Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity

Objective. The current study aimed to identify and characterize distinct RA subgroups based on their level of EA and AS and compares the difference among the subgroups in mood, disability, and quality of life. Methods. Individuals with chronic pain for at least 3 months were recruited from an academ...

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Main Authors: S. Mehta, D. Rice, S. Janzen, J. E. Pope, M. Harth, A. P. Shapiro, R. W. Teasell
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2016/7241856
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author S. Mehta
D. Rice
S. Janzen
J. E. Pope
M. Harth
A. P. Shapiro
R. W. Teasell
author_facet S. Mehta
D. Rice
S. Janzen
J. E. Pope
M. Harth
A. P. Shapiro
R. W. Teasell
author_sort S. Mehta
collection DOAJ
description Objective. The current study aimed to identify and characterize distinct RA subgroups based on their level of EA and AS and compares the difference among the subgroups in mood, disability, and quality of life. Methods. Individuals with chronic pain for at least 3 months were recruited from an academic rheumatoid clinic. Participants were assessed for demographic, psychosocial, and personality measures. A two-step cluster analysis was conducted to identify distinct subgroups of patients. Differences in clinical outcomes were compared using the Multivariate ANOVA based on cluster membership. Results. From a total of 223 participants, three distinct subgroups were formed based on cluster analysis. Cluster 1 (N=78) included those with low levels of both EA and AS. Cluster 2 (N=81) consisted of individuals with moderate levels of EA and low levels AS. Cluster 3 (N=64) included those with moderate levels of EA and high AS. Compared to those in Cluster 1, those in Cluster 3 had significantly higher levels of mood impairment and disability and lower quality of life (p<0.05). Significantly lower levels of mood impairment were seen in Cluster 1 compared to Cluster 2 (p<0.05). However, no significant difference in disability or quality of life was seen between the two groups. Conclusions. The three subgroups differed significantly in levels of impairment in mood, disability, and quality of life. However, levels of EA had a greater impact on disability and quality of life than AS.
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spelling doaj-art-89ac40c595b347c69cbd13fc8d69c93e2025-08-20T03:38:02ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/72418567241856Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety SensitivityS. Mehta0D. Rice1S. Janzen2J. E. Pope3M. Harth4A. P. Shapiro5R. W. Teasell6Western University, London, ON, N6A 3K7, CanadaSt. Joseph’s Health Care London, London, ON, N6A 4V2, CanadaSt. Joseph’s Health Care London, London, ON, N6A 4V2, CanadaWestern University, London, ON, N6A 3K7, CanadaWestern University, London, ON, N6A 3K7, CanadaSt. Joseph’s Health Care London, London, ON, N6A 4V2, CanadaWestern University, London, ON, N6A 3K7, CanadaObjective. The current study aimed to identify and characterize distinct RA subgroups based on their level of EA and AS and compares the difference among the subgroups in mood, disability, and quality of life. Methods. Individuals with chronic pain for at least 3 months were recruited from an academic rheumatoid clinic. Participants were assessed for demographic, psychosocial, and personality measures. A two-step cluster analysis was conducted to identify distinct subgroups of patients. Differences in clinical outcomes were compared using the Multivariate ANOVA based on cluster membership. Results. From a total of 223 participants, three distinct subgroups were formed based on cluster analysis. Cluster 1 (N=78) included those with low levels of both EA and AS. Cluster 2 (N=81) consisted of individuals with moderate levels of EA and low levels AS. Cluster 3 (N=64) included those with moderate levels of EA and high AS. Compared to those in Cluster 1, those in Cluster 3 had significantly higher levels of mood impairment and disability and lower quality of life (p<0.05). Significantly lower levels of mood impairment were seen in Cluster 1 compared to Cluster 2 (p<0.05). However, no significant difference in disability or quality of life was seen between the two groups. Conclusions. The three subgroups differed significantly in levels of impairment in mood, disability, and quality of life. However, levels of EA had a greater impact on disability and quality of life than AS.http://dx.doi.org/10.1155/2016/7241856
spellingShingle S. Mehta
D. Rice
S. Janzen
J. E. Pope
M. Harth
A. P. Shapiro
R. W. Teasell
Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity
Pain Research and Management
title Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity
title_full Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity
title_fullStr Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity
title_full_unstemmed Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity
title_short Mood, Disability, and Quality of Life among a Subgroup of Rheumatoid Arthritis Individuals with Experiential Avoidance and Anxiety Sensitivity
title_sort mood disability and quality of life among a subgroup of rheumatoid arthritis individuals with experiential avoidance and anxiety sensitivity
url http://dx.doi.org/10.1155/2016/7241856
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