{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T10:04:35Z","timestamp":1782727475190,"version":"3.54.5"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arthritis Res Ther"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Assessing risk perception (RP) helps explain how rheumatoid arthritis (RA) patients integrate their ideas concerning the disease and how this understanding affects their self-care management. Compliance with treatment impacts disease-related outcomes and could be associated with RP to variable degrees and at different levels. The primary objective was to determine a potential association between RP and compliance with therapy in RA outpatients and to identify additional factors. The secondary objective was to identify factors associated with judgment bias such as unrealistic RP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>Between January 2018 and June 2019, 450 consecutive outpatients who received RA-related treatment were invited to a face-to-face interview to obtain socio-demographic data, RA-related information, comorbidities, and the following outcomes: adherence, persistence, and concordance with medications assessed with a questionnaire locally designed; RP with the RP questionnaire (RPQ); disease activity with the Routine Assessment of Patient Index Data-3 (RAPID-3); disability with the Health Assessment Questionnaire Disability Index (HAQ-DI); quality of life with Medical Outcomes Study Short Form-36 (SF-36) instrument; pain and overall disease with the respective visual analogue scale (VAS); and health literacy assessed with 3 questions. Significant RP was defined according to a cut-off based on the 75th percentile value of the sample in which the RPQ was validated. Unrealistic RP was defined based on the coincidence of the presence\/absence of significant RP and less\/more than 7 unfavorable medical criteria. Multiple logistic regression analysis was used. Patients provided written informed consent and the study received Internal Review Board approval.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 415 patients included, primarily middle-aged women with long-standing disease and moderate disease activity. Almost half of the patients were receiving corticosteroids and 15.9% intensive RA-related treatment. There were 44.1% of the patients concordant with treatment and 22.6% had significant RP. The patients\u2019 treatment behavior was not retained in the regression analysis; meanwhile, rheumatoid nodes, surgical joint replacement, family history of RA, and higher RAPID-3 score were associated with significant RP. There were 56 patients with unrealistic RP; significant RP and more unfavorable medical criteria were associated with unrealistic RP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compliance with therapy was not associated with significant RP in RA outpatients.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s13075-021-02440-y","type":"journal-article","created":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T07:02:51Z","timestamp":1613977371000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Markers of disease severity and positive family history are associated to significant risk perception in rheumatoid arthritis, while compliance with therapy is not: a cross-sectional study in 415 Mexican outpatients"],"prefix":"10.1186","volume":"23","author":[{"given":"Iraz\u00fa","family":"Contreras-Y\u00e1\u00f1ez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar","family":"Lavielle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7368-498X","authenticated-orcid":false,"given":"Virginia","family":"Pascual-Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"key":"2440_CR1","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1097\/MLR.0b013e318215da3f","volume":"49","author":"DB Weinberg","year":"2011","unstructured":"Weinberg DB, Cooney-Miner D, Perloff JN, Babington L, Avgar AC. Building collaborative capacity: promoting interdisciplinary team work in the absence of formal team. Med Care. 2011;49:716\u201323.","journal-title":"Med Care"},{"key":"2440_CR2","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1136\/annrheumdis-2019-216655","volume":"79","author":"JS Smolen","year":"2020","unstructured":"Smolen JS, Landew\u00e9 RBM, Bijlsma JWJ, Burmester GR, Dougados M, Kerschbaumer A, et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying anti-rheumatic drugs: 2019 update. Ann Rheum Dis. 2020;79:685\u201399.","journal-title":"Ann Rheum Dis"},{"key":"2440_CR3","first-page":"608","volume":"37","author":"V Pascual-Ramos","year":"2019","unstructured":"Pascual-Ramos V, Contreras-Y\u00e1\u00f1ez I, Ruiz D, Casas-Mart\u00ednez ML. Attitudes about principle of autonomy in Hispanic patients from a dynamic early rheumatoid arthritis cohort. Clin Exp Rheumatol. 