Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Towards a better understanding of the role of psychological variables in arthritis outcome research. | Boonen Arthritis Research Therapy 2010 12 106 http content 12 1 106 EDITORIAL L_ Towards a better understanding of the role of psychological variables in arthritis outcome research Annelies Boonen See related research by Brionez etal. http content 11 6 R182 Abstract In the previous issue of Arthritis Research and Therapy Brionez and colleagues show that helplessness depression and passive coping account for significant variability in self-reported functional limitations in patients with ankylosing spondylitis beyond the effect of age inflammation and radiographic damage. Since the perspective of the patients in the experience of health is increasingly important insight into the type of psychological variables the pathways by which they influence health and the approaches for how to deal with these variables are challenging. We are disturbed not only by events but also by the views which we take of them. Epictetus born 55 AD Likely the majority of rheumatologists have been trained in the belief that health outcomes are mainly explained by biomedical factors related to the disease. In the previous issue of Arthritis Research and I Therapy the biomedical model is challenged by the article of Brionez and coworkers 1 . The authors show that the total explained variation of the Bath Ankylosing Spondylitis Functional Index increased from 32 to 56 when adding various psychological variables depression coping and beliefs about controllability to the demographic and clinical variables. Although the Bath Ankylosing Spondylitis Functional Index and other patient-reported outcome measures have been criticized Correspondence Department of Internal Medicine Division of Rheumatology University Hospital Maastricht and Caphri Research Institute P Debyelaan 25 6229 HX Maastricht The Netherlands 2 BioMed Central 2010 BioMed Central Ltd by experts in ankylosing spondylitis because of their subjective nature this .