PT - JOURNAL ARTICLE AU - Aaron D. Crowson AU - Robert C. Colligan AU - Eric L. Matteson AU - John M. Davis III AU - Cynthia S. Crowson TI - Explanatory Style in Patients with Rheumatoid Arthritis: An Unrecognized Predictor of Mortality AID - 10.3899/jrheum.160026 DP - 2017 Feb 01 TA - The Journal of Rheumatology PG - 170--173 VI - 44 IP - 2 4099 - http://www.jrheum.org/content/44/2/170.short 4100 - http://www.jrheum.org/content/44/2/170.full SO - J Rheumatol2017 Feb 01; 44 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.