Pain and daily activities in rheumatoid arthritis

Abstract

The relationship between pain and daily activities in RA was complex. Pain as an impairment was expressed to be related to activity limitations and participation restrictions, as well as to contextual factors. These findings highlight the clinical importance of paying attention to the complexity of pain and its relation to daily activities and participation.

Dilemmas of participation in everyday life in early rheumatoid arthritis: a qualitative interview study (The Swedish TIRA Project)

“…In our rich and multi-faceted descriptions, the patients experienced dilemmas related to relationships when meeting new people, spending time with their family but also by avoiding activities where they needed to shake hands with unknown people. The fact that RA causes hindrances in participating in social activities and fulfilling social roles has been described earlier by Feldthusen et al [40] and Ahlstrand et al [8]. It is important to note that the ICF core set for RA does not include caring for household objects (d650), which in this study contained the highest number of dilemmas linked to domestic life.…”

“…Previous research has highlighted patients' perspectives and has resulted in recommendations in using the perspectives of those who experience the disease. Maintaining social roles and the ability to participate in society are important for RA patients [8,9], and are significantly linked to health and wellbeing [10]. However, patients with RA report that they need to struggle to find a balance in their activity pattern [11], and in order to be able to participate they sometimes need to overdo activities causing impairments and negative feelings [8].…”

Calidad de vida, nivel de salud percibido y factores sociodemográficos en personas con artritis reumatoide

“…A través de esta investigación se determinó la relación entre la calidad de vida, el nivel de salud y los factores sociodemográ-ficos en personas con AR, donde se destaca la mayor frecuencia de afectación en mujeres (20), siendo este dato similar al presentado por Bautista-Molano et al (21), que establece una proporción del 85,3 %. Este hallazgo se corroboró con los reportes que muestran una prevalencia alta en el género femenino, asociada con las características hormonales y genéticas propias de la mujer, las cuales hacen que las enfermedades autoinmunes sean más frecuentes en ellas (22)(23)(24).…”

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“…Last but not least, we can refer to the study performed in South-Eastern Sweden to ascertain the impact of pain on performance of everyday activities by rheumatoid arthritis patients. The results brought indisputable evidence of considerable impact of pain on the patient's everyday life (Ahlstrand et al 2012).…”