Skip to main content
Top
Gepubliceerd in:

01-10-2019

Contribution of the self-regulation model to understanding the health related quality of life of rheumatoid arthritis patients

Auteurs: Shiri Shinan-Altman, Shiran Afuta-Goldstein

Gepubliceerd in: Quality of Life Research | Uitgave 2/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

This study examined a comprehensive model that integrates the interrelationships among health-related-quality-of-life (HRQoL), disease duration, disease severity, illness representations, and coping resources regarding patients with Rheumatoid arthritis (RA), based on the Self-regulation model.

Method

A convenience sample of 164 patients with RA completed measures of disease’s characteristics (disease duration, disease status), illness representations (timeline, consequences, self-control, treatment control, symptom burden, concern about RA, understanding RA, emotional representations), coping resources (resilience, social support), HRQoL, and socio-demographic questionnaires. The research model was assessed through path analysis.

Results

Perceptions of higher treatment control, lower consequences of RA and lower symptom burden were directly related to HRQoL. The perceptions of higher self-control, higher treatment control, less concern about RA, and lower emotional representations were associated with higher resilience, which in turn was associated with higher HRQoL. The perceptions of higher treatment control, greater understanding of RA, and lower emotional representations were associated with higher perceived social support; however, social support was not associated with HRQoL.

