caa a22 4500 397516843 CHVBK 20180308164621.0 cr unu---uuuuu 161202s1995 xx s 000 0 eng 10.1093/eurpub/5.3.163 doi (NATIONALLICENCE)oxford-10.1093/eurpub/5.3.163 Stressful life events and disability in early rheumatoid arthritis [Elektronische Daten] [FRANCIS GUILLEMIN, BOUDIEN KROL, SERGE BRIANÇON, ROBBERT SANDERMAN, THEO SUURMEIJER, DIRK DOEGLAS, WIM VAN DEN HEUVEL] The objective was to investigate the relationship of stressful life events and disability in early rheumatoid arthritis (RA), taking into account a possible stress-buffering effect of the social network. As part of a European study (EURIDISS), 337 early RA patients in France and The Netherlands (mean disease duration = 2.3 years) were interviewed for life events which had occurred in the past year. The social network composition was assessed using a standardized interview schedule and described by network density and proximity characteristics. Disability was assessed with the Health Assessment Questionnaire (HAQ) cross-culturally adapted to the French and Dutch languages. Subjects reported a median of 2 significant life events over the past year. On average they had 20 persons in their social network. The disability was significantly higher when the number of life events experienced was higher (r = 0.11; p<0.05) and when the number of social network members in monthly contact with the subjects was lower (r = −0.13; p<0.05). Controlling for country, the HAQ score increased significantly with the disease duration, disease activity variables, number of life events related to RA or to another health problem and decreased with the number of social network members. A significant (number of health-related life events)x(number of social network members) cross-product term entered the model which fitted the data better (R2 =0.51). Factors associated with disability are disease duration, disease activity, number of health-related life events and number of social network members in monthly contact. The results suggest a stress-buffering effect of the social network in coping with stressful life events in early RA. © European Journal of Public Health ORIGINAL ARTICLES nationallicence life events nationallicence disability nationallicence social network nationallicence rheumatoid arthritis nationallicence GUILLEMIN FRANCIS School of Public Health, Faculty of Medicine, University of Nancy France aut KROL BOUDIEN Department of Health Sciences, University of Groningen The Netherlands aut BRIANÇON SERGE School of Public Health, Faculty of Medicine, University of Nancy France aut SANDERMAN ROBBERT Department of Health Sciences, University of Groningen The Netherlands aut SUURMEIJER THEO Department of Health Sciences, University of Groningen The Netherlands aut DOEGLAS DIRK Northern Center for Health Care Research, University of Groningen The Netherlands aut VAN DEN HEUVEL WIM Department of Health Sciences, University of Groningen The Netherlands aut The European Journal of Public Health Oxford University Press 5/3(1995), 163-168 1101-1262 5:3<163 1995 5 eurpub https://doi.org/10.1093/eurpub/5.3.163 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/eurpub/5.3.163 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- GUILLEMIN FRANCIS School of Public Health, Faculty of Medicine, University of Nancy France aut NATIONALLICENCE 700 1- KROL BOUDIEN Department of Health Sciences, University of Groningen The Netherlands aut NATIONALLICENCE 700 1- BRIANÇON SERGE School of Public Health, Faculty of Medicine, University of Nancy France aut NATIONALLICENCE 700 1- SANDERMAN ROBBERT Department of Health Sciences, University of Groningen The Netherlands aut NATIONALLICENCE 700 1- SUURMEIJER THEO Department of Health Sciences, University of Groningen The Netherlands aut NATIONALLICENCE 700 1- DOEGLAS DIRK Northern Center for Health Care Research, University of Groningen The Netherlands aut NATIONALLICENCE 700 1- VAN DEN HEUVEL WIM Department of Health Sciences, University of Groningen The Netherlands aut NATIONALLICENCE 773 0- The European Journal of Public Health Oxford University Press 5/3(1995), 163-168 1101-1262 5:3<163 1995 5 eurpub Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford