%0 Journal Article
%T Anxiety, Automatic Negative Thoughts, and Unconditional Self-Acceptance in Rheumatoid Arthritis: A Preliminary Study
%A Ramona Palo£¿
%A Loredana V£¿£¿cu
%J ISRN Rheumatology
%D 2014
%R 10.1155/2014/317259
%X Objectives. This research was carried out in two stages: the objectives of the first stage were (1) to identify the existing relationships between the level of anxiety, the frequency of automatic negative thoughts, and unconditional self-acceptance and (2) to capture the existing differences regarding these variables between people diagnosed with rheumatoid arthritis and those with no such medical history. Methods. The sample made up of 50 subjects filled out the following three questionnaires: the Hamilton Anxiety Scale, the Automatic Thoughts Questionnaire, and the Unconditional Self-Acceptance Questionnaire. Results. Psychological anxiety is positively correlated with automatic negative thoughts, while unconditional self-acceptance is negatively correlated with both psychological anxiety and somatic anxiety as well as with automatic negative thoughts. All studied variables were significantly different in rheumatoid arthritis as compared to the control population. Conclusions. The results showed the presence to a greater extent of anxiety and automatic negative thoughts, along with reduced unconditional self-acceptance among people with rheumatoid arthritis. Intervention on these variables through support and counseling can lead to reducing anxiety and depression, to altering the coping styles, and, implicitly, to improving the patients¡¯ quality of life. 1. Introduction Rheumatoid arthritis (RA) is one of the main and most common inflammatory rheumatic diseases that affect the joints, causing chronic pain and disability [1]. Although in arthritis disability has been associated with damaging effect on the joints, gradually, the predictive nature of psychological and social factors has also been acknowledged in increasing disability over time (e.g., attitude towards the disease, coping styles, anxiety, automatic negative thoughts, or depression). This can determine significant influences in carrying out one¡¯s roles, in one¡¯s quality of life and mental health [2]. Fortunately, as the disease progresses, patients can learn how to adapt to it and its consequences, so as to maintain a normal level of distress [3]. The literature explaining rheumatoid arthritis highlights the role played by psychological factors in health-seeking behaviors and in using medical services [4] or in developing counseling and support programs. The self-regulation model suggests the fact that the emotional and cognitive aspects of perceiving the disease guide the response to this illness and determine the efficiency of the coping mechanisms developed by patients. Coping¡ªseen as a
%U http://www.hindawi.com/journals/isrn.rheumatology/2014/317259/