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The participation
of a rheumatoid arthritis patient's spouse or partner in a group
educational program about the disease does not always have positive
effects, according to a study reported in the August issue of
Arthritis Care & Research.
Researchers
at the University of York in Great Britain found that instead
of stimulating patients to better health, the participation of
significant others led to a reduction in patients' ability to
cope with their symptoms and to greater fatigue.
Meanwhile,
patients who took part in group education programs without their partners fared
just the opposite: increased ability to deal with symptoms and less fatigue. No
other effects were found. The
study involved 218 rheumatoid arthritis patients and their partners. Two-thirds
of the patients received a five-week group self-management education program.
Half of those received the intervention with a partner and half without. One-third
of the patients received the same educational materials without group sessions. The
researchers assessed the participants ability to cope with symptoms, their health
status and their social interactions to see if the participation of a significant
other influenced the effects. Other
sources: Arthritis Care & Research, 49:4; 556-566
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