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Cited by 111Rheumatoid Arthritis Research and TherapiesHealth disparities and outcomesMusculoskeletal pain and rehabilitation

The DOI matches its Crossref record; 89 of the 91 references it cites were found in a registry or an index.

Formal education and five‐year mortality in rheumatoid arthritis: Mediation by helplessness scale scores

Callahan, Leigh F., Cordray, David S., Wells, George, Pincus, Theodore·1996·Arthritis & Rheumatism
DOI 10.1002/art.1790090608
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Abstract

Objective To analyze scores on a scale designed to measure helplessness, a cognitive variable, as a possible mediator of the association between formal education level and mortality over 5 years in patients with rheumatoid arthritis (RA). Methods A cohort of 1,416 patients with RA from 15 private practices in 6 states and Washington, DC was monitored for over 5 years. Demographic, socioeconomic, therapy, functional status, and psychological variables were analyzed as possible predictors of mortality in invariable and multivariable Cox Proportional Hazards models. Results In a 5-year followup, 1,384 patients were accounted for (97.3%), including 174 who died versus 111 expected (standardized mortality ratio = 1.54). Higher mortality was associated significantly with low formal education, high age, poor scores for activities of daily living (ADL) on a modified health assessment questionnaire (MHAQ), and poor scores on a helplessness scale (all P Conclusion Scores on a helplessness scale appear to mediate a component of the association between formal education level and 5-year mortality in these patients with RA. Health professionals and policy makers might consider interventions directed at modification of helplessness as adjunctive to standard interventions to improve outcomes in RA.

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Citations

Cites

Research works printed but not linked: 15

  1. Leigh JP, 1991, Education level and rheumatoid arthritis: evidence from five data centers, J Rheumatol, 18, 24
  2. Pincus T, 1995, What explains the association between socioeconomic status and health: primarily medical access or mind‐body variables?, Advances, 11, 4
  3. Fuchs VR, 1965, Some Economic Aspects of Mortality in the United States
  4. Rosen S, 1979, Statistical Uses of Administrative Records with Emphasis on Mortality and Disability Research
  5. 10.1001/jama.1975.03260080034016 · DOI
  6. 10.1001/jama.267.4.559 · DOI
  7. 10.1037/0021-843X.87.1.49 · DOI · Paper page
  8. Seligman MEP, 1994, Learned Optimism: What You Can Change and What You Can't
  9. Rezide, 1985, The National Encyclopedia of Residential Zip Code Demography
  10. 1985, The 1985 Sourcebook of Demographics and Buying Power for Every Zip Code in the USA
  11. 1986, SPSSx User's Guide
  12. National Center for Health Statistics, US Department of Health, 1977, Vital Statistics of the United States 1973: Volume, II—Mortality, Part A
  13. Callahan LF, 1992, Predictors of mortality in rheumatoid arthritis over 5 years (abstract), Arthritis Rheum, 35, S47
  14. Pincus T, 1994, Explaining the connection between privilege and health (letter), N Engl J Med, 330, 140
  15. Starr P, 1992, The Logic of Health‐Care Reform

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Metadata

Authors
Callahan, L. F., Cordray, D. S., Wells, G., & Pincus, T.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Vanderbilt University (US)
  • University of Ottawa (CA)
Corresponding author
Callahan, Leigh F.
ORCID
Venue
Arthritis & Rheumatism
Publisher
Wiley
Published
1996-12
Volume
9
Issue
6
Pages
463-472
ISSN
  • 0004-3591 (ISSN-L)
  • 1529-0131
DOI
10.1002/art.1790090608
OpenAlex
W2067851921
Cited by
111
References
91
Citations by year
2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 4 · 2012: 4
FWCI
3.64
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3300 d)
Locations
  • Arthritis & Rheumatism (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. Public Health Service (21393)
Topics
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords
rheumatoid arthritis, mortality, helplessness, formal education, mediation, activities of daily living, modified Health Assessment Questionnaire, age, sex differences, socioeconomic factors, psychological factors
MeSH terms
Adult, Aged, Arthritis, Rheumatoid, Educational Status, Female, Health Status, Helplessness, Learned, Humans, Longitudinal Studies, Male, Middle Aged, Patient Education as Topic, Surveys and Questionnaires, Proportional Hazards Models

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