Evidence map›Paper›PMID 39304956›Full record

ArticleBMC rheumatology2024

Socioeconomic status, reserve capacity, and depressive symptoms predict pain in Rheumatoid Arthritis: an examination of the reserve capacity model.

Desiree R Azizoddin, Richard Olmstead, Kris-Ann Anderson, Alanna E Hirz, Michael R Irwin, Shadi Gholizadeh, Michael Weisman, Mariko Ishimori, Daniel Wallace, Perry Nicassio

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00072657 (Behavioral Treatments for Rheumatoid Arthritis), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00072657 nacompletednot on this map

Behavioral Treatments for Rheumatoid Arthritis

TypeinterventionalSponsorUniversity of California, Los AngelesRan2004 to 2009Enrolled106ConditionsRheumatoid ArthritisArmsCognitive Behavioral Therapy, Tai Chi Chih, Health Education Seminar
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Desiree R AzizoddinHealth Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 655 Research Parkway Suite 4000, Oklahoma City, OK, 73104, USA. Desiree-Azizoddin@ouhsc.edu.
Richard OlmsteadCousins Center for Psychoneuroimmunology, Jane and Terry Semel Institute for Neuroscience and Human Behavior, UCLA Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Kris-Ann AndersonHealth Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 655 Research Parkway Suite 4000, Oklahoma City, OK, 73104, USA.
Alanna E HirzDepartment of Community Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Michael R IrwinCousins Center for Psychoneuroimmunology, Jane and Terry Semel Institute for Neuroscience and Human Behavior, UCLA Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Shadi GholizadehSan Diego Joint Doctoral Program in Clinical Psychology, San Diego State University, University of California, San Diego, CA, USA.
Michael WeismanDivision of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Mariko IshimoriDivision of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Daniel WallaceDivision of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Perry NicassioCousins Center for Psychoneuroimmunology, Jane and Terry Semel Institute for Neuroscience and Human Behavior, UCLA Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.

Funding

Behavioral Treatments for Rheumatoid ArthritisR01AR049840 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NICASSIO, PERRY MICHAEL · 2003 to 2007
$1.7M
Integrating pain-CBT into an mHealth analgesic support intervention for patients withchronic pain from advanced cancersK08CA266937 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Desiree R Hilton · 2022 to 2026
$1.0M
National Institutes of Health- National Institute of Arthritis and Musculoskeletal and Skin Diseases R01AR049840 NCT00072657NCI NIH HHS K08 CA266937NCI NIH HHS L30 CA242493NIAMS NIH HHS R01 AR049840
6 · The paper itself

Abstract

backgroundGuided by the reserve capacity model, we evaluated the unique relationships between socioeconomic status (SES), reserve capacity (helplessness, self-efficacy, social support), and negative emotions on pain in patients with Rheumatoid Arthritis (RA).

methodsThe secondary analysis used baseline, cross-sectional data from 106 adults in a clinical trial comparing behavioral treatments for RA. Patients were eligible if they were ≥ 18 years old, met the ACR criteria for RA (determined by study rheumatologist), had stable disease and drug regimens for 3 months, and did not have a significant comorbid condition. Structural equation modeling evaluated the direct effects of SES, reserve capacity (helplessness- Arthritis Helplessness Index, self-efficacy -Personal Mastery Scale, social support- Social Provisions Scale) and negative emotions (stress and depressive symptoms- Perceived Stress Scale and Hamilton Depression Rating Scale) on pain (Rapid Assessment of Disease Activity in Rheumatology-RADAR & visual analog scale-VAS), and the indirect effects of SES as mediated by reserve capacity and negative emotions. The SEM model was evaluated using multiple fit criteria: χ

resultsParticipants were mostly female (85%), 55.45 years old on average, self-identified as white (61%), Hispanic (16%), black (13%), and other (10%), and had RA for an average of 10.63 years. Results showed that low SES contributed to worse pain, through lower reserve capacity and higher negative emotions. Mediational analyses showed that reserve capacity and negative emotions partially mediated the effect of SES on pain. The final model explained 39% of the variance in pain.

conclusionsThe findings indicate that lower SES was related to worse clinical pain outcomes and negative emotions and reserve capacity (helplessness, social support, and self-efficacy) mediated the effect of SES on pain. A primary limitation is the small sample size; future studies should evaluate this model further in larger, longitudinal approaches. Interventions that target negative emotions in patients with low SES may facilitate better pain control with RA.

trial registrationclinicaltrials.gov NCT00072657 01/02/2004 20/03/2009.

Indexed as

Depressive symptomsPainPsychosocial factorsRheumatoid arthritisSocioeconomic factors

Identifiers

PMID39304956
PMCPMC11414099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.