ArticleArthritis care & research2012
Association between socioeconomic status, learned helplessness, and disease outcome in patients with inflammatory polyarthritis.
Article in Arthritis care & research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Association between social deprivation and disease activity in rheumatoid arthritis: a systematic literature review.RMD open · 2022Pooled it
- Adaptation and validation of the chronic disease helplessness survey for Chinese patients with chronic conditions.BMC psychiatry · 2026Article
- Impact of socioeconomic status on biologics utilization in rheumatoid arthritis: revealing inequalities and healthcare efficiency.The Korean journal of internal medicine · 2024Observational
- Personalised care packages for people with rheumatoid arthritis: a mixed-methods study.RMD open · 2024Article
- Is the relationship between deprivation and outcomes in rheumatoid arthritis mediated by body mass index? A longitudinal cohort study.Rheumatology (Oxford, England) · 2023Observational
- Trajectories of Learned Helplessness in Maintenance Haemodialysis Patients and Their Predictive Effects on Self-Management: A Latent Growth Mixture Modeling Approach.Psychology research and behavior management · 2023Article
- Does gender moderate the association between socioeconomic status and health? Results from an observational study in persons with spinal cord injury living in Morocco.Frontiers in rehabilitation sciences · 2023Article
- Factors Leading to Diagnostic and Therapeutic Delay of Rheumatoid Arthritis and Their Impact on Disease Outcome.Cureus · 2023Article
- Effect of Household Income on Short-Term Outcomes Following Cerebellopontine Angle Tumor Resection.Journal of neurological surgery. Part B, Skull base · 2022Article
- Learned Helplessness in Renal Dialysis Patients: Concept Analysis with an Evolutionary Approach.Patient preference and adherence · 2022Review
- Changes in the illness perceptions of patients with rheumatoid arthritis over the first year of methotrexate therapy.Rheumatology (Oxford, England) · 2021Article
- Socio-economic gradients in the presence of musculoskeletal and other chronic diseases: results from a cross-sectional study in the Netherlands.Clinical rheumatology · 2018Article
- Higher education is associated with a better rheumatoid arthritis outcome concerning for pain and function but not disease activity: results from the EIRA cohort and Swedish rheumatology register.Arthritis research & therapy · 2015Article
- Characterising deviation from treat-to-target strategies for early rheumatoid arthritis: the first three years.Arthritis research & therapy · 2015Article
- The association between low socioeconomic status with high physical limitations and low illness self-perception in patients with juvenile idiopathic arthritis: results from the Childhood Arthritis Prospective Study.Arthritis care & research · 2015Observational
- Article
- Determinants of Disability in Rheumatoid Arthritis: A Community-Based Cohort Study.The open rheumatology journal · 2015Article
- Is financial hardship associated with reduced health in disability? The case of spinal cord injury in Switzerland.PloS one · 2014Article
- Learned helplessness predicts functional disability, pain and fatigue in patients with recent-onset inflammatory polyarthritis.Rheumatology (Oxford, England) · 2013Article
- Social determinants and osteoarthritis outcomes.Aging health · 2012Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveIndependent investigations have shown that socioeconomic status (SES) and learned helplessness (LH) are associated with poor disease outcome in patients with rheumatoid arthritis (RA). Our aim was to investigate the cross-sectional relationship between SES, LH, and disease outcome in patients with recent-onset inflammatory polyarthritis (IP), the broader group of conditions of which RA is the major constituent.
methodsSES was measured using the Index of Multiple Deprivation 2007 for 553 patients consecutively recruited to the Norfolk Arthritis Register. Patients also completed the Rheumatology Attitudes Index, a measure of LH. SES and LH were investigated as predictors of disease outcome (functional disability [Health Assessment Questionnaire (HAQ)] and disease activity [Disease Activity Score in 28 joints]) in a regression analysis, adjusted for age, sex, and symptom duration. The role of LH in the relationship between SES and disease outcome was then investigated.
resultsCompared to patients of the highest SES, those of the lowest SES had a significantly worse outcome (median difference in HAQ score 0.42; 95% confidence interval [95% CI] 0.08, 0.75). Compared to patients with normal LH, patients with low LH had a significantly better outcome and patients with high LH had a significantly worse outcome (median difference in HAQ score 1.12; 95% CI 0.82, 1.41). There was a significant likelihood that LH mediated the association between SES and disease outcome (P = 0.04).
conclusionLH is robustly associated with cross-sectional disease outcome in patients with IP, and appears to mediate the relationship between SES and disease outcome. As LH is potentially modifiable, these findings have potential clinical implications.
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