Session Type: ARHP Concurrent Abstract Session
Session Time: 4:30PM-6:00PM
Background/Purpose: Current RA research reflects the preponderance of women with the condition (30% male). Research in other conditions suggests men need their own health strategy. Our previous Q-methodology study (qualitative and quantitative approach to grouping people according to subjective opinion) found a sample of men with RA (n=30) formed two groups (termed ‘Factors’ in Q-methodology): Factor 1 (“accept and adapt”) take control of other areas of their lives to enable them to accept and adapt to their RA. However, Factor 2 (“struggling to match up”) try to continue masculine activities without accepting physical help or emotional support. The aim is to investigate the existence, distribution, coping strategies and psychological impact of these two groups in the wider male RA population.
Methods: Q-survey methods investigated the distribution of the Q-methodology factors from our previous study in the wider male RA population. Men with RA completed numerical rating scales (NRS) of the statements that define each factor and were assigned to a factor based on a weighted averaging of their scores2. Validated scales were used to measure disease severity (Patient-based DAS: PDAS), coping strategies; acceptance of illness; perceived stress; anxiety; depression and emotional well-being. The survey was sent to a random sample of 620 men with RA. Chi2, ANOVA and t-tests were used to compare responses between the factors (groups) of men.
Results: 293/620 male patients (47%): mean age 66yrs (SD 10.9), dis dur 14yrs (SD 11.3), HAQ 0.56 (SD 0.57), PDAS 4.13 (SD 1.10) Of the 293 men, 12 had missing data, thus 281 were included in the analysis. Of these 61 (22%) were assigned to Factor 1 (“accept and adapt”) and 120 (43%) were assigned to Factor 2 (“struggling to match up”) and 99 (35%) were unassigned due to insufficient difference (<1SD) between the weighted averaged NRS scores The two factors differed significantly on measures of disease status, coping strategies and psychological status. Factor 2 reported higher scores on PDAS, confrontation, avoidance and resignation coping strategies; and perceived stress. Factor 2 had significantly more cases or borderline cases of anxiety and depression than Factor 1. Factor 1 reported higher scores on acceptance of illness and mental well-being (Table 1).
Conclusion: Some men seem able to accept and adapt to their RA, but others (43%) report severe disease, poor coping and poor psychological status. Future research needs to identify effective and appealing support for men with RA, particularly for those who seem to be struggling (Factor 2). References:
|Variable||Factor 1: “Accept and adapt” Mean (SD) / % n=61||Factor 2: “Struggling to match up” Mean (SD) / % n=120||Unassigned Mean (SD) / % n=99|
|Age||68 (10.1) yrs||64 (10.9) yrs||67 (11.0) yrs|
|Disease duration||15 (10.1) yrs||15 (11.1) yrs||14 (12.2) yrs|
|Marital status||69% married||77% married||77% married|
|Employment status||66% retired||54% retired||62% retired|
|Patient Global||18.32 (17.3)||51.02 (25.0)a||35.2 (26.3)|
|MHAQ||0.17 (0.33)||0.85 (0.57)a||0.49 (0.54)|
|PDAS||3.29 (0.62)||4.70 (1.00)a||4.02 (1.07)|
|Confrontation coping||15.98 (3.39)||17.28 (3.41)c||17.09 (3.71)|
|Avoidance coping||13.48 (3.31)||15.74 (3.04)a||14.5 (3.54)|
|Resignation coping||7.25 (1.03)||8.83 (1.67)a||7.74 (1.52)|
|Acceptance of illness||35.03 (5.23)||21.55 (6.66)a||28.93 (7.01)|
|Depression||2% case 2% borderline||22% casea 23% borderlinea||12% case 14% borderline|
|Anxiety||2% case 2% borderline||22% casea 23% borderlinea||13% case 15% borderline|
|Perceived stress||2.48 (2.75)||6.64 (3.30)a||4.33 (3.13)|
|Mental well-being||27.74 (4.92)a||21.74 (4.25)||25.07 (5.12)|
aP=<.000; bp=.010; cp=.015
To cite this abstract in AMA style:Flurey C, Hewlett S, Rodham K, White A, Noddings R, Kirwan J. Self-Reported Psychological Impact and Coping Strategies of Men with RA [abstract]. Arthritis Rheumatol. 2016; 68 (suppl 10). https://acrabstracts.org/abstract/self-reported-psychological-impact-and-coping-strategies-of-men-with-ra/. Accessed December 3, 2020.
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