Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

Background. Patients with rheumatoid arthritis may experience increased negative outcomes if they exhibit specific patterns of dispositional affect.Objective. To identify subgroups of patients with rheumatoid arthritis based on dispositional affect. The secondary objective was to compare mood, pain catastrophizing, fear of pain, disability, and quality of life between subgroups.Methods. Outpatients from a rheumatology clinic were categorized into subgroups by a cluster analysis based on dispositional affect. Differences in outcomes were compared between clusters through multivariate analysis of covariance.Results. 227 patients were divided into two subgroups. Cluster 1 (n=85) included patients reporting significantly higher scores on all dispositional variables (experiential avoidance, anxiety sensitivity, worry, fear of pain, and perfectionism; allp<0.001) compared to patients in Cluster 2 (n=142). Patients in Cluster 1 also reported significantly greater mood impairment, pain anxiety sensitivity, and pain catastrophizing (allp<0.001). Clusters did not differ on quality of life or disability.Conclusions. The present study identifies a subgroup of rheumatoid arthritis patients who score significantly higher on dispositional affect and report increased mood impairment, pain anxiety sensitivity, and pain catastrophizing. Considering dispositional affect within subgroups of patients with RA may help health professionals tailor interventions for the specific stressors that these patients experience.

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The Use of Oral Analgesics and Pain Self-Efficacy Are Independent Predictors of the Quality of Life of Individuals with Rheumatoid Arthritis

Pain Research and Management ◽

10.1155/2020/7409396 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Akira Hashimoto ◽

Motoki Sonohata ◽

Masaaki Mawatari

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Self Efficacy ◽

Pain Catastrophizing ◽

Positive Association ◽

Joint Disease ◽

Life Questionnaire ◽

Significant Positive Association ◽

Cross Sectional

Objectives. This study investigated the relationship between quality of life (QOL) and several factors, including pain assessments, in patients with rheumatoid arthritis (RA). Methods. This cross-sectional, single-center study enrolled 85 patients with RA. The variables investigated included demographic characteristics, the 28-joint disease activity score with C-reactive protein (DAS28-CRP), painDETECT questionnaire (PDQ), pain self-efficacy questionnaire (PSEQ), and pain catastrophizing scale (PCS). QOL was measured using the Japanese validated version of the European Quality of Life questionnaire with five dimensions and five levels (EQ-5D-5L). Results. The use of oral steroids and oral analgesics was significantly associated with low EQ-5D-5L scores (P<0.05). EQ-5D-5L score had a significant positive association with PSEQ (r = 0.414) and significant negative association with age, disease duration, DAS28-CRP, PDQ, and PCS (r = −0.217, −0.343, −0.217, −0.277, and −0.384, respectively). Multiple regression analysis showed that the use of oral analgesics and PSEQ were independent predictors of EQ-5D-5L score (β = -0.248, P<0.05 and β = 0.233, P<0.05). Conclusions. The use of oral analgesics by RA patients may influence their QOL, which, in turn, may affect their feelings of self-efficacy. Various pain management strategies, including surgical treatment, may be explored for the treatment of RA. Furthermore, the PSEQ may be a prominent part of the patient’s overall assessment.

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Anxiety, depression, and quality of life among subgroups of individuals with acquired brain injury: The role of anxiety sensitivity and experiential avoidance

Neurorehabilitation ◽

10.3233/nre-203080 ◽

2020 ◽

pp. 1-9

Author(s):

Amanda McIntyre ◽

Danielle Rice ◽

Shannon Janzen ◽

Swati Mehta ◽

Amber Harnett ◽

...

Keyword(s):

Quality Of Life ◽

Brain Injury ◽

Anxiety Sensitivity ◽

Experiential Avoidance ◽

Acquired Brain Injury ◽

Anxiety Depression

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Foot health and quality of life in patients with rheumatoid arthritis: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-036903 ◽

2020 ◽

Vol 10 (5) ◽

pp. e036903 ◽

Cited By ~ 1

Author(s):

Andres Reinoso-Cobo ◽

Gabriel Gijon-Nogueron ◽

Rafael Caliz-Caliz ◽

Miguel Angel Ferrer-Gonzalez ◽

Maria Teresa Vallejo-Velazquez ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Cross Sectional Study ◽

Control Group ◽

Foot Pain ◽

Sectional Study ◽

Cross Sectional ◽

Foot Health ◽

Pain Disability

ObjectiveThe aim of this study is to identify foot health factors related to the quality of life in patients with rheumatoid arthritis (RA).SettingIn this cross-sectional study, a total of 293 subjects were analysed, 229 of whom were in the RA group and 64 in the control group. In the RA group, 173 patients were female, and 50 in the control group.ParticipantsPatients with foot pain and RA (according to the American College of Rheumatology/European League Against Rheumatism 2010 rheumatoid arthritis classification criteria) and with foot pain but no RA were recruited (Granada, Spain).InterventionTwo researchers independently interviewed the patients to obtain data for the study.Primary and secondary outcome measuresClinical data were obtained using the Short Form 12-Item questionnaire (quality of life) (primary outcome), Visual Analogue Scale for pain (VAS pain), the Manchester Foot Pain Disability Index (MFPDI) and the Foot Function Index (FFI). Anthropometric measurements were obtained using a foot measurement platform, the Foot Posture Index and the Manchester Scale of Hallux Valgus (secondary outcomes).ResultsOf the 293 subjects, 76.1% were female. Significant differences were observed between the RA and the control group (p<0.001) with regard to VAS pain (general, foot and hand), MFPDI and FFI. In terms of anthropometric measurements, significant differences were only recorded for midfoot and forefoot width (p=0.03). For the physical health component, multivariable linear regression with the parameters age, gender, VAS pain (general) and the presence of RA presented an R2 value of 48.8%, while for the mental health component the corresponding value was 5.6%.ConclusionMorphological and structural characteristics of the foot are not necessarily associated with pain, disability and loss of function. The presence of RA, a higher score on VAS pain (general), female gender and older age are all associated with the physical component of the quality of life of patients with RA.

