{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:33:22Z","timestamp":1774618402489,"version":"3.50.1"},"reference-count":68,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,1,4]],"date-time":"2016-01-04T00:00:00Z","timestamp":1451865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Due to their disease, patients with polyarthritis face the task of reconciling their threatened personal goals with their capabilities. Previous cross\u2010sectional research on patients with chronic disease related higher levels of goal management strategies to lower levels of distress and higher levels of well\u2010being. This study was the first to focus longitudinally on goal management patterns that combined strategies originating from different goal management theories. Our first study objective was to identify patterns that consisted of various strategies of goal management among patients with polyarthritis. Subsequently, the cross\u2010sectional and longitudinal relationships between these patterns and the psychological health of the patients were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A longitudinal questionnaire study with three measurements of goal management and psychological health was conducted among 331 patients with polyarthritis. Stability of goal management over time was analysed with\n                      <jats:styled-content style=\"fixed-case\">ANOVA<\/jats:styled-content>\n                      s. Patterns were identified using cluster analysis at baseline, based on the following strategies: Goal maintenance, goal adjustment, goal disengagement, and goal reengagement. Longitudinal relationships between the patterns and psychological health (specifically: Depression, anxiety, purpose in life, positive affect, and social participation) were analysed using a generalized estimating equations analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three goal management patterns were found: \u2018Moderate engagement\u2019, \u2018Broad goal management repertoire\u2019, and \u2018Holding on\u2019. Patients with the \u2018Broad goal management repertoire\u2019 pattern had the highest level of psychological health. The \u2018Holding on\u2019 pattern was identified as the most unfavourable in terms of psychological health. Over time, stable differences in levels of psychological health between the patterns were found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study was the first to reveal patterns of several goal management strategies and their longitudinal relationship to psychological health. Psychosocial support for arthritis patients with lower psychological health should focus on helping patients to become familiar with a broad range of goal management strategies when dealing with threatened goals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"box\" position=\"anchor\">\n                        <jats:caption>\n                          <jats:title>Statement of contribution<\/jats:title>\n                        <\/jats:caption>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What is already known on this subject?<\/jats:bold>\n                          <\/jats:italic>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>Polyarthritis is a collective term for a variety of disorders associated with autoimmune pathologies that may affect all aspects of a person's physical, psychological, and social functioning. Patients often experience difficulties in maintaining and achieving goals in several domains of life due to disease symptoms.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>The process of emotional adaptation to polyarthritis is characterized by searching equilibrium between desires and constraints and reacting constructive to stressors. Goal management strategies are ways to minimize the perceived disparity between the actual and the preferred situation with regard to personal goals and are applied both consciously and unconsciously.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Cross\u2010sectional, higher levels of goal management strategies have been related to lower levels of distress and higher levels of well\u2010being both in patients with polyarthritis and in other patient groups.<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What does this study add?<\/jats:bold>\n                          <\/jats:italic>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>Contributes to our understanding of how combinations of goal management strategies relate to psychological health.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Identifies patterns of goal management that are longitudinally related to psychological health.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Provides clear guidance for improving psychological health of people with polyarthritis.<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12182","type":"journal-article","created":{"date-parts":[[2016,1,4]],"date-time":"2016-01-04T00:34:46Z","timestamp":1451867686000},"page":"469-489","source":"Crossref","is-referenced-by-count":22,"title":["The longitudinal relation between patterns of goal management and psychological health in people with arthritis: The need for adaptive flexibility"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7854-1371","authenticated-orcid":false,"given":"Roos Y.","family":"Arends","sequence":"first","affiliation":[{"name":"Department of Psychology, Health &amp; Technology Arthritis Centre Twente University of Twente Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Bode","sequence":"additional","affiliation":[{"name":"Department of Psychology, Health &amp; Technology Arthritis Centre Twente University of Twente Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"Taal","sequence":"additional","affiliation":[{"name":"Department of Psychology, Health &amp; Technology Arthritis Centre Twente University of Twente Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart A. 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