THE WAY couples manage stress together profoundly impacts outcomes for patients with rheumatoid arthritis (RA), according to a new study. Researchers explored the effects of dyadic coping, the interplay of coping mechanisms within a couple, on psychological well-being and relationship quality for both patients and their spouses.
The study included 163 couples where one partner had RA. Participants completed independent surveys measuring pain, coping styles, mental health, and relationship satisfaction. The results revealed that when couples used supportive dyadic coping strategies, patients reported significantly lower levels of depression, anxiety, and stress, alongside higher relationship satisfaction. Conversely, negative coping patterns were associated with poorer mental health and strained relationships.
Interestingly, spouses’ mental health was also influenced by these dynamics. Spouses practicing supportive coping enjoyed better relationship quality, though their depression and anxiety levels remained unaffected. However, negative coping patterns in spouses mirrored the patients’ experiences, increasing psychological distress and lowering relationship satisfaction.
The findings highlight the mutual impact of RA on both partners in a relationship, emphasizing the need for strategies that foster supportive coping. Healthcare providers working with RA patients may consider integrating couple-focused interventions to improve emotional and relational outcomes for both parties.
Reference: Mittinty MM et al. Interpersonal process of dyadic coping in rheumatoid arthritis: a perspective from the Australian rheumatology association database. J Rheumatol. 2024;51(9):862-869.