The experience of rheumatoid arthritis pain and fatigue: Examining momentary reports and correlates over one week

Stone, Arthur A.; Broderick, Joan E.; Porter, Laura S.; Kaell, Alan

doi:10.1002/art.1790100306

Cited by 211 publications

(166 citation statements)

References 14 publications

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“…It was found that patients with RA showed much variability in pain and fatigue levels within days, whereas there were no differences in pain and fatigue levels between days (17). It was suggested that the pattern of pain and fatigue was not explained by mood cycles (17). However, in another study of RA patients and consecutive daily fatigue assessments, it was found that days with more frequent positive events were related to lower levels of same-day fatigue and higher levels of next-day fatigue in women, but not for men (18).…”

Section: Discussionmentioning

confidence: 95%

“…However, in another study of RA patients and consecutive daily fatigue assessments, it was found that days with more frequent positive events were related to lower levels of same-day fatigue and higher levels of next-day fatigue in women, but not for men (18). In a study of patients with RA, it appeared that diurnal fluctuations in fatigue were independent of the circadian rhythm of cortisol or inflammatory activity, but rather reflect temporal changes as a consequence of sleep, rest, and physical activity throughout the day (17,30). In FM, it appeared that there was a diurnal relationship between pain and fatigue that probably was mediated by stress or sleep quality (31,32).…”

Section: Discussionmentioning

confidence: 99%

“…To inform about probable causality, it would be informative if a change in pain precedes a change in fatigue (cause precedes effect) or vice versa. The time scale of such a temporal relationship between pain and fatigue is unclear and might be day to day or month to month (17)(18)(19). Since we were primarily interested in the course of fatigue over 1 year, we chose to assess fatigue and pain every month.…”

Section: Discussionmentioning

confidence: 99%

“…Temporal associations between pain and fatigue in RA might be day to day (e.g., pain today associated with fatigue tomorrow) or month to month (17)(18)(19). Currently, it is unclear whether a change in pain precedes a change in fatigue or whether a change in fatigue precedes a change in pain.…”

Section: Introductionmentioning

confidence: 99%

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Association Between Fatigue and Pain in Rheumatoid Arthritis: Does Pain Precede Fatigue or Does Fatigue Precede Pain?

Dartel

Repping-Wuts

Hoogmoed

et al. 2013

Arthritis Care & Research

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Objective. Fatigue and pain are important symptoms for patients with rheumatoid arthritis (RA), but their temporal association is unknown. Therefore, the objective of this study was to investigate the longitudinal relationship between fatigue and pain in patients with RA using time-lag models. Methods. Consecutive RA outpatients (n ‫؍‬ 228) were enrolled for this 1-year study. Fatigue was assessed monthly with the Checklist Individual Strength (CIS; range 8 -56) and pain was assessed monthly with the bodily pain subscale (inverted, range 0 -100) of the Short Form 36. The association between monthly changes in fatigue and pain was analyzed using longitudinal regression (mixed models), using the same months and with a 1-month time lag. Results. A total of 198 patients were included in the analyses. At baseline, the mean ؎ SD pain score was 35.23 ؎ 19.82 and the mean ؎ SD CIS fatigue score was 31.0 ؎ 12.4. Severe fatigue at baseline (CIS score >35) was present in 42% of the patients. The mean ؎ SD patient-averaged CIS fatigue score over 1 year was 30.9 ؎ 6.0 and the mean ؎ SD patient-averaged pain score over 1 year was 36.4 ؎ 18.3. The longitudinal regression analysis showed a significant positive relationship between fatigue and pain during the same month (␤ ‫؍‬ 2.04; 95% confidence interval 1.82, 2.27). The models using a time lag showed no significant association between changes in pain and changes in fatigue. Conclusion. In established RA, pain and fatigue show monthly fluctuations that are synchronous rather than showing a temporal relationship with a time lag; within this timeframe, the results do not indicate that one precedes the other.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association Between Fatigue and Pain in Rheumatoid Arthritis: Does Pain Precede Fatigue or Does Fatigue Precede Pain?

Dartel

Repping-Wuts

Hoogmoed

et al. 2013

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…Self-report questionnaires were collected at baseline and at weeks 4 and 8 and included the following: Pre and Post Treatment Expectancy Scale [75], Revised Fibromyalgia Impact Questionnaire (FIQR) [76]; Numeric Rating Scale for Pain (Pain NRS) [77]; Numeric Rating Scale for Stress (Stress NRS) [78]; Short Form 36v2™ (SF36v2™) [79,80]; Daily Stress Inventory (DSI) [81,82]; General Sleep Disturbance Scale (GSDS) [83,84]; Pittsburgh Sleep Quality Index (PSQI) [85][86][87]; Positive and Negative Affect Scale (PANAS) [88]; and Patient Global Impression of Change Scale (PGIC) [89][90][91]. In addition, the participants kept daily sleep diaries to capture duration and quality of sleep and daily practice logs to document minutes of RY practice per day.…”

Section: Secondary Outcome Measuresmentioning

confidence: 99%

Restorative Yoga for Symptom Management in Fibromyalgia: Results of an 8-week Intervention

White¹

2015

J Yoga Phys Ther

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The disease process and utilization of health services in rheumatoid arthritis: The relative contributions of various markers of disease severity in explaining consumption patterns

Waltz¹

2000

Arthritis & Rheumatism

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Objective. To examine the predictive ability of a wide array of measures of disease severity in explaining Dutch and German patterns of health services utilization during a 2-year period.Methods. Slightly over 200 rheumatoid arthritis (RA) patients, 136 from a Dutch and 98 from a German outpatient clinic, supplied information on symptom and functional status, global health, and emotional and social functioning at baseline. The patients' rheumatologists provided clinical assessments of functional grade and disease activity. A questionnaire mailed twice at 12-month intervals was the source of retrospective information on physician consultations, hospitalization, and referrals for surgery and physical therapy during the previous period. Major determinants of use were studied with multivariate analyses. Results. German patients reported more frequent physician contacts than Dutch patients, but the volume of surgery, hospital admissions, and referralsfor physical therapy did not differ between the two countries. In a hierarchical regression, the consultation rate was directly associated with pain quality and global health. Markers of RA progression were related to surgery, and the latter to volume of inhospital care. Fatigue severity and physical disability predicted referrals for physical therapy. Patient self-management activities were only weakly associated with disease severity variables.Conclusion. The activity and damage components of RA were related to the separate components of total health service utilization. Disease activity was the prime determinant of physician services used, and RA progression the determinant of surgical interventions and hospitalization.

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The experience of rheumatoid arthritis pain and fatigue: Examining momentary reports and correlates over one week

Cited by 211 publications

References 14 publications

Association Between Fatigue and Pain in Rheumatoid Arthritis: Does Pain Precede Fatigue or Does Fatigue Precede Pain?

Association Between Fatigue and Pain in Rheumatoid Arthritis: Does Pain Precede Fatigue or Does Fatigue Precede Pain?

Restorative Yoga for Symptom Management in Fibromyalgia: Results of an 8-week Intervention

The disease process and utilization of health services in rheumatoid arthritis: The relative contributions of various markers of disease severity in explaining consumption patterns

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