A comparison of impact of fatigue on cognitive, physical, and psychosocial status in patients with fibromyalgia and rheumatoid arthritis

Öncü, Jülide; Başoğlu, Fatma; Kuran, Banu

doi:10.1007/s00296-013-2825-x

Cited by 30 publications

(16 citation statements)

References 27 publications

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“…Indeed, the SF‐12 has been used in only a few studies of HRQoL in IIM , which makes comparisons of results from this study to others more difficult. Also, the SF‐12 does not directly address fatigue as a component of HRQoL, which is regarded today as a major component of HRQoL in RA and in adult‐ and juvenile‐onset SLE . Nonetheless, the SF‐12 is easier and quicker to complete than the SF‐36 and has been shown to have similar performance characteristics .…”

Section: Discussionmentioning

confidence: 99%

Predictors of Reduced Health‐Related Quality of Life in Adult Patients With Idiopathic Inflammatory Myopathies

Feldon

Farhadi

Brunner

et al. 2017

Arthritis Care & Research

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Objective Extensive studies on health-related quality of life (HRQOL) in idiopathic inflammatory myopathies (IIM) are lacking. Our objective was to document HRQOL and to identify factors associated with a reduced HRQOL in IIM patients. Methods A total of 1,715 patients (median age 49.9, 70% female, 87% Caucasian) who met probable or definite Bohan and Peter or Griggs criteria for myositis were included from the MYOVISION registry. HRQOL was ascertained via the SF-12v2® Health Survey questionnaire. HRQOL physical and mental summary scores (PCS and MCS, respectively) in relation to different patient and disease characteristics were compared to scores from the matched normative data from the U.S. general population and rheumatoid arthritis (RA) patients. Bivariate and multiple linear regression analyses were performed to assess the association between HRQOL and patient and disease parameters. Results The mean summary scores of the SF-12v2® were significantly lower in IIM as compared to the normative and RA populations. A diagnosis of inclusion body myositis, older age, patient-reported negative effect of disease on work, presence of another concurrent autoimmune disease, polypharmacy, and IIM-associated lung disease and joint involvement were all significantly associated with lower PCS scores. Lower MCS scores were associated with joint involvement and a negative effect on work. Conclusion In this large study of patient-reported outcomes in IIM, an association was found between multiple disease characteristics and reduced HRQOL, mostly in the physical domain. In the United States, HRQOL in IIM patients was lower compared to the general population and to RA patients.

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Section: Discussionmentioning

confidence: 99%

Predictors of Reduced Health‐Related Quality of Life in Adult Patients With Idiopathic Inflammatory Myopathies

Feldon

Farhadi

Brunner

et al. 2017

Arthritis Care & Research

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“…Another key determinant of RA-related outcomes is fatigue; up to 80% of individuals with RA are considered to experience clinically significant fatigue, 47 which greatly impairs both their quality of life 27, 48, 49 and their physical functioning. 48, 50 Furthermore, fatigue seems to have a complex aetiology involving pain intensity, 47 RA disease activity, 51 inflammatory processes (which could result in enhanced pain processing), 52 and concurrent affective mood disorders, such as distress 53 or depression.…”

Section: Mechanisms Of Affective Disturbancementioning

confidence: 99%

“…48, 50 Furthermore, fatigue seems to have a complex aetiology involving pain intensity, 47 RA disease activity, 51 inflammatory processes (which could result in enhanced pain processing), 52 and concurrent affective mood disorders, such as distress 53 or depression. 15, 54 However, considerable debate is ongoing about the mechanisms leading to fatigue in RA; the results of some studies suggest that fatigue occurs independently of RA disease activity, 7, 50 whereas other observations suggest that fatigue might be mediated by inflammation 51 and could, therefore, be treated with DMARDs (which also reduce pain and disease activity).…”

Section: Mechanisms Of Affective Disturbancementioning

confidence: 99%

Affective disturbance in rheumatoid arthritis: psychological and disease-related pathways

2016

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In addition to recurrent pain, fatigue, and increased rates of physical disability, individuals with rheumatoid arthritis (RA) show an increased prevalence of some mental health disorders, particularly those involving mood disturbances. This narrative Review provides an overview of mental health comorbidities in RA, and discusses how these comorbidities interact with disease processes, including dysregulation of inflammatory responses, prolonged difficulties with pain and fatigue, and the development of cognitive and behavioural responses that could exacerbate the physical and psychological difficulties associated with RA. This article describes how the social context of individuals with RA affects both their coping strategies and psychological responses to the disease, and can also impair responses to treatment through disruption of therapeutic alliance and treatment adherence. Evidence from the literature on chronic pain suggests that the resulting alterations in neural pathways of reward processing could yield new insights into the connections between disease processes in RA and psychological distress. Finally, the role of psychological interventions in the effective and comprehensive treatment of RA is discussed.