Conclusions

This study contributes to a better understanding of the determinants of HRQoL among RA patients. The findings indicate that clinical interventions targeting RA patients’ illness representations and resilience may assist patients with RA to improve their HRQoL.
Literatuur
1.
go back to reference Gibofsky, A. (2012). Comparative effectiveness of current treatments for rheumatoid arthritis. The American Journal of Managed Care,18(13 Suppl), S303–S314.PubMed Gibofsky, A. (2012). Comparative effectiveness of current treatments for rheumatoid arthritis. The American Journal of Managed Care,18(13 Suppl), S303–S314.PubMed
2.
3.
go back to reference Cho, S. K., Kim, D., Jun, J. B., Bae, S. C., & Sung, Y. K. (2013). Factors influencing quality of life (QOL) for Korean patients with rheumatoid arthritis (RA). Rheumatology International,33(1), 93–102.CrossRefPubMed Cho, S. K., Kim, D., Jun, J. B., Bae, S. C., & Sung, Y. K. (2013). Factors influencing quality of life (QOL) for Korean patients with rheumatoid arthritis (RA). Rheumatology International,33(1), 93–102.CrossRefPubMed
4.
go back to reference Matcham, F., Scott, I. C., Rayner, L., Hotopf, M., Kingsley, G. H., Norton, S., et al. (2014). The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: A systematic review and meta-analysis. WB Saunders: In Seminars in arthritis and rheumatism. Matcham, F., Scott, I. C., Rayner, L., Hotopf, M., Kingsley, G. H., Norton, S., et al. (2014). The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: A systematic review and meta-analysis. WB Saunders: In Seminars in arthritis and rheumatism.
5.
go back to reference Rumsfeld, J. S., Alexander, K. P., Goff, D. C., Jr., Graham, M. M., Ho, P. M., Masoudi, F. A., et al. (2013). Cardiovascular health: the importance of measuring patient-reported health status: A scientific statement from the American Heart Association. Circulation,127(22), 2233–2249.CrossRefPubMed Rumsfeld, J. S., Alexander, K. P., Goff, D. C., Jr., Graham, M. M., Ho, P. M., Masoudi, F. A., et al. (2013). Cardiovascular health: the importance of measuring patient-reported health status: A scientific statement from the American Heart Association. Circulation,127(22), 2233–2249.CrossRefPubMed
6.
go back to reference Sobota, A., Yamashita, R., Xu, Y., Trachtenberg, F., Kohlbry, P., Kleinert, D. A., et al. (2011). Quality of life in thalassemia: A comparison of SF-36 results from the thalassemia longitudinal cohort to reported literature and the US norms. American Journal of Hematology,86(1), 92–95.CrossRefPubMedPubMedCentral Sobota, A., Yamashita, R., Xu, Y., Trachtenberg, F., Kohlbry, P., Kleinert, D. A., et al. (2011). Quality of life in thalassemia: A comparison of SF-36 results from the thalassemia longitudinal cohort to reported literature and the US norms. American Journal of Hematology,86(1), 92–95.CrossRefPubMedPubMedCentral
7.
go back to reference Liu, L., Xu, X., Xu, N., & Wang, L. (2017). Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: A multi-center, cross-sectional study. Health & Quality of Life Outcomes,15(1), 149–159.CrossRef Liu, L., Xu, X., Xu, N., & Wang, L. (2017). Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: A multi-center, cross-sectional study. Health & Quality of Life Outcomes,15(1), 149–159.CrossRef
8.
go back to reference Senra, H., Rogers, H., Leibach, G., Altamar, M. L., Plaza, S. L., Perrin, P., et al. (2014). Health-related quality of life and depression in a sample of Latin American adults with rheumatoid arthritis. International Journal of Rheumatic Diseases,20(11), 1684–1693.CrossRefPubMed Senra, H., Rogers, H., Leibach, G., Altamar, M. L., Plaza, S. L., Perrin, P., et al. (2014). Health-related quality of life and depression in a sample of Latin American adults with rheumatoid arthritis. International Journal of Rheumatic Diseases,20(11), 1684–1693.CrossRefPubMed
10.
go back to reference Stockl, K. M., Shin, J. S., Lew, H. C., Zakharyan, A., Harada, A. S., Solow, B. K., et al. (2010). Outcomes of a rheumatoid arthritis disease therapy management program focusing on medication adherence. Journal of Managed Care Pharmacy,16(8), 593–604.CrossRefPubMed Stockl, K. M., Shin, J. S., Lew, H. C., Zakharyan, A., Harada, A. S., Solow, B. K., et al. (2010). Outcomes of a rheumatoid arthritis disease therapy management program focusing on medication adherence. Journal of Managed Care Pharmacy,16(8), 593–604.CrossRefPubMed
11.
go back to reference Strand, V., Burmester, G. R., Ogale, S., Devenport, J., John, A., & Emery, P. (2012). Improvements in health-related quality of life after treatment with tocilizumab in patients with rheumatoid arthritis refractory to tumour necrosis factor inhibitors: Results from the 24-week randomized controlled RADIATE study. Rheumatology,51(10), 1860–1869.CrossRefPubMedPubMedCentral Strand, V., Burmester, G. R., Ogale, S., Devenport, J., John, A., & Emery, P. (2012). Improvements in health-related quality of life after treatment with tocilizumab in patients with rheumatoid arthritis refractory to tumour necrosis factor inhibitors: Results from the 24-week randomized controlled RADIATE study. Rheumatology,51(10), 1860–1869.CrossRefPubMedPubMedCentral
12.
