined whether certain coping strategies interacted in their relations to adjustment when used together. Evidence for several interactions was obtained, and these interactions tended to be outcome specific. These results suggest the adaptational significance of individual coping strategies may often be highly context specific. Overall, the findings indicate considerable value to adopting a multidimensional perspective in the study of coping and adjustment.
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