Explanatory style in patients with rheumatoid arthritis: An unrecognized predictor of mortality

Aaron D. Crowson, Robert C. Colligan, Eric L. Matteson, John M. Davis, Cynthia S. Crowson

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)170-173
Number of pages4
JournalJournal of Rheumatology
Volume44
Issue number2
DOIs
StatePublished - Feb 1 2017

Keywords

  • Mortality
  • Psychosocial Minnesota multiphasic personality inventory
  • Rheumatoid arthritis pessimism

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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