April 13, 2016
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Social participation by patients with AS may be restricted

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Patients with ankylosing spondylitis may not participate in social roles and may have lower satisfaction with participation in these roles, according to the results of a survey from researchers in the Netherlands and Canada.

Data from a cohort of 246 patients with ankylosing spondylitis (AS) and a group of 510 population control participants without musculoskeletal disease were studied. Disease activity was evaluated and recorded for patients with AS, and all participants completed the Dutch-language version of the social role participation questionnaire, as well as the SF-36 and other questionnaires.

Control participants varied from patients with AS. A higher percentage of control participants were male (70% vs. 62%), younger (mean age 42 years vs. 51 years), more educated with university degrees (49% vs. 33%), more often employed (78% vs. 57%) and were less likely to have stepchildren or grandchildren (55% vs. 75%). Control participants also were more likely to have higher scores on the physical component subscale of the SF-36, but had mental component scores similar to patients with AS.

Intimate relationships and relationships with children, grandchildren or step children were ranked most highly by both patients and control participants, while physical leisure was ranked more highly for patients with AS. Patients with AS were also less satisfied with daily performance, but were similar for ranking satisfaction with time compared to control individuals. A larger difference between satisfaction with physical difficulty for physical leisure, employment and travel or vacation was reported by patients with AS compared to control participants. - by Shirley Pulawski

Disclosure: The researchers report unrestricted financial support from AbbVie.