2019;37:608\u201314.","journal-title":"Clin Exp Rheumatol"},{"key":"2440_CR4","first-page":"54","volume":"115","author":"PA Cook","year":"2001","unstructured":"Cook PA, Bellis MA. Knowing the risk: relationships between risk behavior and health knowledge. Public Health. 2001;115:54\u201361.","journal-title":"Public Health"},{"key":"2440_CR5","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1126\/science.3563507","volume":"236","author":"P Slovic","year":"1987","unstructured":"Slovic P. Perception of risk. Science. 1987;236:260\u201385.","journal-title":"Science."},{"key":"2440_CR6","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1007\/978-94-009-6155-5_12","volume-title":"Thechnological risk assessment","author":"V Covello","year":"1984","unstructured":"Covello V, Abernathy M. For a comprehensive bibliography on risk assessment. In: Ricci PF, Sagan LA, Whipple CG, editors. Thechnological risk assessment. The Hague: Nijhoff; 1984. p. 283\u2013363."},{"key":"2440_CR7","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1093\/oxfordjournals.bmb.a011729","volume":"54","author":"JR Eiser","year":"1998","unstructured":"Eiser JR. Communication and interpretation of risk. Br Med Bull. 1998;54:779\u201390.","journal-title":"Br Med Bull"},{"key":"2440_CR8","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1037\/0278-6133.19.1.65","volume":"19","author":"ND Weinstein","year":"2000","unstructured":"Weinstein ND. Perceived probability, perceived severity, and health-protective behavior. Health Psychol. 2000;19:65\u201374.","journal-title":"Health Psychol"},{"key":"2440_CR9","volume-title":"Health beliefs","author":"J Ogden","year":"1996","unstructured":"Ogden J. Health beliefs. In: Health beliefs. Buckingham: Open University Press; 1996."},{"key":"2440_CR10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/109019818401100101","volume":"11","author":"NK Janz","year":"1984","unstructured":"Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11:1\u201347.","journal-title":"Health Educ Q"},{"key":"2440_CR11","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.copsyc.2015.03.012","volume":"5","author":"R Ferrer","year":"2015","unstructured":"Ferrer R, Klein WM. Risk \u00b4perception and health behavior. Curr Opin Psychol. 2015;5:85\u20139.","journal-title":"Curr Opin Psychol"},{"key":"2440_CR12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0219921","volume":"14","author":"I Contreras-Ya\u00f1ez","year":"2019","unstructured":"Contreras-Ya\u00f1ez I, Lavielle P, Clark P, Pascual-Ramos V. Validation of a risk perception questionnaire developed for patients with rheumatoid arthritis. PLoS One. 2019;14:E0219921 https:\/\/doi.org\/10.1371\/journal.pone.0219921.","journal-title":"PLoS One"},{"key":"2440_CR13","doi-asserted-by":"publisher","first-page":"512","DOI":"10.3899\/jrheum.141371","volume":"43","author":"A Scheiman-Elazary","year":"2016","unstructured":"Scheiman-Elazary A, Duan L, Shourt C, Agrawal H, Ellashof D, Cameron-Hay M, et al. The rate of adherence to antiarthritis medications and associated factors among patients with rheumatoid arthritis: a systematic literature review and metaanalysis. J Rheumatol. 2016;43:512\u201323.","journal-title":"J Rheumatol"},{"key":"2440_CR14","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1097\/MAJ.0b013e3181e8bcb0","volume":"340","author":"I Contreras-Y\u00e1\u00f1ez","year":"2010","unstructured":"Contreras-Y\u00e1\u00f1ez I, Ponce De Le\u00f3n S, Cabiedes J, Rull-Gabayet M, Pascual-Ramos V. Inadequate therapy behavior is associated to disease flares in patients with rheumatoid arthritis who have achieved remission with disease-modifying antirheumatic drugs. Am J Med Sci. 2010;340:282\u201390.","journal-title":"Am J Med Sci"},{"key":"2440_CR15","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s10865-010-9303-7","volume":"34","author":"EA Waters","year":"2011","unstructured":"Waters EA, Klein WM, Moser RP, Yu M, Waldron WR, McNeel TS, et al. Correlates of unrealistic risk beliefs in a nationally representative sample. J Behav Med. 2011;34:225\u201335.","journal-title":"J Behav Med"},{"key":"2440_CR16","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1037\/0022-3514.39.5.806","volume":"39","author":"ND Weinstein","year":"1980","unstructured":"Weinstein ND. Unrealistic optimism about future life events. J Pers Soc Psychol. 