Psychological Correlates of Self-reported Disease Activity in Ankylosing Spondylitis

Brionez, Tamar F; Assassi, Shervin; Reveille, John D.; Green, Charles; Learch, Thomas J.; Diekman, Laura; Ward, Michael M.; Davis, John C.; Weisman, Michael H.; Nicassio, Perry M.

doi:10.3899/jrheum.090476

Cited by 41 publications

(41 citation statements)

References 28 publications

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“…An inverse correlation was also found between resilience scores and the progression of illness (activity of the disease in ankylosing spondylitis, control of glycemic level, and severity of depression) (Brionez et al, 2010;DeNisco, 2011;Wingo et al, 2010), and an association between resilience and quality of life and health promotional behavior (Robottom et al, 2012;Strauss et al, 2007).…”

Section: Prisma Flow Diagrammentioning

confidence: 82%

“…Five articles (Brionez et al, 2010;Erim et al, 2010;Holden et al, 2012;Mangelli, Gribbin, Buchi, Allard, & Sensky, 2002;Ponarovsky, Amital, Lazarov, Kotler, & Amital, 2011;Robottom et al, 2012;Wingo et al, 2010) found an inverse relationship between the resilience scores and anxiety and depression scores, which suggests that high resilience scores may protect against the development of psychiatric diseases, of which there is high prevalence in chronic conditions (Bachen, Chesney, & Criswell, 2009;Erim et al, 2010). Robottom et al also found a negative relationship between the resilience scores and incapacitation and somatization; and an association between resilience and better quality of physical and mental life, which is in agreement with the literature (Robottom et al, 2012;Strauss et al, 2007) and between resilience and health promotion behavior such as adequate nutrition, stress reduction, self-realization, and appropriate sports (Ma et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

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Resilience in chronic diseases: A systematic review

et al. 2015

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Resilience can be an important factor in health promotion. The aim of the present study was to carry out a review of the literature in the Pubmed and PsycINFO databases, using the descriptors "resilience" and "chronic disease". The research contemplated publications conducted in the past 20 years from June 1993 to June 2013. Twelve articles that met the inclusion criteria were identified. These articles pointed towards a negative relationship between resilience and depression, anxiety, incapacitation, and somatization, and also found an inverse correlation between resilience scores and the progression of illness (activity of the disease, control of glycemic level, and severity of depression), and an association between resilience and quality of life and health promotional behavior. In conclusion, resilience may influence the process of illness and outcome in health. It is necessary to develop preventive interventions that allow protective factors for resilience to be developed, which could improve the outcomes in health.

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Section: Prisma Flow Diagrammentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Resilience in chronic diseases: A systematic review

et al. 2015

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“…Helplessness in particular, a personal factor, appeared to be an important variable associated with the level of presenteeism and the duration of sick leave. Helplessness is not often included in outcome studies, but whenever it was explored, it seemed to relate strongly to disease activity (), physical function (), patient acceptable symptom state (), and overall health‐related QOL (), and may even serve as a mediator of the relationship between disease activity and functional limitations (). In the literature on work outcomes in AS, Healey et al confirmed that lower self‐efficacy, but also increasing age, anxiety, depression, and disease activity, contributed to the WLQ‐16 ().…”

Section: Discussionmentioning

confidence: 99%

Understanding Presenteeism in Patients With Ankylosing Spondylitis: Contributing Factors and Association With Sick Leave

Gordeev

Maksymowych

Schachna

et al. 2014

Arthritis Care & Research

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Objective. To understand the impact of ankylosing spondylitis (AS) on presenteeism and to explore its relationship to sick leave. Methods. AS patients completed a questionnaire consisting of sociodemographics, disease characteristics, and work outcomes, including sick leave and presenteeism, assessed by the Work Limitations Questionnaire (WLQ). Associations between a broad range of explanatory variables with the WLQ and AS-related sick leave were assessed by zero-inflated negative binomial and zero-inflated Poisson regressions. Results. Of 311 employed patients (204 men [65.6%]), 18% had sick leave in the past month. Limitations in meeting time management demands (33.7%), physical demands (30.2%), mental-interpersonal demands (20.2%), and output (19.0%) were noted. With the mean ؎ SD WLQ index score of 6.7 ؎ 5.9, the average decrease in work productivity attributable to health was 6.3%; an extra 7.1% of work hours would be needed to compensate for lost productivity. Helplessness, female sex, and impaired health-related quality of life (Ankylosing Spondylitis Quality of Life instrument [ASQoL]) were major contributors to the level of presenteeism (P < 0.01). At-work limitations (WLQ) and lower quality of life (ASQoL) were significantly associated with probability of sick leave, while the length of sick leave was strongly associated with lower educational level and helplessness (P < 0.01), and in some models, also with disease duration and country of residence (P < 0.05). Conclusion. AS hinders patients' work, mainly in time management and physical demand domains. The WLQ and ASQoL are able to identify patients who incur sick leave. Helplessness contributes independently to the level of presenteeism and the length of sick leave.

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“…The PSOAS study is an ongoing, longitudinal study of AS patients from four sites in the US: Cedars-Sinai Medical center, Los Angeles; the University of Texas at Houston; the University of California, San Francisco; and the National Institute of Health, Bethesda (8). Multiplex and singleton AS cases were enrolled in this study.…”

Section: Methodsmentioning

confidence: 99%

Is there a higher genetic load of susceptibility loci in familial ankylosing spondylitis?

Joshi

Reveille

Brown

et al. 2012

Arthritis Care & Research

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Objective Several genetic risk variants for ankylosing spondylitis (AS) have been identified in genome wide association studies. Our objective was to examine whether familial AS cases have a higher genetic load of these susceptibility variants. Methods Overall, 502 AS patients were examined, consisting of 312 who had first-degree relatives (FDR) with AS (familial) and 190 who had no FDR with AS or spondyloarthritis (sporadic). All patients and affected FDRs fulfilled the modified New York Criteria for AS. The patients were recruited from two U.S. cohorts (NASC and PSOAS) and from the United Kingdom- Oxford cohort. The frequencies of AS susceptibility loci in IL23R, IL1R2, ANTRX2, ERAP1, two intergenic regions on chromosomes 2p15 and 21q22, and HLA-B27 status as determined by the tag SNP rs4349859 were compared between familial and sporadic cases. Association between SNPs and multiplex status was assessed by logistic regression controlling for sibship size. Results HLA-B27 was significantly more prevalent in familial than sporadic cases of AS (p=0.0001, OR: 4.44, CI: (2.06–9.55)). Furthermore, the AS risk allele at chromosome 21q22 intergenic region showed a trend towards higher frequency in the multiplex cases (p=0.08). The frequency of the other AS risk variants did not differ significantly between familial and sporadic cases, either individually or combined. Conclusions HLA-B27 is more prevalent in familial than sporadic cases of AS, demonstrating higher familial aggregation of AS in patients with HLA-B27 positivity. The frequency of the recently described non-MHC susceptibility loci is not markedly different between the sporadic and familial cases of AS.

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Psychological Correlates of Self-reported Disease Activity in Ankylosing Spondylitis

Cited by 41 publications

References 28 publications

Resilience in chronic diseases: A systematic review

Resilience in chronic diseases: A systematic review

Understanding Presenteeism in Patients With Ankylosing Spondylitis: Contributing Factors and Association With Sick Leave

Is there a higher genetic load of susceptibility loci in familial ankylosing spondylitis?

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