Kageyama Goichi, Onishi Akira, Ueda Yo, Naka Ikuko, Tsuda Kosaku, Okano Takaichi, Akashi Kengo, Nishimura Keisuke, Sendo Sho, Saegusa Jun, Morinobu Akio
Department of Rheumatology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Department of Rheumatology, Kobe University Hospital, Kobe, Japan.
Int J Rheum Dis. 2019 Oct;22(10):1863-1870. doi: 10.1111/1756-185X.13704. Epub 2019 Oct 9.
Subjective well-being (SWB) is a psychological construct that is synonymous with happiness. Many variables including age, sex, income, employment, and marital status are related to SWB. Health is also an important determinant of SWB that can be adversely affected in patients with chronic conditions such as rheumatoid arthritis (RA). In this study, we evaluate the SWB of RA patients and compare it with that of healthy controls.
We obtained the original dataset from the "Quality of Life Survey, 2013", which was conducted by the Economic and Social Research Institute, Cabinet Office, Government of Japan. In this survey, SWB was determined by asking participants to rate their happiness between 0 (very unhappy) and 10 (very happy). The survey also included a 56-point questionnaire regarding well-being-related variables. This questionnaire was administered to RA patients recruited from Kobe University Hospital, and clinical and treatment data were simultaneously collected.
Multivariate analysis revealed that RA patients with high or moderate disease activity had SWB scores that were similar to those of controls. However, the SWB scores of RA patients in remission or with low disease activity were higher than those of controls (P = .013). SWB was associated with household income, self-assessment of living costs, self-assessment of health, depression/ anxiety, and social connection.
For RA patients, achieving the therapeutic target can result in better SWB than that of healthy controls. Financial status, self-assessment of health, psychological stress, and social network are also important determinants for the SWB of RA patients.
主观幸福感（SWB）是一种与幸福同义的心理结构。包括年龄、性别、收入、就业和婚姻状况在内的许多变量都与主观幸福感相关。健康也是主观幸福感的一个重要决定因素，在类风湿性关节炎（RA）等慢性病患者中，健康可能会受到不利影响。在本研究中，我们评估了类风湿性关节炎患者的主观幸福感，并将其与健康对照组进行比较。
我们从日本内阁府经济社会研究所进行的“2013年生活质量调查”中获取了原始数据集。在这项调查中，通过要求参与者在0（非常不幸福）至10（非常幸福）之间对自己的幸福程度进行评分来确定主观幸福感。该调查还包括一份关于幸福感相关变量的56分问卷。这份问卷被发放给从神户大学医院招募的类风湿性关节炎患者，并同时收集临床和治疗数据。
多变量分析显示，疾病活动度高或中度的类风湿性关节炎患者的主观幸福感得分与对照组相似。然而，处于缓解期或疾病活动度低的类风湿性关节炎患者的主观幸福感得分高于对照组（P = 0.013）。主观幸福感与家庭收入、生活成本自我评估、健康自我评估、抑郁/焦虑以及社会联系相关。
对于类风湿性关节炎患者而言，实现治疗目标可带来比健康对照组更好的主观幸福感。经济状况、健康自我评估、心理压力和社会网络也是类风湿性关节炎患者主观幸福感的重要决定因素。