1980;39:806\u201320.","journal-title":"J Pers Soc Psychol"},{"key":"2440_CR17","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1037\/0278-6133.23.3.247","volume":"23","author":"M Gerend","year":"2004","unstructured":"Gerend M, Aiken L, West S, Erchull M. Beyond medical risk: investigating the psychological factors underlying women\u2019s perceptions of susceptibility to breast cancer, heart disease, and osteoporosis. Health Psychol. 2004;23:247\u201358.","journal-title":"Health Psychol"},{"key":"2440_CR18","volume-title":"WMA Declaration of Helsinki \u2013 ethical principles for medical research involving human subjects","author":"The World Medical Association","year":"2018","unstructured":"The World Medical Association. WMA Declaration of Helsinki \u2013 ethical principles for medical research involving human subjects. 2018. https:\/\/www.wma.net\/policies-post\/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects. Accessed 14 Jul 2020."},{"key":"2440_CR19","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1016\/j.berh.2007.02.009","volume":"21","author":"T Pincus","year":"2007","unstructured":"Pincus T, Yazici Y, Bergman M, Maclean R, Harrington T. A proposed continuous quality improvement approach to assessment and management of patients with rheumatoid arthritis without formal joint counts, based on quantitative Routine Assessment of Patent Index Data (RAPID) scores on a Multidimensional Health Assessment Questionnaire (MDHAQ). Best Pract Clin Rheumatol. 2007;21:789\u2013804.","journal-title":"Best Pract Clin Rheumatol"},{"key":"2440_CR20","first-page":"117","volume":"11","author":"MH Cardiel","year":"1993","unstructured":"Cardiel MH, Abello-Banfi M, Ruiz-Mercado R, Alarcon-Segovia D. How to measure health status in rheumatoid arthritis in non-English speaking patients: validation of a Spanish version of the Health Assessment Questionnaire Disability Index (Spanish HAQ-DI). Clin Exp Rheumatol. 1993;11:117\u201321.","journal-title":"Clin Exp Rheumatol"},{"key":"2440_CR21","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1590\/S0036-36341999000200005","volume":"41","author":"MA Z\u00faniga","year":"1999","unstructured":"Z\u00faniga MA, Carrillo-Jim\u00e9nez GT, Fos PJ, Gandek B, Medina-Moreno MR. Evaluaci\u00f3n del estado de salud con la encuesta SF-36 resultados preliminares en M\u00e9xico. Salud Publica Mex. 1999;41:110\u20138.","journal-title":"Salud Publica Mex"},{"key":"2440_CR22","first-page":"1022","volume":"17","author":"MB Ferraz","year":"1990","unstructured":"Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P, Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol. 1990;17:1022\u20134.","journal-title":"J Rheumatol"},{"key":"2440_CR23","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1007\/s11606-010-1552-1","volume":"26","author":"U Sarkar","year":"2011","unstructured":"Sarkar U, Schillinger D, Lopez A, Sudore RL. Validation of self-reported health literacy questions among diverse English and Spanish-speaking populations. J Gen Internal Med. 2011;26:265\u201371.","journal-title":"J Gen Internal Med"},{"key":"2440_CR24","doi-asserted-by":"publisher","unstructured":"Bruce B, Fries JF. The Stanford Health Assessment Questionnaire: Dimensions and Practical Applications. Health Qual Life Outcomes. 2003. https:\/\/doi.org\/10.1186\/1477-7525-1-20.","DOI":"10.1186\/1477-7525-1-20"},{"key":"2440_CR25","doi-asserted-by":"crossref","unstructured":"O\u2019Neill O. Autonomy and trust in Bioethics. Cambridge: Cambridge University Press; 2002.","DOI":"10.1017\/CBO9780511606250"},{"key":"2440_CR26","doi-asserted-by":"publisher","unstructured":"Palominos PE, Gasparin AA, Pamplona Bueno de Andrade N, Machado Xavier R, Mendon\u00e7a da Silva Chakr R, Igansi F, et al. Fears and beliefs of people living with rheumatoid arthritis: a systematic literature review. Adv Rheumatol. 2018. https:\/\/doi.org\/10.1186\/s42358-018-0001-4.","DOI":"10.1186\/s42358-018-0001-4"},{"key":"2440_CR27","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1093\/rheumatology\/keh587","volume":"44","author":"R Neame","year":"2005","unstructured":"Neame R, Hammond A. Beliefs about medications, a questionnaire survey of people with rheumatoid arthritis. Rheumatology. 2005;44:762\u20137.","journal-title":"Rheumatology."},{"key":"2440_CR28","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1093\/rheumatology\/keh116","volume":"43","author":"LJ Goodacre","year":"2004","unstructured":"Goodacre LJ, Godacre JA. Factors influencing the beliefs of patients with rheumatoid arthritis regarding disease modifying medication. Rheumatology. 