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“…It is also known that fibromyalgia is characterized by being a persistent and debilitating disorder, causing a negative effect on people's lives and affecting their ability to work and engage in daily activities. 28,29 These effects arise mainly from the picture of a chronic and widespread musculoskeletal pain, which is presented as a determining factor in the worsening of health problems and in limitations in daily life. [30][31][32] Sexual function is currently regarded as a key element for the general well-being and quality of life in middle-aged women, and this factor is influenced by socio-demographic, biological and behavioral variables relevant to the stage of life where these women are.…”

Section: Discussionmentioning

confidence: 99%

Kinesiotherapy effect on quality of life, sexual function and climacteric symptoms in women with fibromyalgia

Lisboa

Sonehara

Oliveira

et al. 2015

Revista Brasileira de Reumatologia (English Edition)

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r e v b r a s r e u m a t o l . 2 0 1 5;5 5(3):209-215 w w w . r e u m a t o l o g i a . c o m . b r Quality of life Sexuality Sexual approach Climacteric a b s t r a c t Objective: To evaluate the effect of the kinesiotherapy in the quality of life, sexual function and menopause-related symptoms and compare in climacteric women with and without fibromyalgia (FM). Methodology: The group was composed of 90 climacteric women divided in 2 groups: FM (47) and control (43). The patients were analyzed on their quality of life (Utian Quality of Life [UQoL]), sexual function (Sexual Quotient-Female Version [SQ-F] questionnaire) and intensity of the climacteric symptoms (Blatt-Kupperman menopausal index [BKMI]). Both groups performed pelvic floor kinesiotherapy, composed of 20 sessions, twice a week. Statistical analysis was performed using Student's t-test, mixed-design analysis of variance (ANOVA) and Cohen's Kappa.Results: In the quality of life, an improvement was noticed in both groups for all domains analyzed. In the comparison between groups it was noticed a difference in the emotional (p = 0.01), health (p = 0.03) and sexual (p = 0.001) domains with considerable gains verified in the control group. Improvement was also noticed in the sexual function. In the analysis between groups, FM group showed a lower score compared to the control group (p < 0.001).With respect to the climacteric symptoms, there was no difference in the analysis between groups after the intervention (p < 0.001). Conclusions: The pelvic floor kinesiotherapy promotes a positive effect in the domains of quality of life, sexual function and climacteric symptoms in women with and without 210 r e v b r a s r e u m a t o l . 2 0 1 5;5 5(3):209-215fibromyalgia in the climacteric period; however, fibromyalgia seems to be a limiting factor to achieve better results in some of the aspects evaluated. Efeito da cinesioterapia na qualidade de vida, função sexual e sintomas climatéricos em mulheres com fibromialgiaPalavras-chave: Fibromialgia Qualidade de vida Sexualidade Abordagem sexual Climatério r e s u m o Objetivo: Avaliar e comparar o efeito da cinesioterapia na qualidade de vida, função sexual e sintomas climatéricos em mulheres climatéricas com e sem fibromialgia. Métodos: Participaram 90 mulheres climatéricas, divididas em dois grupos: fibromialgia (47) e controle (43). As pacientes foram avaliadas nas variáveis: qualidade de vida (Utian Quality of Life [UQOL]), função sexual (questionário do quociente sexual/versão feminina [QS-F]) e intensidade dos sintomas climatérios (Índice Menopausal de Blatt-Kupperman [IMBK]). Os grupos fizeram cinesioterapia para o assoalho pélvico, composto de 20 sessões, duas vezes por semana. Análise estatística foi feita por meio dos testes t de Student pareado, análise de variância de delineamento misto e Kappa de Cohen.Resultados: Na qualidade de vida, foi observada melhoria em ambos os grupos para todos os domínios avaliados. Na análise intergrupo foi evidenciada diferença nos domínios emocional (p = 0,01), saúde (0,...

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A comparison of impact of fatigue on cognitive, physical, and psychosocial status in patients with fibromyalgia and rheumatoid arthritis

Cited by 30 publications

References 27 publications

Predictors of Reduced Health‐Related Quality of Life in Adult Patients With Idiopathic Inflammatory Myopathies

Predictors of Reduced Health‐Related Quality of Life in Adult Patients With Idiopathic Inflammatory Myopathies

Affective disturbance in rheumatoid arthritis: psychological and disease-related pathways

Kinesiotherapy effect on quality of life, sexual function and climacteric symptoms in women with fibromyalgia

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