Life events and disability in rheumatoid arthritis: a European cohort.

Fiche publication


Date publication

octobre 1997

Journal

British journal of rheumatology

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BRIANCON Serge, Pr GUILLEMIN Francis, Pr JOLLY Damien


Tous les auteurs :
Leymarie F, Jolly D, Sanderman R, Briançon S, Marchand AC, Guillemin F, Eschard JP, Suurmeijer T, Poitrinal P, Blanchard F, van den Heuvel W

Résumé

The objective was to study the relationship between life events (LE) and the clinical status of patients suffering from recently diagnosed rheumatoid arthritis (RA) in a 2 yr follow-up. As part of a multicentre European cohort study, 370 French and Dutch patients were questioned three times at 1 yr intervals about LE which had occurred in the previous year. Three criteria were used to quantify the degree of disease activity (Ritchie's index), the level of functional disability [Health Assessment Questionnaire (HAQ)] and perceived health [Overall Evaluation of Health (OEH)]. Total LE and desirable LE showed a weak negative correlation with the HAQ scores. On the other hand, death-related LE did not seem to modify patient status. The higher the number of health-associated LE, the greater the deterioration in HAQ and OEH scores. The results indicate that LE do not affect the course of early RA in a spectacular manner.

Mots clés

Adult, Aged, Arthritis, Rheumatoid, epidemiology, Cohort Studies, Disability Evaluation, Female, France, epidemiology, Humans, Life Change Events, Male, Middle Aged, Netherlands, epidemiology, Prospective Studies, Quality of Life, Severity of Illness Index, Social Support, Surveys and Questionnaires, Time Factors

Référence

Br. J. Rheumatol.. 1997 Oct;36(10):1106-12