Rational/antiemotional behaviors in interpersonal relationships and the functional prognosis of patients with rheumatoid arthritis

A Japanese multicenter, longitudinal study

Jun Nagano, Takako Morita, Koji Taneichi, Shohei Nagaoka, Sadanobu Katsube, Tomiaki Asai, Masao Yukioka, Kiyoshi Takasugi, Masakazu Kondo, Yasuro Nishibayashi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: The repression of negative emotions is a personality factor that received considerable attention in the 1950-60s as being relevant to the onset and course of rheumatoid arthritis (RA). Despite subsequent, repeated criticisms of the cross-sectional nature of the earlier studies, even to date few prospective studies have been reported on this issue. This multicenter study prospectively examined if " rational and antiemotional" behavior (antiemotionality), characterized by an extreme tendency to suppress emotional behaviors and to rationalize negative experiences in conflicting interpersonal situations, is associated with the functional prognosis of patients with RA.Methods: 532 patients with RA who regularly visited one of eight hospitals/clinics in Japan in 2000 were recruited for study. All completed a self-administered baseline questionnaire about lifestyle and psychosocial factors including antiemotionality. Two years after, 460 (mean age, 56.1 years; 54 men and 406 women) of 471 patients who continued to visit the clinics agreed to take the follow-up questionnaire. The functional status of the patients was evaluated by rheumatologists based on the ACR classification system.Results: A multiple logistic regression model that included baseline demographic, disease activity/severity-related, therapeutic, and socioeconomic factors as covariates found a tendency toward higher antiemotionality to be related to poorer functional status at follow-up. This relationship was not explained by lifestyle factors.Conclusions: Antiemotionality may be a prognostic factor for the functional status of patients with RA. This finding sheds light on a seemingly forgotten issue in the care of patients with RA.

Original languageEnglish
Article number8
JournalBioPsychoSocial Medicine
Volume8
Issue number1
DOIs
Publication statusPublished - Feb 24 2014

Fingerprint

Multicenter Studies
Longitudinal Studies
Rheumatoid Arthritis
Life Style
Logistic Models
Ambulatory Care
Personality
Patient Care
Japan
Emotions
Demography
Prospective Studies
Psychology
Surveys and Questionnaires
Therapeutics

All Science Journal Classification (ASJC) codes

  • Social Psychology
  • Psychology(all)
  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Rational/antiemotional behaviors in interpersonal relationships and the functional prognosis of patients with rheumatoid arthritis : A Japanese multicenter, longitudinal study. / Nagano, Jun; Morita, Takako; Taneichi, Koji; Nagaoka, Shohei; Katsube, Sadanobu; Asai, Tomiaki; Yukioka, Masao; Takasugi, Kiyoshi; Kondo, Masakazu; Nishibayashi, Yasuro.

In: BioPsychoSocial Medicine, Vol. 8, No. 1, 8, 24.02.2014.

Research output: Contribution to journalArticle

Nagano, Jun ; Morita, Takako ; Taneichi, Koji ; Nagaoka, Shohei ; Katsube, Sadanobu ; Asai, Tomiaki ; Yukioka, Masao ; Takasugi, Kiyoshi ; Kondo, Masakazu ; Nishibayashi, Yasuro. / Rational/antiemotional behaviors in interpersonal relationships and the functional prognosis of patients with rheumatoid arthritis : A Japanese multicenter, longitudinal study. In: BioPsychoSocial Medicine. 2014 ; Vol. 8, No. 1.
@article{15b5066ac4b0469ba4351d38f905c04b,
title = "Rational/antiemotional behaviors in interpersonal relationships and the functional prognosis of patients with rheumatoid arthritis: A Japanese multicenter, longitudinal study",
abstract = "Background: The repression of negative emotions is a personality factor that received considerable attention in the 1950-60s as being relevant to the onset and course of rheumatoid arthritis (RA). Despite subsequent, repeated criticisms of the cross-sectional nature of the earlier studies, even to date few prospective studies have been reported on this issue. This multicenter study prospectively examined if {"} rational and antiemotional{"} behavior (antiemotionality), characterized by an extreme tendency to suppress emotional behaviors and to rationalize negative experiences in conflicting interpersonal situations, is associated with the functional prognosis of patients with RA.Methods: 532 patients with RA who regularly visited one of eight hospitals/clinics in Japan in 2000 were recruited for study. All completed a self-administered baseline questionnaire about lifestyle and psychosocial factors including antiemotionality. Two years after, 460 (mean age, 56.1 years; 54 men and 406 women) of 471 patients who continued to visit the clinics agreed to take the follow-up questionnaire. The functional status of the patients was evaluated by rheumatologists based on the ACR classification system.Results: A multiple logistic regression model that included baseline demographic, disease activity/severity-related, therapeutic, and socioeconomic factors as covariates found a tendency toward higher antiemotionality to be related to poorer functional status at follow-up. This relationship was not explained by lifestyle factors.Conclusions: Antiemotionality may be a prognostic factor for the functional status of patients with RA. This finding sheds light on a seemingly forgotten issue in the care of patients with RA.",
author = "Jun Nagano and Takako Morita and Koji Taneichi and Shohei Nagaoka and Sadanobu Katsube and Tomiaki Asai and Masao Yukioka and Kiyoshi Takasugi and Masakazu Kondo and Yasuro Nishibayashi",
year = "2014",
month = "2",
day = "24",
doi = "10.1186/1751-0759-8-8",
language = "English",
volume = "8",
journal = "BioPsychoSocial Medicine",
issn = "1751-0759",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Rational/antiemotional behaviors in interpersonal relationships and the functional prognosis of patients with rheumatoid arthritis

