https://doi.org/10.4081/reumatismo.2022.1507

Association of positive psychological variables with disease activity, functional disability and erythrocyte sedimentation rate in patients with rheumatoid arthritis: a preliminary study

Vol. 74 No. 4 (2022)
Submitted: 26 June 2022
Accepted: 20 December 2022
Published: 21 March 2023
Rheumatoid arthritis, disease activity (DAS-28), functional disability (HAQ), ESR
Abstract Views: 531
PDF: 313
Supplementary file: 71
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Authors

K.C. Meléndez-Monreal
Maestría en Psicología de la Salud, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadaljara, Guadalajara, Jalisco, Mexico.
A.J.L. Brambila-Tapia
https://orcid.org/0000-0002-6455-3662
Departamento de Psicología Básica, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadaljara, Guadalajara, Jalisco, Mexico.
V. González-Díaz
Servicio de Reumatología, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, Jalisco, Mexico.
S. Cerpa-Cruz
https://orcid.org/0000-0002-0755-0289
Servicio de Reumatología, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, Jalisco, Mexico.
S.R. Gutiérrez-Ureña
Servicio de Reumatología, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, Jalisco, Mexico.
M.d.C. Yeo-Ayala
Departamento de Psicología Básica, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadaljara, Guadalajara, Jalisco, Mexico.
R. Robles-García
Dirección de Investigaciones Epidemiológicas y Sociales, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico.
G.E. Martínez-Bonilla
glomarbon@hotmail.com
Servicio de Reumatología, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara, Jalisco, Mexico.

Rheumatoid arthritis (RA) is a chronic autoimmune disease which has shown positive correlations between negative psychological variables and disease activity in transversal studies and in the follow-up. However, the association of positive psychological variables with disease parameters including disease activity (DAS-28), functional disability (HAQ) and erythrocyte sedimentation rate (ESR) has not been investigated. Patients with RA attending the external consultation of a third level hospital were invited to participate and fill in a questionnaire with personal, disease and psychological variables; body mass index was also obtained as well as ESR. A total of 49 patients were included. The three dependent variables correlated among them, with the highest correlation for DAS-28 and HAQ (r=0.645, p<0.01), followed by somatization and HAQ (r=0.614, p<0.01) or DAS-28 (r=0.537, P<0.01). In addition, HAQ showed negative correlations with environmental mastery (r=- 0.366, p<0.01), personal growth (r=-0.292, p<0.05) and monthly extra money (r=-0.328, p<0.05), and borderline negative correlations with emotion perception (r=-0.279, p=0.053) and self-acceptance (r=-0.250, p=0.08). ESR showed a significant negative correlation with emotion perception (r=-0.475, p<0.01). In conclusion, we observed important correlations of positive psychological variables with disease activity, functional disability and ESR that could be addressed in order to prevent or treat these disease features.

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How to Cite

Meléndez-Monreal, K., Brambila-Tapia, A. ., González-Díaz, V., Cerpa-Cruz, S., Gutiérrez-Ureña, S., Yeo-Ayala, M., … Martínez-Bonilla, G. (2023). Association of positive psychological variables with disease activity, functional disability and erythrocyte sedimentation rate in patients with rheumatoid arthritis: a preliminary study. Reumatismo, 74(4). https://doi.org/10.4081/reumatismo.2022.1507
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