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05-02-2022

Coping strategies and quality of life in patients with chronic symptoms visiting a Lyme Center in a Dutch teaching hospital

Auteurs: Anne J. Huiberts, Yolande M. Vermeeren, Thomas van Bemmel, Renske G. Wieberdink, Cornelia H. M. van Jaarsveld, Tizza P. Zomer

Gepubliceerd in: Quality of Life Research | Uitgave 8/2022

Abstract

Introduction

Little is known on coping strategies in patients with chronic symptoms suspected of Lyme borreliosis (LB). Different coping strategies might influence quality of life (QoL). We assessed coping strategies and QoL in patients with chronic symptoms suspected of LB.

Methods

Adult patients referred to the Lyme Center Apeldoorn were included (November 2019–April 2021). Participants completed the RAND-36 to assess QoL and the Utrecht Coping List to assess coping strategies. Patient data were extracted from medical records. Patients were categorized based on clinical LB and serology. Linear regression analyses were conducted to examine an association between coping strategies and QoL subscales.

Results

Included were 201 patients. Patients suspected of LB had a different coping profile and lower QoL compared to the reference population. Patients with negative serology and no clinical LB scored lowest on all QoL subscales. In multivariate analyses, correcting for age, gender, comorbidity, and patient category, a negative association was found between passive coping and the QoL subscales physical functioning (β(SE) = − 1.1(0.5)), social functioning (β(SE) = − 3.3(0.5)), role limitations (emotional) (β(SE) = − 5.5(0.8)), mental health (β(SE) = − 3.7(0.3)), vitality (β(SE) = − 2.3(0.3)), pain (β(SE) = − 2.3(0.5)), and general health (β(SE) = − 2.7(0.3)). A negative association was also found between palliative coping and the QoL subscale role limitations (physical) (β(SE) = − 1.8(0.6)) and between expressing emotions and mental health (β(SE) = − 1.3(0.6)). A positive association was found between active coping and the QoL subscales mental health (β(SE) = 1.0(0.3)) and role limitations (emotional) (β(SE) = 1.9(0.8)).

Conclusion

In patients suspected of LB, dysfunctional coping strategies were associated with worse quality of life. There is a need for interventions that can guide patients with chronic symptoms suspected of LB towards more active coping and increase QoL.

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Titel: Coping strategies and quality of life in patients with chronic symptoms visiting a Lyme Center in a Dutch teaching hospital
Auteurs: Anne J. Huiberts
Yolande M. Vermeeren
Thomas van Bemmel
Renske G. Wieberdink
Cornelia H. M. van Jaarsveld
Tizza P. Zomer
Publicatiedatum: 05-02-2022
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 8/2022
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03094-2

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Methods

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