go back to reference Wan, S. W., He, H. G., Mak, A., Lahiri, M., Luo, N., Cheung, P. P., et al. (2016). Health-related quality of life and its predictors among patients with rheumatoid arthritis. Applied Nursing Research,30, 176–183.CrossRefPubMed Wan, S. W., He, H. G., Mak, A., Lahiri, M., Luo, N., Cheung, P. P., et al. (2016). Health-related quality of life and its predictors among patients with rheumatoid arthritis. Applied Nursing Research,30, 176–183.CrossRefPubMed
13.
go back to reference Ma, M. H. Y., Ibrahim, F., Kingsley, G. H., Cope, A., & Scott, D. L. (2018). Variable impacts of different remission states on health-related quality of life in rheumatoid arthritis. Clinical and Experimental Rheumatology,36(2), 203–209.PubMed Ma, M. H. Y., Ibrahim, F., Kingsley, G. H., Cope, A., & Scott, D. L. (2018). Variable impacts of different remission states on health-related quality of life in rheumatoid arthritis. Clinical and Experimental Rheumatology,36(2), 203–209.PubMed
14.
go back to reference Michelsen, B., Uhlig, T., Sexton, J., van der Heijde, D., Hammer, H. B., Kristianslund, E. K., et al. (2018). Health-related quality of life in patients with psoriatic and rheumatoid arthritis: data from the prospective multicentre NOR-DMARD study compared with Norwegian general population controls. Annals of the Rheumatic Diseases,77(9), 1290–1294.CrossRefPubMed Michelsen, B., Uhlig, T., Sexton, J., van der Heijde, D., Hammer, H. B., Kristianslund, E. K., et al. (2018). Health-related quality of life in patients with psoriatic and rheumatoid arthritis: data from the prospective multicentre NOR-DMARD study compared with Norwegian general population controls. Annals of the Rheumatic Diseases,77(9), 1290–1294.CrossRefPubMed
15.
go back to reference Berner, C., Erlacher, L., Fenzl, K. H., & Dorner, T. E. (2018). A cross-sectional study on self-reported physical and mental health-related quality of life in rheumatoid arthritis and the role of illness perception. Health & Quality of Life Outcomes,16(1), 238.CrossRef Berner, C., Erlacher, L., Fenzl, K. H., & Dorner, T. E. (2018). A cross-sectional study on self-reported physical and mental health-related quality of life in rheumatoid arthritis and the role of illness perception. Health & Quality of Life Outcomes,16(1), 238.CrossRef
16.
go back to reference Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common sense representation of illness danger. Contributions to Medical Psychology,2, 7–30. Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common sense representation of illness danger. Contributions to Medical Psychology,2, 7–30.
17.
go back to reference Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and Health,17(1), 1–16.CrossRef Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and Health,17(1), 1–16.CrossRef
18.
go back to reference Hyphantis, T., Kotsis, K., Tsifetaki, N., Creed, F., Drosos, A. A., Carvalho, A. F., et al. (2013). The relationship between depressive symptoms, illness perceptions and quality of life in ankylosing spondylitis in comparison to rheumatoid arthritis. Clinical Rheumatology,32(5), 635–644.CrossRefPubMed Hyphantis, T., Kotsis, K., Tsifetaki, N., Creed, F., Drosos, A. A., Carvalho, A. F., et al. (2013). The relationship between depressive symptoms, illness perceptions and quality of life in ankylosing spondylitis in comparison to rheumatoid arthritis. Clinical Rheumatology,32(5), 635–644.CrossRefPubMed
19.
go back to reference Kotsis, K., Voulgari, P. V., Tsifetaki, N., Drosos, A. A., Carvalho, A. F., & Hyphantis, T. (2014). Illness perceptions and psychological distress associated with physical health-related quality of life in primary Sjögren’s syndrome compared to systemic lupus erythematosus and rheumatoid arthritis. Rheumatology International,34(12), 1671–1681.CrossRefPubMed Kotsis, K., Voulgari, P. V., Tsifetaki, N., Drosos, A. A., Carvalho, A. F., & Hyphantis, T. (2014). Illness perceptions and psychological distress associated with physical health-related quality of life in primary Sjögren’s syndrome compared to systemic lupus erythematosus and rheumatoid arthritis. Rheumatology International,34(12), 1671–1681.CrossRefPubMed
20.
go back to reference Jopson, N. M., & Moss-Morris, R. (2003). The role of illness severity and illness representations in adjusting to multiple sclerosis. Journal of Psychosomatic Research,54(6), 503–511.CrossRefPubMed Jopson, N. M., & Moss-Morris, R. (2003). The role of illness severity and illness representations in adjusting to multiple sclerosis. Journal of Psychosomatic Research,54(6), 503–511.CrossRefPubMed
21.
go back to reference Hallas, C. N., Wray, J., Andreou, P., & Banner, N. R. (2011). Depression and perceptions about heart failure predict quality of life in patients with advanced heart failure. Heart and Lung,40(2), 111–121.CrossRefPubMed Hallas, C. N., Wray, J., Andreou, P., & Banner, N. R. (2011). Depression and perceptions about heart failure predict quality of life in patients with advanced heart failure. Heart and Lung,40(2), 111–121.CrossRefPubMed
22.
go back to reference Fan, S. Y., Eiser, C., Ho, M. C., & Lin, C. Y. (2013). Health-related-quality-of-life in patients with hepatocellular carcinoma: The mediation effects of illness perceptions and coping. Psycho-Oncology,22(6), 1353–1360.CrossRefPubMed Fan, S. Y., Eiser, C., Ho, M. C., & Lin, C. Y. (2013). Health-related-quality-of-life in patients with hepatocellular carcinoma: The mediation effects of illness perceptions and coping. Psycho-Oncology,22(6), 1353–1360.CrossRefPubMed
