Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis

This study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China. A multi-center, cross-sectional...

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Bibliographic Details
Published in:PloS one 2017-03, Vol.12 (3), p.e0173293-e0173293
Main Authors: Xu, NeiLi, Zhao, Shuai, Xue, HongXia, Fu, WenYi, Liu, Li, Zhang, TianQi, Huang, Rui, Zhang, Ning
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis
Arthritis, Rheumatoid - physiopathology
Arthritis, Rheumatoid - psychology
Biology and Life Sciences
Breast cancer
Cancer therapies
Care and treatment
China
Chronic illnesses
Complications and side effects
Diabetes
Effectiveness
Fatigue
Fatigue - psychology
Fatigue tests
Female
Health aspects
Health psychology
Hospitals
Humans
Inflammation
Male
Medical research
Medicine and Health Sciences
Middle Aged
Moderators
Optimism
Patients
People and Places
Quality of life
Regression Analysis
Resampling
Resilience
Resilience, Psychological
Rheumatoid arthritis
Rheumatology
Risk factors
Self Efficacy
Social interactions
Social support
Studies
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Summary:This study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China. A multi-center, cross-sectional study was conducted withinpatients diagnosed with RA in northeast China, in which 305 eligible inpatients were enrolled. The Multidimensional Fatigue Inventory, Multidimensional Scale of Perceived Social Support, Herth Hope Index, Life Orientation Test Revised, General Self-Efficacy Scale and Ego-Resiliency Scale were completed. The associations of PSS, hope, optimism, general self-efficacy and resilience with fatigue and the moderating roles of these positive psychological constructs were tested by hierarchical linear regression. Asymptotic and resampling strategies were utilized to assess the mediating roles of hope, optimism, general self-efficacy and resilience. The mean score of the MFI was 57.88 (SD = 9.50). PSS, hope, optimism and resilience were negatively associated with RA-related fatigue, whereas DAS28-CRP was positively associated. Only resilience positively moderated the PSS-fatigue association (B = 0.03, β = 0.13, P
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0173293