Prediction of pain behavior and functional status of rheumatoid arthritis patients using medical status and psychological variables

Anderson, Karen O.; Keefe, Francis J.; Bradley, Laurence A.; McDaniel, Lisa K.; Young, L. D.; Turner, Robert A.; Agudelo, Carlos A.; Semble, Elliott L.; Pisko, Edward J.

doi:10.1016/0304-3959(88)90199-6

Cited by 70 publications

(22 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results demonstrated a strong correlation of psychological variables to AS functional limitations. Specifically, higher arthritis helplessness, depression and passive coping correlated significantly with more functional limitation in the final model, mirroring findings in other chronic arthritic conditions [19,24,29,31-34]. Our findings are also consistent with a previous report linking helplessness to worse health-related quality of life in AS [35].…”

Section: Discussionsupporting

confidence: 90%

Psychological correlates of self-reported functional limitation in patients with ankylosing spondylitis

Brionez¹,

Assassi²,

Reveille³

et al. 2009

Arthritis Res Ther

View full text Add to dashboard Cite

IntroductionFunctional status is an integral component of health-related quality of life in patients with ankylosing spondylitis (AS). The purpose of this study was to investigate the role of psychological variables in self-reported functional limitation in patients with AS, while controlling for demographic and medical variables.Methods294 AS patients meeting modified New York Criteria completed psychological measures evaluating depression, resilience, active and passive coping, internality and helplessness at the baseline visit. Demographic, clinical, and radiologic data were also collected. Univariate and multivariate analyses were completed to determine the strength of correlation of psychological variables with functional limitation, as measured by the Bath AS Functional Index (BASFI).ResultsIn the multivariate regression analysis, the psychological variables contributed significantly to the variance in BASFI scores, adding an additional 24% to the overall R-square beyond that accounted by demographic and medical variables (R-square 32%), resulting in a final R-square of 56%. Specifically, arthritis helplessness, depression and passive coping beside age, ESR and the Bath AS Radiograph Index accounted for a significant portion of the variance in BASFI scores in the final model.ConclusionsArthritis helplessness, depression, and passive coping accounted for significant variability in self-reported functional limitation beyond demographic and clinical variables in patients with AS. Psychological health should be examined and accounted for when assessing functional status in the AS patients.

show abstract

Section: Discussionsupporting

confidence: 90%

Psychological correlates of self-reported functional limitation in patients with ankylosing spondylitis

Brionez¹,

Assassi²,

Reveille³

et al. 2009

Arthritis Res Ther

View full text Add to dashboard Cite

show abstract

“…Both the state and trait anxiety subscales from the STAI have been found to be reliable and valid (21). The STAI has been used successfully in previous research with people with RA (15). In the current study, Cronbach's coefficient alpha for the 2 STAI subscales ranged from 0.89 to 0.90.…”

Section: Methodsmentioning

confidence: 99%

“…A German study found that persons with RA exhibited average trait anxiety scores, which were similar to the normative data for the general population (14). Similarly, Anderson et al (15) reported average STAI scores for persons with RA. These conflicting results regarding the prevalence of anxiety in RA warrant further investigation.…”

Section: Introductionmentioning

confidence: 92%

Anxiety in rheumatoid arthritis

VanDyke¹,

Parker²,

Smarr³

et al. 2004

Arthritis & Rheumatism

123

View full text Add to dashboard Cite

Objective. To examine the level of anxiety experienced by individuals with rheumatoid arthritis (RA).Methods. Data from 2 previous studies were used to compare the level of anxiety (measured by the State-Trait Anxiety Inventory) in the following 4 subgroups: a general RA sample, a general osteoarthritis sample, a sample with both RA and major depression, and a normative sample of age-equivalent, working adults. Canonical correlations were used to examine associations between measures of anxiety and measures of both stress and depression. The relationship between anxiety and duration of RA was also explored. Results. The general RA sample had state anxiety levels that were comparable to the normative sample, although trait anxiety levels were significantly higher (P < 0.001). In addition, individuals with RA who also met criteria for depression exhibited significantly higher levels of both state anxiety (P < 0.0001) and trait anxiety (P < 0.0001) than was observed in the normative sample. Canonical correlations revealed that measures of anxiety were correlated with both measures of depression (r ‫؍‬ 0.83) and measures of stress (r ‫؍‬ 0.50). Anxiety was not found to be significantly related to RA disease duration. Conclusion. These findings demonstrated that individuals with RA, especially if concomitantly depressed, tend to exhibit levels of anxiety that are generally higher than a normative group of age-equivalent, working adults. The substantial canonical correlations between anxiety and both depression and stress revealed that anxiety shares variance with these more frequently studied variables in RA. However, anxiety was not found to be related to RA disease duration.

show abstract

“…Other research has shown that arthritis severity ratings predicted only 13% of the variance in pain, while psychological factors contributed an additional 41% of the variance in another group of RA patients(7). In contrast, evidence for the contribution of demographic and medical variables to pain in chronic arthritic conditions has been less consistent(8-12). These findings demonstrate the importance of examining the joint contribution of medical and psychological factors to self-reported outcomes in arthritis.…”

Section: Introductionmentioning

confidence: 99%

Psychological Correlates of Self-reported Disease Activity in Ankylosing Spondylitis

Brionez¹,

Assassi²,

Reveille³

et al. 2010

J Rheumatol

View full text Add to dashboard Cite

Purpose To investigate the role of psychological variables in self-reported disease activity in patients with Ankylosing Spondylitis (AS), while controlling for demographic and medical variables. Patients and Methods 294 AS patients meeting modified New York Criteria completed psychological measures evaluating depression, resilience, active and passive coping, internality and helplessness. Demographic, clinical, and radiologic data were also collected. Univariate and multivariate analyses were completed to determine the strength of the correlation of psychological variables with disease activity, as measured by the Bath AS Disease Activity Index (BASDAI). Results In the multivariate regression analysis, the psychological variables contributed significantly to the variance in BASDAI scores, adding an additional 33% to the overall R-square beyond that accounted for by demographic and medical variables (combined R-square 18%). Specifically, Arthritis Helplessness and Depression accounted for the most significant portion of the variance in BASDAI scores in the final model. Conclusions Arthritis helplessness and depression accounted for significant variability in self-reported disease activity beyond clinical and demographic variables in patients with AS. These findings have important clinical implications in the treatment and monitoring of disease activity in AS, and suggest potential avenues of intervention.

show abstract

Prediction of pain behavior and functional status of rheumatoid arthritis patients using medical status and psychological variables

Cited by 70 publications

References 18 publications

Psychological correlates of self-reported functional limitation in patients with ankylosing spondylitis

Psychological correlates of self-reported functional limitation in patients with ankylosing spondylitis

Anxiety in rheumatoid arthritis

Psychological Correlates of Self-reported Disease Activity in Ankylosing Spondylitis

Contact Info

Product

Resources

About