Elizabeth Camacho|S. M. Verstappen|Deborah Symmons
Association between socioeconomic status, learned helplessness, and disease outcome in patients with inflammatory polyarthritis
Versus Arthritis|University of Manchester|Versus Arthritis|University of Manchester|Versus Arthritis|University of Manchester
independent investigations shown socioeconomic status ses learned helplessness lh associated poor disease outcome patients rheumatoid arthritis ra aim investigate crosssectional relationship ses lh disease outcome patients recentonset inflammatory polyarthritis ip broader group conditions ra major constituentses measured using index multiple deprivation 2007 553 patients consecutively recruited norfolk arthritis register patients also completed rheumatology attitudes index measure lh ses lh investigated predictors disease outcome functional disability health assessment questionnaire haq disease activity disease activity score 28 joints regression analysis adjusted age sex symptom duration role lh relationship ses disease outcome investigatedcompared patients highest ses lowest ses significantly worse outcome median difference haq score 042 95 confidence interval 95 ci 008 075 compared patients normal lh patients low lh significantly better outcome patients high lh significantly worse outcome median difference haq score 112 95 ci 082 141 significant likelihood lh mediated association ses disease outcome p 004lh robustly associated crosssectional disease outcome patients ip appears mediate relationship ses disease outcome lh potentially modifiable findings potential clinical implications