Resilience in women with autoimmune rheumatic diseases

Objective: To evaluate the relationship between resilience and clinical outcomes in patients with autoimmune rheumatic diseases. Methods: Focus groups, individual interviews, and chart reviews were done to collect data on 188 women with autoimmune rheumatic diseases, namely rheumatoid arthritis (n = 51), systemic lupus erythematosus (n = 70), systemic sclerosis (n = 35), and Sjögren's syndrome (n = 32). Demographic, clinical, and laboratory variables were assessed including disease activity by patient reported outcomes. Resilience was evaluated by using the Brief Resilience Scale. Bivariate, multiple linear regression, and classification and regression trees were used to analyse data. Results: Resilience was influenced by age, duration of disease, and socioeconomic status. Lower resilience scores were observed in younger patients ( less than 48 years) with systemic lupus erythematosus, rheumatoid arthritis, and systemic sclerosis who had low socioeconomic status, whereas older patients (> 50 years) had higher resilience scores regardless of socioeconomic status. There was no influence of disease activity on resilience. A particular behaviour was observed in systemic sclerosis in which patients with high socioeconomic status and regular physical activity had higher resilience scores. Conclusion: Resilience in patients with autoimmune rheumatic diseases is a continuum process influenced by age and socioeconomic status. The ways in which these variables along with exercise influence resilience deserve further investigation. © 2017 Société française de rhumatologie

• Fecha de publicación: 2018
• Institución: Universidad del Rosario
• Repositorio: Repositorio EdocUR - U. Rosario
• Idioma: eng
• OAI Identifier: oai:repository.urosario.edu.co:10336/22212
• Acceso en línea: https://doi.org/10.1016/j.jbspin.2017.12.012; https://repository.urosario.edu.co/handle/10336/22212
• Palabra clave: Adult; Age; Article; Autoimmune disease; Clinical outcome; Cross-sectional study; Disease activity; Disease duration; Female; Human; Interview; Major clinical study; Medical record review; Patient-reported outcome; Physical activity; Rheumatic disease; Rheumatoid arthritis; Sjoegren syndrome; Social status; Systemic lupus erythematosus; Systemic sclerosis; Aged; Autoimmune disease; Disease exacerbation; Immunology; Male; Mental stress; Middle aged; Patient-reported outcome; Psychology; Retrospective study; Rheumatic disease; Severity of illness index; Social aspects and related phenomena; Adult; Aged; Autoimmune diseases; Cross-sectional studies; Disease progression; Female; Humans; Male; Middle aged; Patient reported outcome measures; Retrospective studies; Rheumatic diseases; Severity of illness index; Sociological factors; Autoimmune diseases; Resilience; Rheumatoid arthritis; Sjögren's syndrome; Systemic lupus erythematosus; Systemic sclerosis; psychological; Stress
• License: Abierto (Texto Completo)