University of Twente Student Theses


Doelmanagementstrategieën en adaptatie bij reumapatiënten: De rol van self-efficacy

Semlianoi, Britta (2011) Doelmanagementstrategieën en adaptatie bij reumapatiënten: De rol van self-efficacy.

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Abstract:Due to symptoms like pain, joint stiffness and limitations in their mobility, patients with arthritis can have a hard time reaching their goals. This can lead to frustrations, uncertainty about the future, and sometimes even anxiety and mood disorders. People who are facing these challenges can use the following goal management strategies: accommodation, assimilation, disengagement and re-engagement. In addition, some researchers propose a moderating role of re-engagement on the relationship between disengagement and adaptation. Unfortunately, the effect of these strategies on the adaptation of patients with arthritis is still unclear. One objective of this research is therefore to investigate these relationships. Furthermore, there is a growing interest in the so-called “self-efficacy approach” in the treatment of patients with arthritis. Therefore, we investigated if the relationships between self-efficacy for pain and self-efficacy for controlling other arthritis symptoms with adaptation, depression and anxiety can also be verified in this population. As self efficacy is often seen as a predictor of behavior, we investigated if there can be found any association between self efficacy and the use of the different goal management strategies. Considering the inconsistent findings of the association between assimilation and adaptation, depression and anxiety, we also hypothesized that self efficacy could play a moderating role in this regard. The sample consisted of 199 patients (65% female) with arthritis who received and filled in a written questionnaire. On average, the participants were 62 years old and are suffering from their disease for 14.5 years. The statistical methods used were Pearson correlations and Hierarchical Regression Analyses. The results showed that all strategies are positively associated with at least some parts of adaptation and negatively associated with either anxiety or depression, or both. Especially the accommodative strategy played an important role. A moderating effect was also found: Patients scoring high on both disengagement and re-engagement are most likely to be satisfied with their participation and autonomy on the domain family role. Furthermore, self-efficacy for pain and self-efficacy for controlling other arthritis-related symptoms are both positively related to adaptation and negatively related to anxiety and depression. In addition, self-efficacy for controlling other arthritis symptoms is strongly associated with the use of accommodation, assimilation and re-engagement. A practical implication of these results is that the information about the different goal-management strategies should play a central role during arthritis patient education. Special attention should be given to the importance of accommodation and that patients should not feel ashamed when giving up on goals which are difficult to reach. Since self-efficacy for controlling other symptoms of arthritis is related to the use of some strategies, and self-efficacy for pain and self-efficacy for controlling other arthritis symptoms are both related to a better psychological outcome, this research strongly supports the “self-efficacy approach” as stated by Taal, Rasker and Wiegman (1996).
Item Type:Essay (Bachelor)
Medisch Spectrum Twente
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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