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Gepubliceerd in: Journal of Behavioral Medicine 3/2014

01-06-2014

Negative and positive illness representations of rheumatoid arthritis: a latent profile analysis

Auteurs: Sam Norton, Lyndsay D. Hughes, Joseph Chilcot, Amanda Sacker, Sandra van Os, Adam Young, John Done

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2014

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Abstract

This study extends previous work to consider whether individuals with rheumatoid arthritis (RA) can be categorised into groups with similar illness representations. Data from 227 RA patients attending outpatient clinics were collected prospectively at two time points, 6 months apart. The optimal number of illness representation groups at the baseline assessment was identified using latent profile analysis. Two groups of individuals sharing similar illness perception profiles were identified. The smaller group (43 %), characterised by a negative representation of their illness, attributed more symptoms to their condition and reported stronger perceptions of the consequences, chronicity and cyclicality of their condition, and lower control compared to the positive representation group (57 %). Cross-sectionally, membership of the negative representation group was associated with higher levels of pain and functional disability and, longitudinally, with increases in levels of pain, functional disability and distress. These data highlight the central role of illness perceptions in RA and suggest that individuals with RA can be categorised into groups with similar illness representations.
Voetnoten
1
Bentler (2007) has provided guidelines regarding the interpretation if fit statistics in confirmatory factor analysis. A value of the root mean square error of approximation (RMSEA) ≤0.08 indicates acceptable fit, whereas, for the Comparative Fit Index (CFI) and the Tucker Lewis Index (TLI) values ≥0.95 indicate acceptable fit.
 
2
Fit of the expected three-factor structure of the DAPOS was outside acceptable limits (χ Sattora-Bentler 2 (9) = 178.2; RMSEA = 0.290; CFI = 0.907; TLI = 0.907).
 
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Metagegevens
Titel
Negative and positive illness representations of rheumatoid arthritis: a latent profile analysis
Auteurs
Sam Norton
Lyndsay D. Hughes
Joseph Chilcot
Amanda Sacker
Sandra van Os
Adam Young
John Done
Publicatiedatum
01-06-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-013-9506-9

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