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The effects of anxiety sensitivity, pain hypervigilance, and pain catastrophizing on quality of life outcomes of patients with chronic pain: a preliminary, cross-sectional analysis

Quality of Life Research ◽

10.1007/s11136-014-0683-y ◽

2014 ◽

Vol 23 (8) ◽

pp. 2333-2341 ◽

Cited By ~ 18

Author(s):

W. S. Wong ◽

H. M. J. Lam ◽

Y. F. Chow ◽

P. P. Chen ◽

H. S. Lim ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Anxiety Sensitivity ◽

Pain Catastrophizing ◽

Life Outcomes ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Quality Of Life Outcomes ◽

Sectional Analysis

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Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity

Pain Research and Management ◽

10.1155/2016/7241856 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

S. Mehta ◽

D. Rice ◽

S. Janzen ◽

J. E. Pope ◽

M. Harth ◽

...

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Cluster Analysis ◽

Experiential Avoidance ◽

Cluster Membership ◽

Significant Difference ◽

Low Levels ◽

The Difference ◽

Cluster 2

Objective.The current study aimed to identify and characterize distinct RA subgroups based on their level of EA and AS and compares the difference among the subgroups in mood, disability, and quality of life.Methods.Individuals with chronic pain for at least 3 months were recruited from an academic rheumatoid clinic. Participants were assessed for demographic, psychosocial, and personality measures. A two-step cluster analysis was conducted to identify distinct subgroups of patients. Differences in clinical outcomes were compared using the Multivariate ANOVA based on cluster membership.Results.From a total of 223 participants, three distinct subgroups were formed based on cluster analysis. Cluster 1 (N=78) included those with low levels of both EA and AS. Cluster 2 (N=81) consisted of individuals with moderate levels of EA and low levels AS. Cluster 3 (N=64) included those with moderate levels of EA and high AS. Compared to those in Cluster 1, those in Cluster 3 had significantly higher levels of mood impairment and disability and lower quality of life (p<0.05). Significantly lower levels of mood impairment were seen in Cluster 1 compared to Cluster 2 (p<0.05). However, no significant difference in disability or quality of life was seen between the two groups.Conclusions.The three subgroups differed significantly in levels of impairment in mood, disability, and quality of life. However, levels of EA had a greater impact on disability and quality of life than AS.

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A cross-sectional analysis of the relationships of FAM components and their effects on quality of life in Chinese patients with chronic musculoskeletal pain

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.497 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S207-S208

Author(s):

W. Wong ◽

H. Lim ◽

P. Chen ◽

S. Wong ◽

Y. Chow ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Musculoskeletal Pain ◽

Chinese Population ◽

Pain Catastrophizing ◽

Chronic Musculoskeletal Pain ◽

Chinese Patients ◽

Cross Sectional ◽

Pain Anxiety

IntroductionA body of evidence has accrued supporting the Fear-Avoidance Model (FAM) of chronic pain which postulated the mediating role of pain-related fear in the relationships between pain catastrophizing and pain anxiety in affecting pain-related outcomes. Yet, relatively little data points to the extent to which the FAM be extended to understand chronic pain in Chinese population and its impact on quality of life (QoL).ObjectiveThis study explored the relationships between FAM components and their effects on QoL in a Chinese sample.MethodsA total of 401 Chinese patients with chronic musculoskeletal pain completed measures of three core FAM components (pain catastrophizing, pain-related fear, and pain anxiety) and QoL. Cross-sectional structural equation modeling (SEM) assessed the goodness of fit of the FAM for two QoL outcomes, Physical (Model 1) and Mental (Model 2). In both models, pain catastrophizing was hypothesized to underpin pain-related fear, thereby influencing pain anxiety and subsequently QoL outcomes.ResultsResults of SEM evidenced adequate data-model fit (CFI30.90) for the two models tested (Model 1: CFI = 0.93; Model 2: CFI = 0.94). Specifically, pain catastrophizing significantly predicted pain-related fear (Model 1: stdb = 0.90; Model 2: stdb = 0.91), which in turn significantly predicted pain anxiety (Model 1: stdb = 0.92; Model 2: stdb = 0.929) and QoL outcomes in a negative direction (Model 1: stdb = −0.391; Model 2: stdb = −0.651) (all P < 0.001) (Table 1, Fig. 1).ConclusionOur data substantiated the existing FAM literature and offered evidence for the cross-cultural validity of the FAM in the Chinese population with chronic pain.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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