2004;43:583\u20136.","journal-title":"Rheumatology."},{"key":"2440_CR29","first-page":"583","volume":"43","author":"M Wong","year":"2004","unstructured":"Wong M, Mulherin D. The influence of medications beliefs and other psychosocial factors on early discontinuation of disease modifying anti-rheumatic drugs. Musculoskeletal Care. 2004;43:583\u20136.","journal-title":"Musculoskeletal Care"},{"key":"2440_CR30","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1136\/annrheumdis-2017-212000","volume":"77","author":"L Gossec","year":"2018","unstructured":"Gossec L, Chauvin P, Saraux A, Hudry C, Cukierman G, de Chalus T, et al. Development and psychometric validation of a patient-reported outcome measure to assess fears in rheumatoid arthritis and axial spondyloarthritis: the Fear Assessment in Inflammatory Rheumatic diseases (FAIR) questionnaire. Ann Rheum Dis. 2018;77:258\u201363.","journal-title":"Ann Rheum Dis"},{"key":"2440_CR31","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1038\/nn1968","volume":"10","author":"A Olsson","year":"2007","unstructured":"Olsson A, Phelps EA. Social learning of fear. Nat Neurosci. 2007;10:1095\u2013102.","journal-title":"Nat Neurosci"},{"key":"2440_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.0272-4332.2004.00433.x","volume":"24","author":"P Slovic","year":"2004","unstructured":"Slovic P, Finucane ML, Peters E, MacGregor DG. Risk as analysis and risk as feelings: some thoughts about affect, reason, risk, and rationality. Risk Anal. 2004;24:1\u201312.","journal-title":"Risk Anal"},{"key":"2440_CR33","doi-asserted-by":"publisher","first-page":"872","DOI":"10.1007\/s10067-006-0407-y","volume":"26","author":"A Isik","year":"2007","unstructured":"Isik A, Koca SS, Ozturk A, Mermo O. Anxiety and depression in patients with rheumatoid arthritis. Clin Rheumatol. 2007;26:872\u20138.","journal-title":"Clin Rheumatol"},{"key":"2440_CR34","doi-asserted-by":"crossref","unstructured":"Dalbeth N, Petrie KJ, House M, Chong J, Leung W, Chegudi R, et al. Illness perception in patients with gout and the relationship with progression of musculoskeletal disability. Arthritis Care Res. 2011;63:1605\u201312.","DOI":"10.1002\/acr.20570"},{"key":"2440_CR35","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1080\/08870449608400270","volume":"11","author":"J Weinnan","year":"1996","unstructured":"Weinnan J, Petrie K, Moss-Morris R, Horne R. The illness perception questionnaire: a new method for assessing illness perceptions. Psychol Health. 1996;11:431\u201346.","journal-title":"Psychol Health"},{"key":"2440_CR36","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1016\/j.jpsychores.2005.10.020","volume":"60","author":"E Broadbent","year":"2006","unstructured":"Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006;60:631\u20137.","journal-title":"J Psychosom Res"},{"key":"2440_CR37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/08870449908407311","volume":"14","author":"R Horne","year":"1999","unstructured":"Horne R, Weinman J, Hankins M. The beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychol Health. 1999;14:1\u201324.","journal-title":"Psychol Health"},{"key":"2440_CR38","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1002\/art.21988","volume":"55","author":"JP Berrios-Rivera","year":"2006","unstructured":"Berrios-Rivera JP, Street RL Jr, Garcia Popa-Lisseanu MG, Kallen MA, Richardson MN, Janssen NM, et al. Trust in physician and elements of the medical interaction in patients with rheumatoid arthritis and systemic lupus erythematosus. Arthritis Rheum. 2006;55:385\u201393.","journal-title":"Arthritis Rheum"},{"key":"2440_CR39","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1016\/j.jpsychores.2009.01.006","volume":"67","author":"H Graves","year":"2009","unstructured":"Graves H, Scott DL, Lempp H, Weinman J. Illness beliefs predict disability in rheumatoid arthritis. J Psychosom Res. 2009;67:417\u201323.","journal-title":"J Psychosom Res"},{"key":"2440_CR40","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1093\/rheumatology\/ken050","volume":"47","author":"K Kumar","year":"2008","unstructured":"Kumar K, Gordon C, Toescu V, Buckley CD, Horne R, Nightingale PG, et al. Beliefs about medicines in patients with rheumatoid arthritis and systemic lupus erythematosus: a comparison between patients of south Asian and white British origin. Rheumatology. 