'It's this whole picture, this well-being': Patients' understanding of 'feeling well' with rheumatoid arthritis

Sanderson, Tessa and Morris, Marianne and Calnan, Michael .W. and Richards, Pam and Hewlett, Sarah (2010) 'It's this whole picture, this well-being': Patients' understanding of 'feeling well' with rheumatoid arthritis. Chronic Illness, 6 (3). pp. 228-240. ISSN 1742-3953. (doi:https://doi.org/10.1177/1742395310377672) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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Official URL
http://dx.doi.org/10.1177/1742395310377672

Abstract

Objectives: The aim of this study was to explore the meaning of 'feeling wellg' for people with rheumatoid arthritis (RA). Methods: In-depth interviews were conducted with 23 RA patients, purposively sampled for medication type, disease duration, disease activity, age and gender. Data were analysed using Framework, emphasizing participants' personal contexts. Results: Well-being was viewed as a broad concept, with 'feeling well' being the result of an on-going process to actively engage with a changing body, self and life. Four dimensions emerged: 'Living in the body','Being in the mind','Adapting to illness'and 'Being in the world'. The physical impact of RA underpinned the global perception of well-being and was clearly described as linking to the experience of psychological well-being. Physical and psychological wellness was often affected by the individual's adaptation to RA and personal context (e.g. home environment, broader social attitudes). Discussion: Well-being is a multidimensional concept that is meaningful to RA patients regardless of medication type and disease severity. Patients commonly illustrated a process of actively engaging in cognitive and behavioural adjustments to move towards wellness. Clinical practice and research must take account of the complexity of well-being in long-term conditions, in order to fulfil patients' expectations. © The Author(s), 2010.

Item Type: Article
Uncontrolled keywords: Adaptation, Patient perspective, Qualitative, Rheumatoid arthritis, Well-being
Subjects: H Social Sciences
H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research
Depositing User: Mita Mondal
Date Deposited: 11 Mar 2014 10:18 UTC
Last Modified: 13 May 2014 15:51 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/38691 (The current URI for this page, for reference purposes)
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