T2 - A Japanese multicenter, longitudinal study

AU - Nagano, Jun

AU - Morita, Takako

AU - Taneichi, Koji

AU - Nagaoka, Shohei

AU - Katsube, Sadanobu

AU - Asai, Tomiaki

AU - Yukioka, Masao

AU - Takasugi, Kiyoshi

AU - Kondo, Masakazu

AU - Nishibayashi, Yasuro

PY - 2014/2/24

Y1 - 2014/2/24

N2 - Background: The repression of negative emotions is a personality factor that received considerable attention in the 1950-60s as being relevant to the onset and course of rheumatoid arthritis (RA). Despite subsequent, repeated criticisms of the cross-sectional nature of the earlier studies, even to date few prospective studies have been reported on this issue. This multicenter study prospectively examined if " rational and antiemotional" behavior (antiemotionality), characterized by an extreme tendency to suppress emotional behaviors and to rationalize negative experiences in conflicting interpersonal situations, is associated with the functional prognosis of patients with RA.Methods: 532 patients with RA who regularly visited one of eight hospitals/clinics in Japan in 2000 were recruited for study. All completed a self-administered baseline questionnaire about lifestyle and psychosocial factors including antiemotionality. Two years after, 460 (mean age, 56.1 years; 54 men and 406 women) of 471 patients who continued to visit the clinics agreed to take the follow-up questionnaire. The functional status of the patients was evaluated by rheumatologists based on the ACR classification system.Results: A multiple logistic regression model that included baseline demographic, disease activity/severity-related, therapeutic, and socioeconomic factors as covariates found a tendency toward higher antiemotionality to be related to poorer functional status at follow-up. This relationship was not explained by lifestyle factors.Conclusions: Antiemotionality may be a prognostic factor for the functional status of patients with RA. This finding sheds light on a seemingly forgotten issue in the care of patients with RA.

AB - Background: The repression of negative emotions is a personality factor that received considerable attention in the 1950-60s as being relevant to the onset and course of rheumatoid arthritis (RA). Despite subsequent, repeated criticisms of the cross-sectional nature of the earlier studies, even to date few prospective studies have been reported on this issue. This multicenter study prospectively examined if " rational and antiemotional" behavior (antiemotionality), characterized by an extreme tendency to suppress emotional behaviors and to rationalize negative experiences in conflicting interpersonal situations, is associated with the functional prognosis of patients with RA.Methods: 532 patients with RA who regularly visited one of eight hospitals/clinics in Japan in 2000 were recruited for study. All completed a self-administered baseline questionnaire about lifestyle and psychosocial factors including antiemotionality. Two years after, 460 (mean age, 56.1 years; 54 men and 406 women) of 471 patients who continued to visit the clinics agreed to take the follow-up questionnaire. The functional status of the patients was evaluated by rheumatologists based on the ACR classification system.Results: A multiple logistic regression model that included baseline demographic, disease activity/severity-related, therapeutic, and socioeconomic factors as covariates found a tendency toward higher antiemotionality to be related to poorer functional status at follow-up. This relationship was not explained by lifestyle factors.Conclusions: Antiemotionality may be a prognostic factor for the functional status of patients with RA. This finding sheds light on a seemingly forgotten issue in the care of patients with RA.

UR - http://www.scopus.com/inward/record.url?scp=84897672786&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84897672786&partnerID=8YFLogxK

U2 - 10.1186/1751-0759-8-8

DO - 10.1186/1751-0759-8-8

M3 - Article

VL - 8

JO - BioPsychoSocial Medicine

JF - BioPsychoSocial Medicine

SN - 1751-0759

IS - 1

M1 - 8

ER -