dc.contributor.author | Norton, Sam | |
dc.contributor.author | Sacker, Amanda | |
dc.contributor.author | Young, Adam | |
dc.contributor.author | Done, D.J. | |
dc.date.accessioned | 2016-03-03T10:38:20Z | |
dc.date.available | 2016-03-03T10:38:20Z | |
dc.date.issued | 2011 | |
dc.identifier.citation | Norton , S , Sacker , A , Young , A & Done , D J 2011 , ' Distinct psychological distress trajectories in rheumatoid arthritis : Findings from an inception cohort ' , Journal of Psychosomatic Research , vol. 71 , no. 5 , pp. 290-295 . https://doi.org/10.1016/j.jpsychores.2011.05.006 | |
dc.identifier.issn | 0022-3999 | |
dc.identifier.uri | http://hdl.handle.net/2299/16627 | |
dc.description | 'This is the author's version of a work that was accepted for publication in Journal of Psychosomatic Research. Changes resulting from the publishing process, such as structural formatting and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Psychosomatic Research, 71, 5, (2011)] 10.1016/j.jpsychores.2011.05.006' | |
dc.description.abstract | Objective: As with other chronic physical illness, rates of depressive disorder are high in rheumatoid arthritis (RA). The aim of the current study was to identify distinct trajectories of psychological distress over 10 years in a cohort of RA patients recruited very early in the course of the disease. Methods: Psychological distress as measured by the Hospital Anxiety and Depression Scale total score was assessed annually in a subgroup of 784 patients enrolled in a multi-centre RA inception cohort (Early RA Study). A latent growth mixture modelling (GMM) approach was used to identify distinct psychological distress patterns. Results: Four distinct psychological distress trajectories were observed: low-stable (68%), high-stable (12%), high-decreasing (9%) and low-increasing (11%). Symptoms of pain, stiffness and functional impairment were significantly associated with levels of psychological distress at the time of diagnosis and after 3 years; serological markers of disease activity (ESR and CRP) were not. Conclusions: Although the majority of individuals developing RA experience little or no impact of the effects of the disease on their psychological well-being, a significant proportion experience high levels of distress at some point which may be related to their subjective appraisal of their condition. Assessment and treatment of psychological distress should occur synchronously with somatic symptoms. | en |
dc.format.extent | 6 | |
dc.format.extent | 253935 | |
dc.language.iso | eng | |
dc.relation.ispartof | Journal of Psychosomatic Research | |
dc.subject | Rheumatoid arthritis | |
dc.subject | Psychological distress | |
dc.subject | Depression | |
dc.subject | Longitudinal | |
dc.subject | Resilience | |
dc.title | Distinct psychological distress trajectories in rheumatoid arthritis : Findings from an inception cohort | en |
dc.contributor.institution | Centre for Postgraduate Medicine | |
dc.contributor.institution | Health & Human Sciences Research Institute | |
dc.contributor.institution | Postgraduate Medicine | |
dc.contributor.institution | Health Services and Medicine | |
dc.contributor.institution | School of Life and Medical Sciences | |
dc.contributor.institution | Department of Psychology | |
dc.contributor.institution | Psychology | |
dc.contributor.institution | Centre for Lifespan and Chronic Illness Research | |
dc.contributor.institution | Health and Clinical Psychology Research Group | |
dc.contributor.institution | Centre for Research in Public Health and Community Care | |
dc.contributor.institution | Cognitive Neuropsychology | |
dc.contributor.institution | Weight and Obesity Research Group | |
dc.description.status | Peer reviewed | |
dc.identifier.url | http://www.scopus.com/inward/record.url?scp=80053963983&partnerID=8YFLogxK | |
rioxxterms.versionofrecord | 10.1016/j.jpsychores.2011.05.006 | |
rioxxterms.type | Journal Article/Review | |
herts.preservation.rarelyaccessed | true | |