Spondyloarthritis & psoriatic arthritis

Interrelationships of disease activity, central sensitization, psychosocial and lifestyle factors in axial spondyloarthritis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Our analyses exploring the interrelationships of biopsychosocial factors related to ASDAS showed that factors beyond inflammation, especially illness perception and central sensitization, seem to contribute significantly to ASDAS in patients treated for axSpA in our standard-of-care cohort

Study context

Population
Consecutive axial SpA (axSpA) patients from the prospective Groningen Leeuwarden axSpA (GLAS) cohort59% male
Participants
332 patients
Outcome
Interrelationships of ASDAS with central sensitization, psychological and lifestyle factors (structural equation modelling (SEM))
Methodological detailsstructural equation modelling, consecutive patients from prospective GLAS cohort
  • Structural equation modelling
  • Consecutive patients from prospective GLAS cohort

Main finding

As reported in the abstract

Effects on ASDAS (final SEM model)

Model fit: root mean square error of approximation

0.057

95% CI 0.45–0.70

Model fit: comparative fit index

0.936

Observational data: associations, not effects.

Original publication

Interrelationships of disease activity, central sensitization, psychosocial and lifestyle factors in axial spondyloarthritis. Rheumatology (Oxford). Published 22 February 2025. doi:10.1093/rheumatology/keaf102

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