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Social Participation and Health Related Quality of Life in Early and Established Rheumatoid Arthritis Patients

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Abstract

Social participation has been recognized as one of the key variables to be addressed in disability research yet few studies addressed the association between restriction in participation and quality of life in the context of rheumatoid arthritis. The aim of this study was to explore the associations between restrictions in social participation and health related quality of life (HRQoL) in early and established group of rheumatoid arthritis (RA) patients. Two samples with early (n = 97; age = 53 ± 12.3 years; disease duration = 2.8 ± 1.2 years; 76 % women) and established (n = 143; age = 58 ± 10.3 years; disease duration = 16.1 ± 3.6 years; 86 % women) RA patients were collected. Respondents completed questionnaires on pain (NHP), fatigue (VAS), functional disability (HAQ), depression (HADS), social participation restrictions (Participation scale) and health related quality of life (SF-36). Data were analyzed using stepwise regression models controlling for the relevant variables. Perceived social participation restrictions in the group of early patients were found to be negatively associated with the mental health component of the HRQoL (β = −0.192; p ≤ 0.05) and in the established RA group with the physical health component of the HRQoL (β = −0.271; p ≤ 0.001). These results generally suggest the importance of social participation with regard to HRQoL in RA.

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Authors and Affiliations

  1. Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovak Republic

    Jozef Benka, Iveta Nagyova, Jaroslav Rosenberger & Jitse P. van Dijk

  2. Department of Educational Psychology and Health Psychology, Faculty of Arts, Safarik University, Srobarova 2, 040 01, Kosice, Slovakia Republic

    Jozef Benka

  3. Institute of Public Health - Department of Social Medicine, Medical Faculty, Safarik University, Kosice, Slovak Republic

    Iveta Nagyova

  4. Transplantation Department, University Hospital Kosice, Kosice, Slovak Republic

    Jaroslav Rosenberger

  5. 1st Internal Clinic, Faculty of Medicine, Safarik University, Kosice, Slovak Republic

    Zelmira Macejova & Ivica Lazurova

  6. Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

    Jac L. L. van der Klink, Johan W. Groothoff & Jitse P. van Dijk

Authors
  1. Jozef Benka
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  2. Iveta Nagyova
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  3. Jaroslav Rosenberger
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  4. Zelmira Macejova
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  5. Ivica Lazurova
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  6. Jac L. L. van der Klink
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  7. Johan W. Groothoff
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  8. Jitse P. van Dijk
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Correspondence to Jozef Benka.

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Funding and Grant Support

This work was supported by the Slovak Research and Development Agency under contract No. APVV- 20–038305 (20 %) and APVV-0220-10 (60 %). Furthermore, this work was partially supported by the Agency of the Slovak Ministry of the Education, Science, Research and Sport of the Slovak Republic for the Structural Funds of the EU under project No. ITMS: 26220120058 (20 %).

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all participants.

Conflict of Interest

The authors declare no conflict of interests.

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Benka, J., Nagyova, I., Rosenberger, J. et al. Social Participation and Health Related Quality of Life in Early and Established Rheumatoid Arthritis Patients. J Dev Phys Disabil 28, 381–392 (2016). https://doi.org/10.1007/s10882-016-9475-3

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  • DOI: https://doi.org/10.1007/s10882-016-9475-3

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