The relationship between disease activity, quality of life, and personality types in rheumatoid arthritis and ankylosing spondylitis patients

Autor: D Predețeanu, Mihai Bojinca, Andra Balanescu, Teodora Donisan, Cosmin Constantinescu, L Groșeanu, Florian Berghea, M.A. Dobrin, Ruxandra Ionescu, D. Opriș, Violeta Bojinca, Dinu Valentin Balanescu, Andreea Borangiu
Rok vydání: 2017
Předmět:
Zdroj: Clinical Rheumatology. 36:1511-1519
ISSN: 1434-9949
0770-3198
DOI: 10.1007/s10067-017-3654-1
Popis: We hypothesized that clinical outcomes might be influenced by personality type (A, B, C, D) in rheumatoid arthritis (RA) and ankylosing spondylitis (AS). One hundred ninety-four patients (104 with RA, 90 with AS) participated in a questionnaire study. We evaluated health-related quality of life (HRQoL) using the Medical Outcome Study Short-Form 36 (SF-36), personality type A/B with the Jenkins Activity Survey, type C with the State-Trait Anger Expression Inventory Anger-in Scale, type D with the Type D Personality Scale, and disease activity with Disease Activity Score with 28 joints for RA and Bath Ankylosing Spondylitis Disease Activity Index for AS. We used Pearson's correlation coefficient, independent samples t tests, and multivariate analyses of variance. In the RA group, type D personality was significantly correlated with 7/12 SF-36 components. AS patients with type D personality had deficits in all SF-36 subscales. Type D was related with higher disease activity in RA and AS. Both RA and AS type C patients had more active disease forms and negatively affected HRQoL subscales. In the RA group, type A personality did not correlate with HRQoL, but it positively influenced pain visual analog scale scores. In AS patients, type A personality was linked with higher HRQoL and with less active disease. Type C and type D personality types were correlated with decreased HRQoL and higher disease activity in RA and AS patients. Type A personality was associated with less active disease and higher HRQoL in AS patients and with less pain in RA patients.
Databáze: OpenAIRE