AI Article Synopsis
- The study looked at how having low social support or low decision-making power at work affects patients with rheumatoid arthritis (RA) and whether it helps them get better over time.
- They collected information from many patients in Sweden and compared those with low support or low decision-making ability to those who had more support and power.
- The results showed that neither low social support nor low decision-making at work made a difference in whether patients achieved remission from their disease at 3, 12, or 60 months.
Article Abstract
Objectives: To investigate the association between psychosocial vulnerability, defined as either low social support or low decision latitude at work, and disease remission at 3, 12, and 60 months in patients with rheumatoid arthritis (RA).
Methods: This cohort study included all patients enrolled in both the Swedish Epidemiological Investigation of Rheumatoid Arthritis (EIRA) 1996-2015 and the Swedish Rheumatology Quality Register (SRQ, n = 2820). Information on social support and decision latitude at work at RA diagnosis were identified from the EIRA questionnaire. Indexes for levels of social support and decision latitude at work, respectively, were calculated based on the questionnaire. Low social support and low decision latitude at work, respectively, were identified by a score in the lowest quartile and compared with the three other quartiles (not low). Disease-activity parameters were retrieved from SRQ at 3, 12, and 60 months. The associations between social support or decision latitude at work, respectively, and Disease Activity Score 28 joint count with C-reactive protein (DAS28-CRP) remission were analysed using logistic regression models adjusted for age, sex, smoking habits, alcohol habits, symptom duration, and educational level.
Results: Having low social support (n = 591) was not associated with DAS28-CRP remission at 3 (OR 0.93, 95% CI 0.74-1.16), 12 (OR 0.96, 95%CI 0.75-1.23), or 60 (OR 0.89, 95%CI 0.72-1.10) months compared to not low social support (n = 2209). No association was observed for low (n = 212) versus not low (n = 635) decision latitude at work and DAS28-CRP remission at 3 (OR 0.84, 95%CI 0.54-1.31), 12 (OR 0.81, 95%CI 0.56-1.16), or 60 (OR 1.37, 95%CI 0.94-2.01) months.
Conclusion: In a country with general access to healthcare, psychosocial vulnerability does not influence the likelihood of achieving remission in early RA.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396875 | PMC |
| http://dx.doi.org/10.1186/s13075-022-02892-w | DOI Listing |
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