{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:58:00Z","timestamp":1792198680386,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,10,14]],"date-time":"2013-10-14T00:00:00Z","timestamp":1381708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2014,9]]},"abstract":"\n Background<\/jats:title>\n \n Ankylosing spondylitis (\n AS<\/jats:styled-content>\n ) is a painful inflammatory disease of the axial skeleton that can cause body image disturbance (\n BID<\/jats:styled-content>\n ) and may lead to psychological changes in\n AS<\/jats:styled-content>\n patients.\n <\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n \n This study investigated the effect of\n AS<\/jats:styled-content>\n patient physical and psychological status on\n BID<\/jats:styled-content>\n and quality of life (\n QOL<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Overall, 112\n AS<\/jats:styled-content>\n patients (84 males, 28 females; mean age, 32.8\u00a0\u00b1\u00a010.8) and 127 healthy age\u2010matched individuals (control group; 78 males, 49 females; mean age, 36.9\u00a0\u00b1\u00a012.6) were screened for inclusion in the single\u2010centre study. Multiple instruments assessing physical function, psychological function, body image, and\n QOL<\/jats:styled-content>\n were applied. Multivariate stepwise regression analyses were used to determine factors associated with\n BID<\/jats:styled-content>\n , anxiety, and depression.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 103\n AS<\/jats:styled-content>\n patients and 121 control subjects,\n AS<\/jats:styled-content>\n patients exhibited greater\n BID<\/jats:styled-content>\n \u2010associated social function, social life, and role function impairments (\n BID<\/jats:styled-content>\n Questionnaire [\n BIDQ<\/jats:styled-content>\n ] 2.42 vs. 1.02; 2.20 vs. 1.19; 2.54 vs. 0.72, respectively), lower behavioural avoidance (\n BIDQ<\/jats:styled-content>\n 3.07 vs. 3.49), and similar decreases in vitality and mental health (\n p\u00a0<\/jats:italic>\n <\n \u00a0<\/jats:italic>\n .01). Impaired social function predicted anxiety and depression in\n AS<\/jats:styled-content>\n patients. Disease status (daily activity, general health, and pain) and psychological status (\n BID<\/jats:styled-content>\n , anxiety, and depression) predicted poor\n QOL<\/jats:styled-content>\n (\n p\u00a0<\/jats:italic>\n <\n \u00a0<\/jats:italic>\n .05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n BID<\/jats:styled-content>\n may play a significant role in causing clinical psychological dysfunction in\n AS<\/jats:styled-content>\n patients, including anxiety and depression. Further research is required to fully assess whether these observations are similar in patients with variant\n AS<\/jats:styled-content>\n severity.\n BID<\/jats:styled-content>\n may be useful in clinical prognostic assessment and\n AS<\/jats:styled-content>\n management.\n <\/jats:p>\n <\/jats:sec>\n \n Practitioner points<\/jats:title>\n \n \n \n AS patients investigated in this study exhibited BID.<\/jats:p>\n <\/jats:list-item>\n \n There were significant relationships between the BIDQ, disease and psychological variables, and QOL.<\/jats:p>\n <\/jats:list-item>\n \n Disease status, BID, and anxiety and depression indicated a poor QOL.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/papt.12016","type":"journal-article","created":{"date-parts":[[2013,10,14]],"date-time":"2013-10-14T01:04:39Z","timestamp":1381712679000},"page":"324-337","source":"Crossref","is-referenced-by-count":40,"title":["Body image disturbance and quality of life in\n C<\/scp>\n hinese patients with ankylosing spondylitis"],"prefix":"10.1111","volume":"87","author":[{"given":"Biyu","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital of Nantong University Nantong China"},{"name":"School of Nursing Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aixian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Affiliated Hospital of Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingwei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital of Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanyun","family":"Da","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Affiliated Hospital of Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xujuan","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Affiliated Hospital of Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liren","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhifeng","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Affiliated Hospital of Nantong University Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010011\u20101928\u20105"},{"key":"e_1_2_6_3_1","first-page":"439","article-title":"Relationship between spinal mobility and disease activity, function, quality of life and radiology. A cross\u2010sectional Spanish registry of spondyloarthropathies (REGISPONSER)","volume":"27","author":"Almodovar R.","year":"2009","journal-title":"Clinical and Experimental Rheumatology"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.22.2.130"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)00143-S"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4679(199806)54:4<489::AID-JCLP10>3.0.CO;2-B"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(01)00363-8"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.11.1033"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2003.012435"},{"key":"e_1_2_6_10_1","first-page":"35","article-title":"Body image disturbance in patients with acne vulgaris","volume":"4","author":"Bowe W. P.","year":"2011","journal-title":"Journal of Clinical Aesthetic Dermatology"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(07)60635\u20107"},{"key":"e_1_2_6_12_1","first-page":"2281","article-title":"A new approach to defining functional ability in ankylosing spondylitis: The development of the Bath Ankylosing Spondylitis Functional Index","volume":"21","author":"Calin A.","year":"1994","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199709)22:2<107::AID-EAT1>3.0.CO;2-J"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10033"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2004.10.001"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(03)12378\u20101"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2002.5"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780230202"},{"key":"e_1_2_6_19_1","first-page":"2286","article-title":"A new approach to defining disease status in ankylosing spondylitis: The Bath Ankylosing Spondylitis Disease Activity Index","volume":"21","author":"Garrett S.","year":"1994","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_6_20_1","first-page":"341","article-title":"Body image in patients with ankylosing spondylitis","volume":"28","author":"Guenther V.","year":"2010","journal-title":"Clinical and Experimental Rheumatology"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e31823a498e"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2012.01.006"},{"key":"e_1_2_6_23_1","first-page":"1694","article-title":"Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index","volume":"21","author":"Jenkinson T. R.","year":"1994","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067\u2010004\u20100974\u20108"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010004\u20100536\u2010z"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kel115"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38954.689583.DE"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)92355-6"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.462"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1740\u20101445(03)00010\u2010X"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980811000456"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.029728"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199908)12:4<247::AID-ART3>3.0.CO;2-H"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-0298-6_1"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1965.01720310065008"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033\u20103182(71)71479\u20100"}],"container-title":["Psychology and Psychotherapy: Theory, Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpapt.12016","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.12016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T17:01:29Z","timestamp":1762275689000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/papt.12016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,14]]},"references-count":36,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1111\/papt.12016"],"URL":"https:\/\/doi.org\/10.1111\/papt.12016","archive":["Portico"],"relation":{},"ISSN":["1476-0835","2044-8341"],"issn-type":[{"value":"1476-0835","type":"print"},{"value":"2044-8341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,14]]}}}