Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

doi:10.1155/2016/1024985

. 2016:2016:1024985.

doi: 10.1155/2016/1024985. Epub 2016 Mar 3.

Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

Danielle B Rice¹, Swati Mehta², Janet E Pope³, Manfred Harth⁴, Allan Shapiro⁵, Robert W Teasell⁶

Affiliations

¹ Lawson Health Research Institute, London, ON, Canada N6C 0A7; St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7.
² Lawson Health Research Institute, London, ON, Canada N6C 0A7; St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7.
³ St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7; Schulich School of Medicine and Dentistry, Western University, London, ON, Canada N6A 3K7.
⁴ St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7.
⁵ St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7.
⁶ Lawson Health Research Institute, London, ON, Canada N6C 0A7; St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7; Schulich School of Medicine and Dentistry, Western University, London, ON, Canada N6A 3K7.

PMID: 27445594
PMCID: PMC4904597
DOI: 10.1155/2016/1024985

Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

Danielle B Rice et al. Pain Res Manag. 2016.

. 2016:2016:1024985.

doi: 10.1155/2016/1024985. Epub 2016 Mar 3.

Authors

Danielle B Rice¹, Swati Mehta², Janet E Pope³, Manfred Harth⁴, Allan Shapiro⁵, Robert W Teasell⁶

Affiliations

¹ Lawson Health Research Institute, London, ON, Canada N6C 0A7; St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7.
² Lawson Health Research Institute, London, ON, Canada N6C 0A7; St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7.
³ St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7; Schulich School of Medicine and Dentistry, Western University, London, ON, Canada N6A 3K7.
⁴ St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7.
⁵ St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7.
⁶ Lawson Health Research Institute, London, ON, Canada N6C 0A7; St. Joseph's Health Care, Parkwood Institute, London, ON, Canada N6C 0A7; Western University, London, ON, Canada N6A 3K7; Schulich School of Medicine and Dentistry, Western University, London, ON, Canada N6A 3K7.

PMID: 27445594
PMCID: PMC4904597
DOI: 10.1155/2016/1024985

Abstract

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; all p < 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 (all p < 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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Pain catastrophizing in rheumatic diseases: prevalence, origin, and implications.
Wilk M, Zimba O, Haugeberg G, Korkosz M. Wilk M, et al. Rheumatol Int. 2024 Jun;44(6):985-1002. doi: 10.1007/s00296-024-05583-8. Epub 2024 Apr 12. Rheumatol Int. 2024. PMID: 38609656 Free PMC article. Review.

References

1. Gerhold K., Richter A., Schneider M., et al. Health-related quality of life in patients with long-standing rheumatoid arthritis in the era of biologics: data from the German biologics register RABBIT. Rheumatology. 2015;54(10):1858–1866. doi: 10.1093/rheumatology/kev194. - DOI - PMC - PubMed
1. Sokka T., Kautiainen H., Pincus T., et al. Work disability remains a major problem in rheumatoid arthritis in the 2000s: data from 32 countries in the QUEST-RA study. Arthritis Research and Therapy. 2010;12(2, article R42) doi: 10.1186/ar2951. - DOI - PMC - PubMed
1. Hallert E., Husberg M., Kalkan A., Skogh T., Bernfort L. Early rheumatoid arthritis 6 years after diagnosis is still associated with high direct costs and increasing loss of productivity: the Swedish TIRA project. Scandinavian Journal of Rheumatology. 2014;43(3):177–183. doi: 10.3109/03009742.2013.835442. - DOI - PubMed
1. Bai M., Tomenson B., Creed F., et al. The role of psychological distress and personality variables in the disablement process in rheumatoid arthritis. Scandinavian Journal of Rheumatology. 2009;38(6):419–430. doi: 10.3109/03009740903015135. - DOI - PubMed
1. Lok E. Y. C., Mok C. C., Cheng C. W., Cheung E. F. C. Prevalence and determinants of psychiatric disorders in patients with rheumatoid arthritis. Psychosomatics. 2010;51, article 338 doi: 10.1176/appi.psy.51.4.338. - DOI - PubMed

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[1] Gerhold K., Richter A., Schneider M., et al. Health-related quality of life in patients with long-standing rheumatoid arthritis in the era of biologics: data from the German biologics register RABBIT. Rheumatology. 2015;54(10):1858–1866. doi: 10.1093/rheumatology/kev194. - DOI - PMC - PubMed

[2] Gerhold K., Richter A., Schneider M., et al. Health-related quality of life in patients with long-standing rheumatoid arthritis in the era of biologics: data from the German biologics register RABBIT. Rheumatology. 2015;54(10):1858–1866. doi: 10.1093/rheumatology/kev194. - DOI - PMC - PubMed

[3] Sokka T., Kautiainen H., Pincus T., et al. Work disability remains a major problem in rheumatoid arthritis in the 2000s: data from 32 countries in the QUEST-RA study. Arthritis Research and Therapy. 2010;12(2, article R42) doi: 10.1186/ar2951. - DOI - PMC - PubMed

[4] Sokka T., Kautiainen H., Pincus T., et al. Work disability remains a major problem in rheumatoid arthritis in the 2000s: data from 32 countries in the QUEST-RA study. Arthritis Research and Therapy. 2010;12(2, article R42) doi: 10.1186/ar2951. - DOI - PMC - PubMed

[5] Hallert E., Husberg M., Kalkan A., Skogh T., Bernfort L. Early rheumatoid arthritis 6 years after diagnosis is still associated with high direct costs and increasing loss of productivity: the Swedish TIRA project. Scandinavian Journal of Rheumatology. 2014;43(3):177–183. doi: 10.3109/03009742.2013.835442. - DOI - PubMed

[6] Hallert E., Husberg M., Kalkan A., Skogh T., Bernfort L. Early rheumatoid arthritis 6 years after diagnosis is still associated with high direct costs and increasing loss of productivity: the Swedish TIRA project. Scandinavian Journal of Rheumatology. 2014;43(3):177–183. doi: 10.3109/03009742.2013.835442. - DOI - PubMed

[7] Bai M., Tomenson B., Creed F., et al. The role of psychological distress and personality variables in the disablement process in rheumatoid arthritis. Scandinavian Journal of Rheumatology. 2009;38(6):419–430. doi: 10.3109/03009740903015135. - DOI - PubMed

[8] Bai M., Tomenson B., Creed F., et al. The role of psychological distress and personality variables in the disablement process in rheumatoid arthritis. Scandinavian Journal of Rheumatology. 2009;38(6):419–430. doi: 10.3109/03009740903015135. - DOI - PubMed

[9] Lok E. Y. C., Mok C. C., Cheng C. W., Cheung E. F. C. Prevalence and determinants of psychiatric disorders in patients with rheumatoid arthritis. Psychosomatics. 2010;51, article 338 doi: 10.1176/appi.psy.51.4.338. - DOI - PubMed

[10] Lok E. Y. C., Mok C. C., Cheng C. W., Cheung E. F. C. Prevalence and determinants of psychiatric disorders in patients with rheumatoid arthritis. Psychosomatics. 2010;51, article 338 doi: 10.1176/appi.psy.51.4.338. - DOI - PubMed

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Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

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Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

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