The Effect of Dispositional Optimism in HRQOL in Patients with Chronic Musculoskeletal Pain Conditions in Greece

Tsakogia, Zoi; Lyrakos, G.; Damigos, D.; Mayreas, Venetsanos; Dimoliatis, Ioannis

doi:10.1007/s11482-010-9113-7

Cited by 9 publications

(7 citation statements)

References 83 publications

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“…The present findings were consistent with the previously published studies on optimism in the field of rheumatic diseases and chronic conditions [ 22 – 24 ]. The largest study investigating the relationship between optimism and HRQoL in 1529 patients with chronic diseases found that optimism was positively linked with HRQoL [ 23 ].…”

Section: Discussionsupporting

confidence: 94%

“…The largest study investigating the relationship between optimism and HRQoL in 1529 patients with chronic diseases found that optimism was positively linked with HRQoL [ 23 ]. Similarly, Tsakogia and colleagues study [ 22 ] investigated the influence of optimism on the HRQoL of patients with musculoskeletal problems and found that dispositional optimism was an independent factor affecting the mental composite score of the SF-12, and weakly (similarly to the present findings), the physical component of SF12. However, in comparison to these two studies, the mean LOT-R of our sample appeared lower.…”

Section: Discussionsupporting

confidence: 83%

“…This has been investigated in particular in people with cancer, epilepsy, haemodialysis and in patients having undergone aortic-coronary bypass [ 18 – 21 ]. In chronic rheumatic diseases, the few studies available also indicate optimism seems positively correlated to HRQoL [ 22 – 24 ]. However, none of these studies was focused on axial diseases.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between optimism and quality of life in patients with two chronic rheumatic diseases: axial spondyloarthritis and chronic low back pain: a cross sectional study of 288 patients

Kreis

Moltó

Bailly

et al. 2015

Health Qual Life Outcomes

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BackgroundAxial Spondyloarthritis (AxSpA) and chronic low back pain are rheumatic diseases that impact patients’ health-related quality of life (HRQoL). In other chronic conditions, HRQoL was positively associated with dispositional optimism, a personality trait. The objective was to explore the relationship between optimism and HRQoL in these two diseases.MethodA cross-sectional study was performed in 2 tertiary care hospitals and 2 private practices in France. Patients had definite AxSpA or chronic low back pain according to the rheumatologist. A generic HRQoL questionnaire (Short Form, SF-12) with physical and mental composite scores (PCS and MCS respectively) and an optimism questionnaire (the Life Orientation Test-revised, LOT-R) were collected. Analyses included non-parametric correlations and multiple regression analyses to study the effect of optimism on PCS and MCS.ResultsIn all, 288 (199 AxSpA and 89 low back pain) patients were included: mean age, 47.3 ± 11.9 years, 48.6 % were males. Pain levels (0–10) were 4.5 ± 2.4 and 4.3 ± 2.4 in AxSpA and LOW BACK PAIN patients, respectively. HRQoL was similarly altered in both diseases, for both physical and mental composite scores (mean PCS: 43.7 ± 8.2 vs. 41.9 ± 7.1; mean MCS: 45.9 ± 7.8 vs. 46.7 ± 8.1 for AxSpA and low back pain respectively). Optimism was moderate and similar in both populations. Optimism was positively correlated to MCS in both diseases (rho = 0.54 and 0.58, respectively, both p <0.01) and these relations persisted in multivariate analyses (beta = 1.03 and 1.40, both p <0.0001).ConclusionsOptimism was similar in these 2 chronic diseases and was an explanatory factor of the mental component of HRQoL, but not physical HRQoL. Physical HRQoL may reflect more the disease process than character traits.Electronic supplementary materialThe online version of this article (doi:10.1186/s12955-015-0268-7) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Relationship between optimism and quality of life in patients with two chronic rheumatic diseases: axial spondyloarthritis and chronic low back pain: a cross sectional study of 288 patients

Kreis

Moltó

Bailly

et al. 2015

Health Qual Life Outcomes

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“…Considering the influence of several factors, such as social support [ 6 ], optimism [ 7 ], personality factors [ 8 ] on HRQL, numerous studies have analysed associations between these factors with HRQL and with subjective well-being (SWB). Subjective well-being refers to people’s emotional and cognitive evaluations of their lives, and includes what people usually call happiness, peace, fulfilment, and life satisfaction [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial factors as predictors of quality of life in chronic portuguese patients

