Spouse Confidence in Self-Efficacy for Arthritis Management Predicts Improved Patient Health |
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Authors: | Judith Gere Ph.D. Lynn M. Martire Ph.D. Francis J. Keefe Ph.D. Mary Ann Parris Stephens Ph.D. Richard Schulz Ph.D. |
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Affiliation: | 1. Kent State University, Kent, OH, USA 5. Department of Psychology, Kent State University, 211 Kent Hall, Kent, OH, 44242, USA 2. Penn State University, State College, PA, USA 3. Duke University, Durham, NC, USA 4. University of Pittsburgh, Pittsburgh, PA, USA
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Abstract: | Background In addition to patient self-efficacy, spouse confidence in patient efficacy may also independently predict patient health outcomes. However, the potential influence of spouse confidence has received little research attention. Purpose The current study examined the influence of patient and spouse efficacy beliefs for arthritis management on patient health. Methods Patient health (i.e., arthritis severity, perceived health, depressive symptoms, lower extremity function), patient self-efficacy, and spouse confidence in patients’ efficacy were assessed in a sample of knee osteoarthritis patients (N?=?152) and their spouses at three time points across an 18-month period. Data were analyzed using structural equation models. Results Consistent with predictions, spouse confidence in patient efficacy for arthritis management predicted improvements in patient depressive symptoms, perceived health, and lower extremity function over 6 months and in arthritis severity over 1 year. Conclusions Our findings add to a growing literature that highlights the important role of spouse perceptions in patients’ long-term health. |
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