Silva Luna Karina, Ortiz Ana M, Patiño Esther, Aguilera Carmen, Velasco Teresa, García de Vicuña Rosario, González-Alvaro Isidoro
Servicio de Reumatología, Hospital Universitario Dr. José Eleuterio González, Monterrey Nuevo León, México.
Reumatol Clin. 2012 Nov-Dec;8(6):328-33. doi: 10.1016/j.reuma.2012.04.002. Epub 2012 Sep 28.
To analyze the effect of the structure of mood over the following assessment tools for rheumatoid arthritis: visual analog scale (VAS) for pain, HAQ and DAS28.
We studied 86 patients with recent onset rheumatoid arthritis, of which 75.7% were female, with a mean age at disease onset of 55 years. All patients were administered the Spanish version of the PANAS questionnaire that evaluates the components of positive (PA) and negative mood (AN). Patients belonged to the registry of new-onset arthritis in our center so clinical information was available for 282 patients visits. To determine the effect of PA and AN on each of the dependent variables we performed three multivariate linear regression models using generalized linear models through the Stata glm command 10.1.
The mean score for PA and AN in our patients was similar to that described for the healthy Spanish population. The high scores on the subscale of AN were associated with worse scores in both the VAS for pain and the HAQ. By contrast, high scores on PA were associated with better outcomes of disease activity measured by DAS28.
The structure of mood may influence the tools we use for evaluating patients with rheumatoid arthritis, so it might be advisable to include the PANAS questionnaire as part of that assessment.
分析情绪结构对类风湿关节炎以下评估工具的影响：疼痛视觉模拟量表（VAS）、健康评估问卷（HAQ）和28关节疾病活动评分（DAS28）。
我们研究了86例近期发病的类风湿关节炎患者，其中75.7%为女性，疾病发病时的平均年龄为55岁。所有患者均接受了西班牙语版的正性与负性情绪量表（PANAS）问卷调查，该问卷评估正性情绪（PA）和负性情绪（AN）的成分。患者属于我们中心新发关节炎登记系统的一部分，因此有282次患者就诊的临床信息。为了确定PA和AN对每个因变量的影响，我们使用Stata 10.1软件中的广义线性模型通过glm命令进行了三个多元线性回归模型分析。
我们患者的PA和AN平均得分与西班牙健康人群的得分相似。AN分量表得分高与疼痛VAS和HAQ得分差相关。相比之下，PA得分高与DAS28测量的疾病活动较好结果相关。
情绪结构可能会影响我们用于评估类风湿关节炎患者的工具，因此将PANAS问卷纳入该评估可能是明智的。
