Arvidsson et al reported a number of factors which are associated with a patient's health-related quality of life (QOL). These can help to identify a patient who may benefit from interventions to enhance these predictors. The authors are from Spenshult Hospital for Rheumatic Diseases in Oskarstoem, Sweden.


Patient selection: patient with a rheumatic disease


Key predictors:

(1) having a strong sense of coherence (SOC)

(2) having a good sleep structure

(3) feeling rested after sleep

(4) being young to middle aged (<= 60 years)

(5) being able to work


Additional predictors:

(1) absence of pain

(2) able to perform low effort exercise 3 or more times per week

(3) personal relationships with emotional support and practical assistance

(4) higher educational level



• A person who is depressed or in pain usually has a problem with sleep.

• A person with a high SOC is more resilient. They find life more understandable, meaningful and manageable.


A patient with all or most of the predictors tends to have a better health-related quality of life compared with someone who has few or none.


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