Arthritis & Rheumatism, Volume 63,
November 2011 Abstract Supplement

Abstracts of the American College of
Rheumatology/Association of Rheumatology Health Professionals
Annual Scientific Meeting
Chicago, Illinois November 4-9, 2011.

Factors Affecting Role Strain In Patients with Newly Diagnosed Rheumatoid Arthritis.

Coty1,  Mary-Beth, Myers1,  John A., Salt2,  Elizabeth G., Abusalem1,  Said K.

University of Louisville, Louisville, KY
University of Kentucky, Lexington, KY


The purpose of the study was to examine the affect multiple roles, role stress, and key psychosocial variables (self-efficacy, social support) had on role strain in patients with rheumatoid arthritis (RA).


Eighty men and women newly diagnosed with RA (< 4 years) completed questionnaires that assessed roles stress (role conflict, role overload, and lack of role balance), social support, generalized self-efficacy, and role strain (psychological distress, absence of positive affect or life satisfaction). Descriptive statistics, correlation coefficients, and linear regression models were used during data analysis. Four linear regression models were used to determine if role conflict, role overload, and role balance independently predicted overall role strain, psychological distress, positive affect, and satisfaction with life. Self-efficacy and social support were then tested to determine whether they modified these relationships.


This predominantly Caucasian female sample (73.8%) was educated (70.1% had at least some college), employed (58.8%), married or partnered (77.5%), and in their relationship for an extended time (24.42 years). The mean age and duration of disease was 54.2 years and 24.2 months, respectively. Role balance influenced each outcome (p<0.001). Role conflict only affected role strain (p<0.001) and no effect was found from role overload. Self-efficacy modified relationships with role strain (p=0.002) and life-satisfaction (p=0.028). Social support did not modify any relationships.


The findings from this study suggest that the degree of role strain is influenced by perceptions of role stress and feelings of being self-efficacious and less to do with support received from others. Few models exist describing the relationships among multiple role involvement and psychosocial variables that influence psychological well-being in patients with RA. This study makes significant progress towards our understanding of this important health topic


The study was funded by a New Investigator Award from the Arthritis Foundation.

To cite this abstract, please use the following information:
Coty, Mary-Beth, Myers, John A., Salt, Elizabeth G., Abusalem, Said K.; Factors Affecting Role Strain In Patients with Newly Diagnosed Rheumatoid Arthritis. [abstract]. Arthritis Rheum 2011;63 Suppl 10 :2406

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