Life events, emotional responsiveness, and the functional prognosis of patients with rheumatoid arthritis
Bibliographic Data
| ID | 19536683 |
|---|---|
| Authors | Jun Nagano (Kyushu University, corresponding author), Nobuyuki Sudo (0000-0002-7935-878X, Kyushu University), Shohei Nagaoka (Yokohama Minami Kyosai Hospital), Masao Yukioka (Yukioka Hospital), Masakazu Kondo (0000-0003-1381-7549, Ono Clinic) |
| Year | 2015 |
| Volume | 9 |
| Issue | 1 |
| Pages | 15-15 |
| Publication date | 2015-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BioPsychoSocial Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1751-0759 • E-ISSN: 1751-0759 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s13030-015-0043-3 |
| PMID | 26106442 |
| PMCID | PMC4477599 |
| OpenAlex | W2116219726 |
| Language | EN |
| References cited | 22 |
BACKGROUND: Stressors may differently affect human physiological systems according to the host properties relevant to psycho-behavioral processes that the stressors invoke. In a Japanese multicenter cohort study of patients with rheumatoid arthritis (RA), we examined if major life events differently contribute to the patients' functional prognosis according to their ability to identify emotions as manifest feelings when encountering the events (emotional responsiveness). METHODS: 460 patients with RA completed a self-administered baseline questionnaire about psychosocial factors including emotional responsiveness. Two years later, they checked on a list of positive/negative personal events that happened during the two-year study period. Rheumatologists evaluated their functional status at baseline and follow-up using the ACR classification system. RESULTS: In a multiple logistic regression model that included baseline demographic, disease activity/severity-related, therapeutic, and socioeconomic factors as covariates, none of the counts of positive, negative, or all life events was associated with the functional status at follow-up. In the subgroup with poor emotional responsiveness, however, these life event counts were all associated with a poorer functional prognosis (odds ratio of ACR class 3-4 vs. 1-2 associated with one increment in the all life-event count = 2.39, 95 % confidence interval = 1.27-4.48, p = .007), while no such relationship was evident for the rest of the patients. CONCLUSIONS: Major life events, whether positive or negative in nature, may have an impact on the disease course of patients with RA when the patient has poor emotional responsiveness to the event(s)
Cohort study · Confidence interval · Logistic regression · Odds ratio · Physical therapy · Psychiatry · Psychosocial · Rheumatoid arthritis · Stressor · Cardiac Health and Mental Health · Clinical Psychology · Medicine · Mental Health via Writing · Rheumatoid Arthritis Research and Therapies · Internal Medicine
The Levels of Emotional Awareness Scale
The Prevalence of ‘Alexithymic’ Characteristics in Psychosomatic Patients
New Trends in Alexithymia Research
The twenty-item Toronto Alexithymia scale—I. Item selection and cross-validation of the factor structure
The social readjustment rating scale
The alexithymic brain
Rational/antiemotional behaviors in interpersonal relationships and the functional prognosis of patients with rheumatoid arthritis
Alexithymia as a prognostic risk factor for health problems
Neuroimaging studies of alexithymia
Coping theory and research
| Highly cited | No |
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