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Het dual-process model: De rol van assimilatie en accommodatie in de aanpassing aan reumatoïde artritis

Ehling, Gina (2013) Het dual-process model: De rol van assimilatie en accommodatie in de aanpassing aan reumatoïde artritis.

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Abstract:Objectives. Persons with rheumatoid arthritis often experience symptoms like pain, fatigue and movement restrictions. Due to these symptoms patients can experience difficulties in attainting personal goals. This longitudinal study examines the influence of goal management strategies – assimilation and accommodation – on the change in the indicators of a successful adaptation to rheumatoid arthritis. These factors are: anxiety, depression, purpose in life, positive affect and satisfaction with family participation, social participation, work participation and autonomous outdoor participation. Methods. 181 patients with rheumatoid arthritis participated in the longitudinal questionnaire study (65% women, mean age: 60 years). First, two repeated measures analyses of variance were conducted to determine if the strategies – assimilation and accommodation – remain stable over the three measurements. Second, eight separate hierarchical multiple-regression analyses were conducted to examine the relative importance of the strategies for the change in the adaptation. Results. Accommodation remains stable over the three measurements. However assimilation does not remain stable over the three measurements. Over the three measurements lower levels of assimilation occurred. Assimilation at the first measurement has no influence on the change in the eight adaptation factors. Accommodation increases the level of purpose in life, positive affect and the satisfaction with social participation one year later. Conclusion. Higher levels of accommodation is for three adjustment factors a better predictor of a change in the successful adaptation to rheumatoid arthritis than assimilation.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/64022
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