Rheumatoid arthritis - Psychosocial consequences
10 important questions on Rheumatoid arthritis - Psychosocial consequences
What is the association between fatigue and disease activity in RA? And what is are possible explanations for this association?
- Research indicates that there is an associaton between fatigue and mood (consistently) and some evidence for cognitions (SE) and fatigue in RA patients.
Why can a patient with RA experience anxiety and depression?
- distress of diagnosis
- Fear/uncertainty about symptoms
- worry about future disability
Depression --> can lead to behavioural disengagement --> deconditioning syndrome --> mental /physical deconditioning
What is the prevalence of depression in RA patient population?
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Why do a lot of Ra patients have a sedentary lifestyle?
Negative (false) beliefs about exercise --> will make my symptoms worse.
Leads to muscle disuese --> deconditiong --> increased pain & disability
What is an example of an Self-reported disease activity instrument?
Why is having a sedentary lifestyle a risk factor for RA patients?
- Higher change at other diseases --> obesity (Risk factor for ostheoarthritis), CVD (allready at risk due to inflammation accelarating atheroslcerosis)
- Muscle disuse --> deconditioning syndrome --> mental & physical deconditioning --> more pain & disability
What is the role of psychological factors in the progression of RA?
Which instruments can be used to assess the level of pain?
- Unidimensional (NRS)/diary measure
- SF-36 bodily pain subscale (2 items)
- Arthritis specific measurement
- Arthritis impact and measurement scale (AIMS)
- Impact of rheumatic diseases on general health and lifestyle) IRGL (6 items).
What are two arthritis specific measurement instruments to measure physical outcomes?
IRGL: Impact of rheumatoid disease on general health and lifestyle
Which instruments can be used to assess the level of fatigue?
- Unidimensional (fatigue NRS) = numeric rating scale
/dairy measures
- SF-36 vitality subscale
- Checklist individual strenght (CIS)
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