Longitudinal study on the association between stress/personality and the prognosis of rheumatoid arthritis

压力不仅由压力源决定，也由人格决定，即对压力源的反应模式（人格）。消极情绪，尤其是攻击性情绪的抑制是一种人格因素，长期以来一直受到相当大的关注，因为它与类风湿关节炎的发病/病程有关，但迄今为止，关于这一问题的前瞻性研究很少报道。这项多中心队列研究表明，“理性/抗情绪”，先前被Grossarth-Maticek等报道为类风湿关节炎发病的危险因素，也可能预测该疾病患者的功能预后。

Stress is determined not only by stressors but also by personality as responding pattern(personality) to stressors. The repression of negative, especially aggressive emotions is a personality factor that has long been received considerable attention as relevant to the onset/course of rheumatoid arthritis, but even to date little prospective studies have been reported on this issue. This multicenter cohort study showed that the“rationality/antiemotionality", previously reported as a risk factor for the onset of rheumatoid arthritis by Grossarth-Maticek et al, may also be predictive for the functional prognosis of patients with this disease.