2008;47:690\u20137.","journal-title":"Rheumatology"},{"key":"2440_CR41","doi-asserted-by":"publisher","first-page":"S29","DOI":"10.1007\/s10067-015-3015-x","volume":"34","author":"LM Henrique da Mota","year":"2015","unstructured":"Henrique da Mota LM, Viegas Brenol C, Palominos P, DA Rocha Castelar Pinheiro G. Rheumatoid arthritis in Latin America: the importance of an early diagnosis. Clin Rheumatol. 2015;34:S29\u201344.","journal-title":"Clin Rheumatol"},{"key":"2440_CR42","first-page":"1","volume":"0","author":"P Putrik","year":"2015","unstructured":"Putrik P, Ramiro S, Hifinger M, Keszei AP, Hmamouchi I, Dougados M, et al. In wealthier countries, patients perceive worse impact of the disease although they have lower objectively assessed disease activity: results from the cross-sectional COMORA study. Ann Rheum Dis. 2015;0:1\u20136.","journal-title":"Ann Rheum Dis"},{"key":"2440_CR43","doi-asserted-by":"publisher","unstructured":"Massone F, Mart\u00ednez ME, Pascual-Ramos V, Quintana R, Stange L, Caballero-Uribe CV, et al. Educational website incorporating rheumatoid arthritis patients needs for Latin American and Caribbean countries. Clin Rheumatol. 2017. https:\/\/doi.org\/10.1007\/sl10067-017-3866-4.","DOI":"10.1007\/sl10067-017-3866-4"},{"key":"2440_CR44","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1016\/S0022-3999(97)00254-7","volume":"44","author":"M Scharloo","year":"1998","unstructured":"Scharloo M, Kaptein AA, Weinnman J, Hazes JM, Willems LNA, Bergman W, et al. Illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease and psoriasis. J Psychosom Res. 1998;44:573\u201385.","journal-title":"J Psychosom Res"},{"key":"2440_CR45","doi-asserted-by":"publisher","unstructured":"Berenbaum F, Chauvin P, Hudry C, Mathoret-Philibert F, Poussiere M, De Chalus T, et al. Fears and beliefs in rheumatoid arthritis and Spondyloarthritis. A qualitative study. PLoS One. 2014. https:\/\/doi.org\/10.1371\/journal.pone.0114350.","DOI":"10.1371\/journal.pone.0114350"},{"key":"2440_CR46","doi-asserted-by":"publisher","unstructured":"Clark P, Lavielle P. Risk perception and knowledge about osteoporosis: well informed but not aware? A cross sectional study. J Commun Health. 2014. https:\/\/doi.org\/10.1007\/s10900-014-9923-x.","DOI":"10.1007\/s10900-014-9923-x"},{"key":"2440_CR47","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1016\/j.jbspin.2006.11.024","volume":"74","author":"J Pouchot","year":"2007","unstructured":"Pouchot J, Le Parc JM, Queffelec L, Sichere P, Flinois A. Perceptions in 7700 patients with rheumatoid arthritis compared to their families and physicians. Joint Bone Spine. 2007;74:622\u20136.","journal-title":"Joint Bone Spine"},{"key":"2440_CR48","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1348\/135910702320645390","volume":"7","author":"M Fournier","year":"2002","unstructured":"Fournier M, de Ridder D, Bensing J. Optimism and adaptation to chronic disease in relation to self-care options of type I diabetes, rheumatoid arthritis and multiple sclerosis. Br J Health Psychol. 2002;7:409\u201332.","journal-title":"Br J Health Psychol"},{"key":"2440_CR49","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1097\/00002820-200310000-00004","volume":"26","author":"S Barnay","year":"2003","unstructured":"Barnay S, Bar-Tal Y, Treister L. Effect of unrealistic optimism, perceived control over disease, and experience with female cancer on behavioral intentions of Israeli women to undergo screening tests. Cancer Nurs. 2003;26:363\u20139.","journal-title":"Cancer Nurs"}],"container-title":["Arthritis Research &amp; Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13075-021-02440-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13075-021-02440-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13075-021-02440-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T18:04:54Z","timestamp":1697911494000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthritis-research.biomedcentral.com\/articles\/10.1186\/s13075-021-02440-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,22]]},"references-count":49,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,12]]}},"alternative-id":["2440"],"URL":"https:\/\/doi.org\/10.1186\/s13075-021-02440-y","relation":{},"ISSN":["1478-6362"],"issn-type":[{"value":"1478-6362","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,22]]},"assertion":[{"value":"21 March 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study was approved by the Institutional Review Board of the Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n with the reference number IRE-2429. All necessary consent approval was obtained from any patients involved in the study.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"61"}}