SAT0132 Presence of Psychological, Sexual and Sleep Disorders in Patients with Rheumatoid Arthritis

Santos-Moreno, P.; Villarreal, L.; Ballesteros, G.; Bello, J.; Castillo, E.; Giraldo, Rodrigo; Gómez, David Rodríguez; Aza, A.; Lopez, A.; Cardozo, A.; Palacio, N.; Castro, Carlos A.; Buitrago-Garcia, D.

doi:10.1136/annrheumdis-2016-eular.5964

Cited by 2 publications

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Section: Discussionmentioning

confidence: 99%

“…17 These findings are consistent with what is described by the proposal made by Pan American League of Associations for Rheumatology (REAL-PANLAR Project for the Implementation and Accreditation of Centers of Excellence in Rheumatoid Arthritis Throughout Latin America) with respect to centers of excellence, where multidisciplinary management is suggested for a comprehensive approach to the patient, which has shown improvement in all aspects, not only in the activity of the AR. 16,21,22 When studying the possible causes, the physical and psychological variables become a fundamental pillar to explain SDs in RA. The physical difficulties that are associated with the activity of the disease are observed in the mobility at the time of the sexual act, hindering movements and positions, which are the result of joint pain or disability.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Sexual Disorders in Patients With Rheumatoid Arthritis and Associated Factors

Santos-Moreno¹,

Castro²,

Villarreal³

et al. 2020

Sexual Medicine

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Introduction Rheumatoid arthritis (RA) is a chronic and progressive pathology, present in between 0.5% and 1% of adults. Sexual disorders (SDs) occur in between 31% and 70% of all patients with RA. Aim To establish the associated risk factors and the prevalence of SDs in a group of patients with RA. Methods An analytical cross-sectional study was performed, evaluated with the Diagnostic and Statistical Manual of Mental Disorders-V tool. The related factors and the activity of the disease were explored. A multivariate logistic regression analysis was conducted. Main Outcome Measure The prevalence of SDs was 29.6%. There was an association between the presence of SDs and gender (women; odds ratio [OR]: 0.6, 95% CI: 0.4–0.8), age (OR: 1.4, 95% CI: 1.1–1.8), psychological alterations (OR: 12.1, 95% CI: 5.9–27.2), and Disease Activity Score 28 (OR: 1.6, 95% CI: 1.2–2). Results A total of 1,436 patients, with a median age of 56 years, were analyzed. Conclusion SDs are present in a third of patients with RA. Among the factors associated with SDs were the activity of the disease, presence of mood disorders, psychiatric disorders, alcoholism, and concomitant autoimmune pathologies. These findings suggest the necessity of a multidisciplinary approach to properly manage RA, as well as an enhancement in communication channels between the health professional team and the patient. Santos-Moreno P, Castro CA, Villarreal L, et al. Prevalence of Sexual Disorders in Patients With Rheumatoid Arthritis and Associated Factors. Sex Med 2020;8:510–516.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of Sexual Disorders in Patients With Rheumatoid Arthritis and Associated Factors

Santos-Moreno¹,

Castro²,

Villarreal³

et al. 2020

Sexual Medicine

View full text Add to dashboard Cite

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“…RA can affect sexual function in various ways, including pain, joint stiffness and swelling, chronic fatigue, and limitations in activities of daily living [ 4 ]. The very fact that the disease is chronic and requires long-term treatment, as well as the adverse effects of RA medication, may also cause sexual dysfunctions in this patient group [ 5 ]. Sexual health is a major component of human well-being [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunction and Quality of Life in Patients with Rheumatoid Arthritis

Tański¹,

Dudek

Tomasiewicz

et al. 2022

IJERPH

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Background: Sexual health is a major component of human well-being. As repeatedly shown in research, satisfaction with sex life and sexual fulfillment correlate positively with quality of life (QoL) in most of its aspects. It is thus true that a reduced quality of one’s sex life and lack of sexual fulfillment can contribute to poorer QoL overall. The aim of this study is to describe an assessment of sexual dysfunction and factors affecting sexual dysfunctions of patients with rheumatoid arthritis (RA). Material and methods: 171 consecutive RA patients (mean age 48.3 ± 14.6) attending the rheumatology outpatient clinic. Standardized questionnaires used in the study were the sexological questionnaire, WHOQOL-BREF to assess QoL level, Disease Acceptance Scale, and VAS scale to assess pain intensity. Results: The mean duration of the disease in the study group was 13 ± 9 years, mean score of subjective assessment of mobility was 6.2 ± 1.6, and the mean score of the DAS-28 was 4.0 ± 1.9. The study group presented a mean level of disease acceptance (AIS 29.6 ± 11.6). The comparative analysis showed significant differences in reaching orgasm and declared sexual dysfunctions. These problems occurred more often in women than in men (34.2% vs. 18% and 43% vs. 40%, respectively). In univariate analysis, factors correlating positively with the frequency of declaring sexual dysfunction were subjective motor score less < 6 points, AIS < 36 points, WHOQOL-BREF < 59 points, disease activity ≥3.5 points, and VAS > 3. In multivariate logistic regression analysis, independent factors positively correlating with frequency of sexual dysfunction declaration were general QoL (β = 1.255; p = 0.035) and pain limiting social life (β = 1.564; p = 0.030). The absence of comorbidities correlated negatively and reduced the prevalence of sexual dysfunction (β = −1.030; p = 0.043). Patients with reduced QoL and patients with pain limiting social life had 3.5 and 4.8 times higher risk of sexual dysfunction than other patients, respectively. In contrast, those without comorbidities were 2.8 times more likely to be free of sexual dysfunction than those diagnosed with other chronic diseases besides RA. Conclusions: Sexual dysfunction is an emerging problem in both men and women with RA. The absence of comorbidities is an independent determinant of sexual dysfunction, whereas poor QoL and pain limiting social life are independent determinants that exacerbate sexual dysfunction in both genders.

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SAT0132 Presence of Psychological, Sexual and Sleep Disorders in Patients with Rheumatoid Arthritis

Cited by 2 publications

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Prevalence of Sexual Disorders in Patients With Rheumatoid Arthritis and Associated Factors

Prevalence of Sexual Disorders in Patients With Rheumatoid Arthritis and Associated Factors

Sexual Dysfunction and Quality of Life in Patients with Rheumatoid Arthritis

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