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Patients' coping strategies in the first 2 years of rheumatoid arthritis : a qualitative study

Larsson, Stina ; Larsson, Ingrid LU orcid and Mogard, Elisabeth LU orcid (2025) In EULAR rheumatology open 1(4). p.443-451
Abstract

OBJECTIVES: Rheumatoid arthritis (RA) is a chronic disease that requires lifelong medication and self-management. Few studies have explored the coping strategies patients use to make life manageable after an RA diagnosis, and how these strategies function in the adaptive process of living with RA. The aim was to describe coping strategies patients with RA use to manage everyday life during the first 2 years after diagnosis.

METHODS: A purposeful sample of 22 patients, each with a disease duration of 12 to 20 months, participated in interviews conducted either in focus groups or individually. The study used an abductive qualitative content analysis combining inductive identification of coping strategies with deductive... (More)

OBJECTIVES: Rheumatoid arthritis (RA) is a chronic disease that requires lifelong medication and self-management. Few studies have explored the coping strategies patients use to make life manageable after an RA diagnosis, and how these strategies function in the adaptive process of living with RA. The aim was to describe coping strategies patients with RA use to manage everyday life during the first 2 years after diagnosis.

METHODS: A purposeful sample of 22 patients, each with a disease duration of 12 to 20 months, participated in interviews conducted either in focus groups or individually. The study used an abductive qualitative content analysis combining inductive identification of coping strategies with deductive categorisation.

RESULTS: The analysis revealed various coping strategies and their functions, which were categorised into 10 subcategories and 3 categories. They represented the adaptive processes used by patients to coordinate actions and contingencies within their environment, rely on available social resources, and align preferences with available options.

CONCLUSIONS: During the early years with RA and modern medical care, patients expressed the need to use various coping strategies to manage everyday life. The strategies varied depending on the patient's life situation and context and ranged from making a mental effort, to accepting and adjusting their mindset, to planning and finding solutions.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
EULAR rheumatology open
volume
1
issue
4
pages
443 - 451
external identifiers
  • pmid:42367642
ISSN
3050-7081
DOI
10.1016/j.ero.2025.11.008
language
English
LU publication?
yes
additional info
© 2025 The Author(s).
id
5255baa8-37d0-47ac-82ab-58271c6df6d9
date added to LUP
2026-07-09 15:30:00
date last changed
2026-07-10 07:49:52
@article{5255baa8-37d0-47ac-82ab-58271c6df6d9,
  abstract     = {{<p>OBJECTIVES: Rheumatoid arthritis (RA) is a chronic disease that requires lifelong medication and self-management. Few studies have explored the coping strategies patients use to make life manageable after an RA diagnosis, and how these strategies function in the adaptive process of living with RA. The aim was to describe coping strategies patients with RA use to manage everyday life during the first 2 years after diagnosis.</p><p>METHODS: A purposeful sample of 22 patients, each with a disease duration of 12 to 20 months, participated in interviews conducted either in focus groups or individually. The study used an abductive qualitative content analysis combining inductive identification of coping strategies with deductive categorisation.</p><p>RESULTS: The analysis revealed various coping strategies and their functions, which were categorised into 10 subcategories and 3 categories. They represented the adaptive processes used by patients to coordinate actions and contingencies within their environment, rely on available social resources, and align preferences with available options.</p><p>CONCLUSIONS: During the early years with RA and modern medical care, patients expressed the need to use various coping strategies to manage everyday life. The strategies varied depending on the patient's life situation and context and ranged from making a mental effort, to accepting and adjusting their mindset, to planning and finding solutions.</p>}},
  author       = {{Larsson, Stina and Larsson, Ingrid and Mogard, Elisabeth}},
  issn         = {{3050-7081}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{443--451}},
  series       = {{EULAR rheumatology open}},
  title        = {{Patients' coping strategies in the first 2 years of rheumatoid arthritis : a qualitative study}},
  url          = {{http://dx.doi.org/10.1016/j.ero.2025.11.008}},
  doi          = {{10.1016/j.ero.2025.11.008}},
  volume       = {{1}},
  year         = {{2025}},
}