23.
go back to reference Graham, C. D., Weinman, J., Sadjadi, R., Chalder, T., Petty, R., Hanna, M. G., et al. (2014). A multicentre postal survey investigating the contribution of illness perceptions, coping and optimism to quality of life and mood in adults with muscle disease. Clinical Rehabilitation,28(5), 508–519.CrossRefPubMed Graham, C. D., Weinman, J., Sadjadi, R., Chalder, T., Petty, R., Hanna, M. G., et al. (2014). A multicentre postal survey investigating the contribution of illness perceptions, coping and optimism to quality of life and mood in adults with muscle disease. Clinical Rehabilitation,28(5), 508–519.CrossRefPubMed
24.
go back to reference Tiggelman, D., van de Ven, M. O., van Schayck, O. C., Kleinjan, M., & Engels, R. C. (2014). The Common Sense Model in early adolescents with asthma: Longitudinal relations between illness perceptions, asthma control and emotional problems mediated by coping. Journal of Psychosomatic Research,77(4), 309–315.CrossRefPubMed Tiggelman, D., van de Ven, M. O., van Schayck, O. C., Kleinjan, M., & Engels, R. C. (2014). The Common Sense Model in early adolescents with asthma: Longitudinal relations between illness perceptions, asthma control and emotional problems mediated by coping. Journal of Psychosomatic Research,77(4), 309–315.CrossRefPubMed
25.
go back to reference Taylor, S. E., & Stanton, A. L. (2007). Coping resources, coping processes, and mental health. Annual Review of Clinical Psychology,3, 377–401.CrossRefPubMed Taylor, S. E., & Stanton, A. L. (2007). Coping resources, coping processes, and mental health. Annual Review of Clinical Psychology,3, 377–401.CrossRefPubMed
26.
go back to reference Minnock, P., Fitzgerald, O., & Bresnihan, B. (2003). Quality of life, social support, and knowledge of disease in women with rheumatoid arthritis. Arthritis & Rheumatism-Arthritis Care & Research,49(2), 221–227.CrossRef Minnock, P., Fitzgerald, O., & Bresnihan, B. (2003). Quality of life, social support, and knowledge of disease in women with rheumatoid arthritis. Arthritis & Rheumatism-Arthritis Care & Research,49(2), 221–227.CrossRef
27.
go back to reference Sanyal, N., Fernandes, T., Fathi, M., & Khatoon, S. (2017). Illness perception, medication adherence, resilience and quality of life among COPD and arthritis patients. Indian Journal of Health & Wellbeing,8(1), 18–28. Sanyal, N., Fernandes, T., Fathi, M., & Khatoon, S. (2017). Illness perception, medication adherence, resilience and quality of life among COPD and arthritis patients. Indian Journal of Health & Wellbeing,8(1), 18–28.
28.
go back to reference Windle, G. (2011). What is resilience? A review and concept analysis. Reviews in Clinical Gerontology,21(2), 152–169.CrossRef Windle, G. (2011). What is resilience? A review and concept analysis. Reviews in Clinical Gerontology,21(2), 152–169.CrossRef
29.
go back to reference Grünberg, J., Verocay, C., Rébori, A., & Amaral, C. (2005). The promotion of patient resilience in a pediatric dialysis unit: a case report. Humane Medicine [Internet], 5(2), 1–5. Grünberg, J., Verocay, C., Rébori, A., & Amaral, C. (2005). The promotion of patient resilience in a pediatric dialysis unit: a case report. Humane Medicine [Internet], 5(2), 1–5.
30.
go back to reference Hajmohammadi, R., & Shirazi, M. (2017). Predicting resilience via social support and illness perceptions among patients undergoing Hemodialysis. Jundishapur Journal of Chronic Disease Care,6(3), 14427.CrossRef Hajmohammadi, R., & Shirazi, M. (2017). Predicting resilience via social support and illness perceptions among patients undergoing Hemodialysis. Jundishapur Journal of Chronic Disease Care,6(3), 14427.CrossRef
31.
go back to reference Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology,44(1), 127–139.CrossRef Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology,44(1), 127–139.CrossRef
32.
go back to reference Davidson, L. M., & Demaray, M. K. (2007). Social support as a moderator between victimization and internalizing-externalizing distress from bullying. School Psychology Review,36(3), 383–405. Davidson, L. M., & Demaray, M. K. (2007). Social support as a moderator between victimization and internalizing-externalizing distress from bullying. School Psychology Review,36(3), 383–405.
33.
go back to reference Kelly, M. A., Sereika, S. M., Battista, D. R., & Brown, C. (2007). The relationship between beliefs about depression and coping strategies: Gender differences. British Journal of Clinical Psychology,46(3), 315–332.CrossRefPubMed Kelly, M. A., Sereika, S. M., Battista, D. R., & Brown, C. (2007). The relationship between beliefs about depression and coping strategies: Gender differences. British Journal of Clinical Psychology,46(3), 315–332.CrossRefPubMed
34.
go back to reference Edwards, S., Tinning, L., Brown, J. S., Boardman, J., & Weinman, J. (2007). Reluctance to seek help and the perception of anxiety and depression in the United Kingdom: a pilot vignette study. The Journal of Nervous and Mental Disease,195(3), 258–261.CrossRefPubMed Edwards, S., Tinning, L., Brown, J. S., Boardman, J., & Weinman, J. (2007). Reluctance to seek help and the perception of anxiety and depression in the United Kingdom: a pilot vignette study. The Journal of Nervous and Mental Disease,195(3), 258–261.CrossRefPubMed