Vilhena

Pais-Ribeiro

Silva

et al. 2014

Health Qual Life Outcomes

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BackgroundChronic illnesses are diseases of long duration and generally of slow progression. They cause significant quality of life impairment. The aim of this study was to analyse psychosocial predictors of quality of life and of subjective well-being in chronic Portuguese patients.MethodsChronic disease patients (n = 774) were recruited from central Portuguese Hospitals. Participants completed self-reported questionnaires assessing socio-demographic, clinical, psychosocial and outcome variables: quality of life (HRQL) and subjective well-being (SWB). MANCOVA analyses were used to test psychosocial factors as determinants of HRQL and SWB.ResultsAfter controlling for socio-demographic and clinical variables, results showed that dispositional optimism, positive affect, spirituality, social support and treatment adherence are significant predictors of HRQL and SWB. Similar predictors of quality of life, such as positive affect, treatment adherence and spirituality, were found for subgroups of disease classified by medical condition.ConclusionsThe work identifies psychosocial factors associated with quality of life. The predictors for the entire group of different chronic diseases are similar to the ones found in different chronic disease subgroups: positive affect, social support, treatment adherence and spirituality. Patients with more positive affect, additional social support, an adequate treatment adherence and a feel-good spirituality, felt better with the disease conditions and consequently had a better quality of life. This study contributes to understanding and improving the processes associated with quality of life, which is relevant for health care providers and chronic diseases support.

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“…Optimism is de ned as the propensity to look forward to a better future. Several studies reported that optimism was associated with health-related quality of life in patients with different chronic rheumatic diseases [23][24][25]. For example, a study reported that optimism was positively associated with quality of life in patients with axial spondyloarthritis and chronic low back pain [26].…”

Section: Introductionmentioning

confidence: 99%

Optimism is a Nonnegligible Factor Associated With Compliance to Urate Lowering Therapy in Patients With Gout: A Prospective Study

Zhao

Huang

et al. 2021

Preprint

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Background: Optimism has different effects on patients with chronic rheumatic disease. Gout is an increasingly prevalent disorder around the world, while the compliance to urate lowering therapy (ULT) of gout patients is poor. The objective of this study was to assess the optimism of gout patients. Contributors to optimism and poor compliance were also explored.Methods: A total of 530 gout patients, 174 ankylosing spondylitis (AS) patients, 60 rheumatoid arthritis (RA) patients and 324 healthy volunteers were included. Optimism, anxiety, and depression were measured by the life orientation test-revised (LOT-R), self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Demographic and disease characteristic were recorded, including education, residence, disease duration, etc. Severity of pain in the involved joints was assessed by the visual analog scale (VAS). Concentration of serum uric acid (SUA) was collected at baseline and the last examination within the follow-up. Compliance to ULT was investigated by the medication possession ratio (MPR) in 3 months. The contributors to optimism and poor compliance were detected by the multivariate and binary logistic regression analysis.Results: The LOT-R score of gout patients was higher than AS and RA patients, but there was no statistical difference between gout patients and healthy controls. The SAS and SDS score of gout patients were lower than AS and RA patients, while the SDS score of gout patients was higher than healthy controls. The mean disease duration and VAS score were 5.0 (2.0-7.3) years and 2.0 (0.0-4.0). Percentage of gout patients with an MPR<0.8 was 55.1%. Insufficient education contributed to optimism in gout patients. Insufficient education, living in countryside, higher concentration of SUA and higher LOT-R score led to poor compliance to ULT.Conclusion. The optimism of gout patients is greater compared with AS and RA patients. The compliance to ULT is poor, which ascribes to optimism. Furthermore, the optimism of gout patients may attribute to insufficient education.

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The Effect of Dispositional Optimism in HRQOL in Patients with Chronic Musculoskeletal Pain Conditions in Greece

Cited by 9 publications

References 83 publications

Relationship between optimism and quality of life in patients with two chronic rheumatic diseases: axial spondyloarthritis and chronic low back pain: a cross sectional study of 288 patients

Relationship between optimism and quality of life in patients with two chronic rheumatic diseases: axial spondyloarthritis and chronic low back pain: a cross sectional study of 288 patients

Psychosocial factors as predictors of quality of life in chronic portuguese patients

Optimism is a Nonnegligible Factor Associated With Compliance to Urate Lowering Therapy in Patients With Gout: A Prospective Study

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