History of affective disorder and the temporal trajectory of fatigue in rheumatoid arthritis

J. Fifield, Julia McQuillan, H. Tennen, T. J. Sheehan, S. Reisine, V. Hesselbrock, N. Rothfield

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29 Scopus citations

Abstract

This study examines whether the general level and rate of change of fatique over time is different for those rheumatoid arthritis (RA) patients with and those without a history of affective disorder (AD). Four hundred fifteen RA patients from a national panel had yearly telephone interviews to obtain fatigue and distress reports, and a one-time semistructured assessment of the history of depression and generalized anxiety, disorder Growth-curve analysis was used to capture variations in initial fatigue levels and changes in fatigue over 7 years for those with and without a history RA patients with a history of major AD reported levels of fatigue that were 10% higher than those without a history in the 1st year of the study. Their fatigue reports remained elevated over 7 years. Further analysis showed that the effects of a history of Ad on fatigue are fully mediated through current distress, although those with a history had a significantly smaller distress-fatigue slope. Thus, a history of AD leaves Ra patients at risk for a 7-year trajectory of fatigue that is consistently higher than that of patients without a history. The elevation in fatigue reports is, at least in part, a function of enduring levels of distress.

Original languageEnglish (US)
Pages (from-to)34-41
Number of pages8
JournalAnnals of Behavioral Medicine
Volume23
Issue number1
DOIs
Publication statusPublished - Jan 1 2001

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ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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