35.
go back to reference Leventhal, H., Leventhal, E. A., & Contrada, R. J. (1998). Self-regulation, health, and behavior: A perceptual-cognitive approach. Psychology & Health,13(4), 717–733.CrossRef Leventhal, H., Leventhal, E. A., & Contrada, R. J. (1998). Self-regulation, health, and behavior: A perceptual-cognitive approach. Psychology & Health,13(4), 717–733.CrossRef
36.
go back to reference Gong, G., & Mao, J. (2016). Health-related quality of life among Chinese patients with rheumatoid arthritis: The predictive roles of fatigue, functional disability, self-efficacy, and social support. Nursing Research,65(1), 55–67.CrossRefPubMed Gong, G., & Mao, J. (2016). Health-related quality of life among Chinese patients with rheumatoid arthritis: The predictive roles of fatigue, functional disability, self-efficacy, and social support. Nursing Research,65(1), 55–67.CrossRefPubMed
37.
go back to reference Ware, J. E., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care,34, 220–233.CrossRefPubMed Ware, J. E., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care,34, 220–233.CrossRefPubMed
38.
go back to reference Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research,60(6), 631–637.CrossRefPubMed Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research,60(6), 631–637.CrossRefPubMed
39.
go back to reference Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the connor–davidson resilience scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies,20(6), 1019–1028.CrossRef Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the connor–davidson resilience scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies,20(6), 1019–1028.CrossRef
40.
go back to reference Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment,52(1), 30–41.CrossRef Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment,52(1), 30–41.CrossRef
41.
42.
go back to reference Michaud, K., Messer, J., Choi, H. K., & Wolfe, F. (2003). Direct medical costs and their predictors in patients with rheumatoid arthritis: A three-year study of 7,527 patients. Arthritis and Rheumatism,48(10), 2750–2762.CrossRefPubMed Michaud, K., Messer, J., Choi, H. K., & Wolfe, F. (2003). Direct medical costs and their predictors in patients with rheumatoid arthritis: A three-year study of 7,527 patients. Arthritis and Rheumatism,48(10), 2750–2762.CrossRefPubMed
43.
go back to reference Chaigne, B., Finckh, A., Alpizar-Rodriguez, D., Courvoisier, D., Ribi, C., Chizzolini, C., et al. (2017). Differential impact of systemic lupus erythematosus and rheumatoid arthritis on health-related quality of life. Quality of Life Research,26(7), 1767–1775.CrossRefPubMed Chaigne, B., Finckh, A., Alpizar-Rodriguez, D., Courvoisier, D., Ribi, C., Chizzolini, C., et al. (2017). Differential impact of systemic lupus erythematosus and rheumatoid arthritis on health-related quality of life. Quality of Life Research,26(7), 1767–1775.CrossRefPubMed
44.
go back to reference Hagger, M. S., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health,18(2), 141–184.CrossRef Hagger, M. S., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health,18(2), 141–184.CrossRef
45.
go back to reference Helmreich, I., Kunzler, A., Chmitorz, A., König, J., Binder, H., Wessa, M., et al. (2017). Psychological interventions for resilience enhancement in adults. Cochrane Database of Systematic Reviews,2017(2), CD012527.PubMedCentral Helmreich, I., Kunzler, A., Chmitorz, A., König, J., Binder, H., Wessa, M., et al. (2017). Psychological interventions for resilience enhancement in adults. Cochrane Database of Systematic Reviews,2017(2), CD012527.PubMedCentral
46.
go back to reference Bonsaksen, T., Haukeland-Parker, S., Lerdal, A., & Fagermoen, M. S. (2014). A 1-year follow-up study exploring the associations between perception of illness and health-related quality of life in persons with chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease,9, 41.PubMed Bonsaksen, T., Haukeland-Parker, S., Lerdal, A., & Fagermoen, M. S. (2014). A 1-year follow-up study exploring the associations between perception of illness and health-related quality of life in persons with chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease,9, 41.PubMed
47.
go back to reference Chung, M. L., Moser, D. K., Lennie, T. A., & Frazier, S. K. (2013). Perceived social support predicted quality of life in patients with heart failure, but the effect is mediated by depressive symptoms. Quality of Life Research,22(7), 1555–1563.CrossRefPubMed Chung, M. L., Moser, D. K., Lennie, T. A., & Frazier, S. K. (2013). Perceived social support predicted quality of life in patients with heart failure, but the effect is mediated by depressive symptoms. Quality of Life Research,22(7), 1555–1563.CrossRefPubMed
Metagegevens
Titel
Contribution of the self-regulation model to understanding the health related quality of life of rheumatoid arthritis patients
Auteurs
Shiri Shinan-Altman
Shiran Afuta-Goldstein
Publicatiedatum
01-10-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02315-5