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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...

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Autores principales: Rice, Danielle B., Mehta, Swati, Pope, Janet E., Harth, Manfred, Shapiro, Allan, Teasell, Robert W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904597/
https://www.ncbi.nlm.nih.gov/pubmed/27445594
http://dx.doi.org/10.1155/2016/1024985
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author Rice, Danielle B.
Mehta, Swati
Pope, Janet E.
Harth, Manfred
Shapiro, Allan
Teasell, Robert W.
author_facet Rice, Danielle B.
Mehta, Swati
Pope, Janet E.
Harth, Manfred
Shapiro, Allan
Teasell, Robert W.
author_sort Rice, Danielle B.
collection PubMed
description 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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spelling pubmed-49045972016-06-30 Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis Rice, Danielle B. Mehta, Swati Pope, Janet E. Harth, Manfred Shapiro, Allan Teasell, Robert W. Pain Res Manag Research Article 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. Hindawi Publishing Corporation 2016 2016-03-03 /pmc/articles/PMC4904597/ /pubmed/27445594 http://dx.doi.org/10.1155/2016/1024985 Text en Copyright © 2016 Danielle B. Rice et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rice, Danielle B.
Mehta, Swati
Pope, Janet E.
Harth, Manfred
Shapiro, Allan
Teasell, Robert W.
Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis
title Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis
title_full Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis
title_fullStr Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis
title_full_unstemmed Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis
title_short Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis
title_sort dispositional affect in unique subgroups of patients with rheumatoid arthritis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904597/
https://www.ncbi.nlm.nih.gov/pubmed/27445594
http://dx.doi.org/10.1155/2016/1024985
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