This study compared the attitudes of women with rheumatoid arthritis
(RA), systemic lupus erythematosus (SLE), or fibromyalgia
(FM) regarding their perceptions of control and ability to
cope with their disease. We also report the validation of a
Swedish version of the Rheumatology Attitudes Index (RAI).
One hundred thirty-nine women participated in the study by
completing the RAI two or three times along with several other
self-report and disease severity measures. The Swedish
version RAI was found to have acceptable reliability,
evidence of validity, sensitivity to change, and two distinct
factors of internality and helplessness. In general, patients
with RA or SLE perceived higher control over their symptoms
than those with FM. FM patients who participated in a
self-management experimental program significantly changed
their scores on the RAI in a positive direction.
Burckhardt CS, Bjelle A