ArticleRheumatology (Oxford, England)2013
Learned helplessness predicts functional disability, pain and fatigue in patients with recent-onset inflammatory polyarthritis.
Article in Rheumatology (Oxford, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 36 citations in OpenAlex.
- Long-term examination of pain and health-related outcomes in people with fibromyalgia before, during, and after COVID-19.Pain reports · 2026Article
- Qualitative Study of Learned Helplessness in Colorectal Cancer Patients with Colostomy: A Social-Ecological Perspective.Patient preference and adherence · 2026Article
- How social support influences learned helplessness in lung cancer patients: the chain mediation role of individual resilience and self-efficacy.Frontiers in psychology · 2024Article
- Article
- 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
- Metabolic syndrome and its effect on the outcomes of rheumatoid arthritis in a multi-ethnic cohort in Singapore.Clinical rheumatology · 2022Article
- Learned Helplessness in Renal Dialysis Patients: Concept Analysis with an Evolutionary Approach.Patient preference and adherence · 2022Review
- Fatigue in inflammatory rheumatic diseases: current knowledge and areas for future research.Nature reviews. Rheumatology · 2021Review
- Do Menopause and Aging Affect the Onset and Progression of Rheumatoid Arthritis and Systemic Lupus Erythematosus?Cureus · 2020Review
- The impact of anxiety and catastrophizing on interleukin-6 responses to acute painful stress.Journal of pain research · 2018Article
- Fatigue in Rheumatoid Arthritis.Current rheumatology reports · 2017Review
- How Accurate Appraisal of Behavioral Costs and Benefits Guides Adaptive Pain Coping.Frontiers in psychiatry · 2017Review
- Socioeconomic factors and self-reported health outcomes in African Americans with rheumatoid arthritis from the Southeastern United States: the contribution of childhood socioeconomic status.BMC musculoskeletal disorders · 2016Article
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4 authors at 1 institution in 1 country.
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Abstract
objectivesCross-sectional studies have found that learned helplessness (LH) is associated with disease outcome in patients with RA. However, little is known about the longitudinal impact of LH. The aim of this study was to investigate whether LH is associated with future disease outcome (disability, pain and fatigue) and to investigate whether LH changes over time in patients with recent-onset inflammatory polyarthritis (IP), the broader group of conditions of which RA is the major constituent.
methodsPatients included in this investigation had been recruited to the Norfolk Arthritis Register, a primary-care-based inception cohort. LH was measured at baseline as patients' total score on the Rheumatology Attitudes Index (RAI). A total of 443 patients completed the HAQ and visual analogue scales of pain and fatigue at baseline and after 2 years of follow-up.
resultsGreater feelings of LH at baseline were associated with higher HAQ scores at follow-up [difference in HAQ score per 1-point increase in RAI score (β-coefficient) 0.02; 95% CI 0.01, 0.04]. Greater baseline LH was also associated with more pain (β-coefficient 1.0; 95% CI 0.4, 1.5) and more fatigue (β-coefficient 1.0; 95% CI 0.2, 1.4) at follow-up. LH was highly changeable during follow-up, with 87% of patients showing any change and 50% improving.
conclusionBaseline LH independently predicted disability, pain and fatigue at follow-up. Half of patients reported fewer feelings of helplessness after 2 years of follow-up, suggesting that LH may potentially be a modifiable risk factor for disease outcome in IP and a target for intervention.
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