PMID- 20722040
OWN - NLM
STAT- MEDLINE
DCOM- 20110204
LR  - 20151119
IS  - 2151-4658 (Electronic)
IS  - 2151-464X (Linking)
VI  - 63
IP  - 1
DP  - 2011 Jan
TI  - Do spouses know how much fatigue, pain, and physical limitation their partners 
      with rheumatoid arthritis experience? Implications for social support.
PG  - 120-7
LID - 10.1002/acr.20330 [doi]
AB  - OBJECTIVE: To determine whether perceptions of clinical manifestations (fatigue, 
      pain, and physical limitation) of rheumatoid arthritis (RA) differ between 
      spouses and their partners with RA, and to determine whether the differences are 
      associated with the perception of beneficial and problematic spousal social 
      support. METHODS: English-speaking adults with RA of >/= 6 months' duration and 
      their spouses (n = 222 couples) completed standardized questionnaires for 
      fatigue, pain, physical limitation, beneficial spousal support, and problematic 
      spousal support. Spouses completed questionnaires based on their perception of 
      their partner with RA. Agreement scores for fatigue, pain, and physical 
      limitation were calculated by subtracting spouse scores from the scores of the 
      partner with RA. Agreement levels were defined a priori: agreement (within +/- 
      one-half of a minimum clinically important difference [MCID] unit), overestimator 
      (< one-half an MCID), and underestimator (> one-half an MCID). Separate 
      hierarchical linear regression models were used to measure the association 
      between beneficial support and problematic support after adjusting for RA 
      duration, physical health, sex, educational level, relationship duration, and 
      satisfaction. RESULTS: Response rate for couples was 82%. Relative to 
      participants with RA, spouses overestimated fatigue (26%), pain (29%), and 
      physical limitation (39%), and underestimated fatigue (11%), pain (17%), and 
      physical limitation (34%). After statistically controlling for demographic, 
      disease, and psychosocial variables, participants with RA whose spouses 
      underestimated fatigue received more problematic support (R(2) = 3.7%, P = 
      0.002), as did those whose spouses underestimated or overestimated physical 
      limitation (R(2) = 3.4%, P = 0.017). CONCLUSION: Persons with RA perceived more 
      problematic spousal support when their spouse underestimated fatigue, or 
      underestimated or overestimated physical limitation levels.
CI  - Copyright (c) 2011 by the American College of Rheumatology.
FAU - Lehman, Allen J
AU  - Lehman AJ
AD  - Simon Fraser University, and The Arthritis Research Centre of Canada, Vancouver, 
      British Columbia, Canada. alehman@arthritisresearch.ca
FAU - Pratt, Daniel D
AU  - Pratt DD
FAU - DeLongis, Anita
AU  - DeLongis A
FAU - Collins, John B
AU  - Collins JB
FAU - Shojania, Kam
AU  - Shojania K
FAU - Koehler, Barry
AU  - Koehler B
FAU - Offer, Robert
AU  - Offer R
FAU - Esdaile, John M
AU  - Esdaile JM
LA  - eng
GR  - Canadian Institutes of Health Research/Canada
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arthritis Care Res (Hoboken)
JT  - Arthritis care & research
JID - 101518086
SB  - IM
MH  - Activities of Daily Living/*psychology
MH  - Aged
MH  - Arthritis, Rheumatoid/complications/*psychology
MH  - Fatigue/etiology/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain/etiology/*psychology
MH  - Pain Measurement/methods
MH  - *Social Support
MH  - Spouses/*psychology
MH  - Surveys and Questionnaires
EDAT- 2010/08/20 06:00
MHDA- 2011/02/05 06:00
CRDT- 2010/08/20 06:00
PHST- 2010/08/20 06:00 [entrez]
PHST- 2010/08/20 06:00 [pubmed]
PHST- 2011/02/05 06:00 [medline]
AID - 10.1002/acr.20330 [doi]
PST - ppublish
SO  - Arthritis Care Res (Hoboken). 2011 Jan;63(1):120-7. doi: 10.1002/acr.20330.