RT Journal Article
SR Electronic
T1 Explanatory Style in Patients with Rheumatoid Arthritis: An Unrecognized Predictor of Mortality
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP jrheum.160026
DO 10.3899/jrheum.160026
A1 Aaron D.  Crowson
A1 Robert C.  Colligan
A1 Eric L.  Matteson
A1 John M.  Davis III
A1 Cynthia S.  Crowson
YR 2016
UL http://www.jrheum.org/content/early/2016/11/09/jrheum.160026.abstract
AB 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.