Explanatory Style in Patients with Rheumatoid Arthritis: An Unrecognized Predictor of Mortality

被引:1
作者
Crowson, Aaron D. [1 ]
Colligan, Robert C. [2 ]
Matteson, Eric L. [1 ,3 ]
Davis, John M., III [3 ]
Crowson, Cynthia S. [1 ,3 ]
机构
[1] Mayo Clin, Dept Hlth Sci Res, Rochester, MN USA
[2] Mayo Clin, Dept Psychiat & Psychol, Rochester, MN USA
[3] Mayo Clin, Div Rheumatol, Dept Med, Rochester, MN USA
基金
美国国家卫生研究院;
关键词
RHEUMATOID ARTHRITIS; MORTALITY; PSYCHOSOCIAL; PESSIMISM; MINNESOTA MULTIPHASIC PERSONALITY INVENTORY; OPTIMISM-PESSIMISM SCALE; ASSOCIATION; DEPRESSION; SURVIVAL; DISEASE; HEART; LIFE; MMPI;
D O I
10.3899/jrheum.160026
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To determine whether pessimistic explanatory style altered the risk for and mortality of patients with rheumatoid arthritis (RA). Methods. The study included subjects from a population-based cohort with incident RA and a non-RA comparison cohort who completed the Minnesota Multiphasic Personality Inventory. Results. Among 148 RA and 135 non-RA subjects, pessimism was associated with development of rheumatoid factor (RF)-positive RA. Pessimism was associated with an increased risk of mortality [HR 2.88 with similar magnitude to RF+ (HR 2.28)]. Conclusion. Pessimistic explanatory style was associated with an increased risk of developing RA and increased mortality rate in patients with RA.
引用
收藏
页码:170 / 173
页数:4
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