Does patient education in rheumatoid arthritis have therapeutic potential?

Tucker, Miriam; Kirwan, John R.

doi:10.1136/ard.50.suppl_3.422

Cited by 40 publications

(23 citation statements)

References 30 publications

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“…However, not all support groups are created equal, and there is wide variation in their composition and objectives. Not all programs have their intended effect, and the failure of some psychoeducational interventions highlights the importance of ensuring that a given group has the requisite components to be effective (60).…”

Section: Discussionmentioning

confidence: 99%

“…Patients not as severely disabled or affected as others in the group may, when confronted with these more severe conditions that they may possibly face in the future, experience adverse effects. Depression, increased helplessness and fear, confusion, and an inappropriate sense of personal responsibility for the disease have been documented in some patients participating in psychoeducational intervention programs (60). Thus, special thought must be given to the elements of psychoeducational interventions, or even the appropriateness of some group interventions, for certain patient groups.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of psychosocial adjustment in systemic sclerosis

Moser

Clements

Brecht

et al. 1993

Arthritis & Rheumatism

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Objective. To determine predictors of psychosocial adjustment in patients with systemic sclerosis (SSc).Methods. We surveyed 94 patients with SSc. Age, sex, education level, marital status, work status, income, support group attendance, length of time since diagnosis, functional status, social support, illnessrelated uncertainty, and hardiness were examined as potential predictors of psychosocial adjustment. The reliability and validity of the instruments used to measure these variables have been established.ResuZts. Only education level, functional ability, illness-related uncertainty, hardiness, and social support were predictive of psychosocial adjustment. Education level and functional ability explained 14% of the variance in psychosocial adjustment, while illnessrelated uncertainty, hardiness, and social support increased the explained variance to 38 %.Conclusion. Although patients with relatively poorer psychosocial adjustment to illness have lower formal education levels and more functional disability, the majority of the explained variance in psychosocial

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predictors of psychosocial adjustment in systemic sclerosis

Moser

Clements

Brecht

et al. 1993

Arthritis & Rheumatism

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“…A partir de então, a terapêutica da AR começou a apresentar uma visão biopsicossocial do paciente, passando a utilizar, além do uso de drogas e cirurgia reconstrutiva, a fisioterapia e o exercício físico, a terapia ocupacional e a educação ou conscientização dos acometidos (Jurisson, 1991;Patterson, 1987;Tucker & Kirwan, 1991).…”

Section: Alterações Psicológicas E Exercíciounclassified

Alterações psicológicas e exercício físico em pacientes com artrite reumatóide

Dario¹,

Külkamp²,

Faraco³

et al. 2010

Motricidade

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RESUMOEste estudo teve por objetivo realizar uma revisão da literatura, buscando elucidar quais as alterações psicológicas mais prevalentes em indivíduos acometidos por Artrite Reumatóide (AR). Pesquisou-se também a respeito do impacto do exercício físico sobre essas variáveis psicológicas, expondo quais protocolos de exercício que estão sendo empregues com a finalidade de melhorar a saúde mental desses pacientes. Apesar dos poucos estudos sobre o tema, pode-se verificar que os transtornos de ansiedade e de depressão apresentam maior prevalência nessa população. Em contraste, poucas evidências foram encontradas quanto ao maior risco de psicose, agressividade e alto nível de estresse. Paralelamente, desde que foi associado à AR pela primeira vez, na década de 50, o exercício físico vem demonstrando bons resultados no tratamento da doença, consolidando-se cada vez mais como ferramenta terapêutica para esses pacientes. Evidências emergem também em relação às alterações benéficas provocadas pelo exercício nas variáveis psicológicas, no entanto, mais estudos são necessários para o fortalecimento destes dados. Isso permitiria aos pacientes com AR tratamentos mais efetivos, com uma base científica sólida, visando a melhoria na qualidade de vida dentro de um aspecto mais amplo, onde a saúde mental desempenha um papel fundamental. Palavras-chave: artrite reumatóide, variáveis psicológicas, exercício físico ABSTRACT The purpose of this study was to provide a literature review aiming to clarify the most prevalent psychological changes present in individuals suffering from rheumatoid arthritis (RA), the impact of exercise on such changes, and the exercise protocols commonly adopted to improve these individuals' mental health. The few studies available report anxiety disorders and depression as most prevalent and physical exercise as a significant therapeutic strategy for this population. There is some evidence of the beneficial effects of exercise on those psychological variables providing RA patients with more effective treatments.

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“…48,52,[54][55][56] In some cases, an improvement in functionality was also observed. [48][49][50]54,57,58 The necessity for rehabilitation increases parallel to the reduced length of hospital stay. The literature indicates that shortening the hospital stay will increase the number of visits to the general practitioner and physical therapist after hospitalization.…”

Section: Inactivity and Exercise In Arthritis Patientsmentioning

confidence: 99%

“…43,46,47 Psychological treatments may be useful in helping patients with arthritis to better adjust to pain. 48 Those education programs for patients with arthritis are complementary to medical treatment 49,50 and can give patients strategies and tools necessary to make daily decisions to cope with the disease and improve the patients' health. [50][51][52] In addition, patients are instructed on how to approach situations and make adjustments that are appropriate for each individual and his or her own needs.…”

Section: Psychosocial Factors and Patient Educationmentioning

confidence: 99%

Management of arthritis patients after functional deterioration

Bulthuis¹

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Does patient education in rheumatoid arthritis have therapeutic potential?

Cited by 40 publications

References 30 publications

Predictors of psychosocial adjustment in systemic sclerosis

Predictors of psychosocial adjustment in systemic sclerosis

Alterações psicológicas e exercício físico em pacientes com artrite reumatóide

Management of arthritis patients after functional deterioration

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