Relationship of psychiatric history to pain reports in rheumatoid arthritis.

OBJECTIVE: The purpose was to examine the relationship of pre-existing psychiatric history to pain reports in a cohort of persons with RA and concomitant major depression who were receiving a trial of antidepressant medication. METHOD: RA patients (n = 41) with a current episode of major depression were divided into two subgroups comprised of those with a previous psychiatric history (PSY+) (n = 20) and those without a previous psychiatric history (PSY-) (n = 21). The groups were compared with regard to their responsiveness to a regimen of antidepressive medication on measures of depression, pain, coping, and life stress over a period of 15 months. RESULTS: Although depression scores for both the PSY+ and the PSY- groups decreased significantly from baseline to 15-month follow-up, the composite pain score was found to be significantly decreased only for the PSY- group. CONCLUSION: Psychiatric history appears to predispose persons with concomitant RA and major depression to report less pain reduction following antidepressive treatment than those persons without a psychiatric history.

Item grouping effects on invariance of attitude items.

The purpose of this study was to evaluate the effects of item grouping on local independence and item invariance, the characteristics of items scaled under the Rasch model that make them sample-free. Item fit and calibration for attitude items presented in a grouped versus random order were examined. It was hypothesized that grouping items to facilitate interpretation central to a construct may result in a failure of invariance. Data were 107 responses to a 40-item mail survey of teachers' opinions about the Ontario Ministry's grade 9 literacy test. Effects of grouping and item phrasing on invariance were found. Results, however, generally support the use of grouping of items to provide a higher person separation, and potentially higher quality data.