nach oben

Clinical Rheumatology

Erschienen in:

01.08.2015 | Original Article

Pain and difficulties performing valued life activities in women and men with rheumatoid arthritis

verfasst von: Inger Ahlstrand, Mathilda Björk, Ingrid Thyberg, Torbjörn Falkmer

Erschienen in: Clinical Rheumatology | Ausgabe 8/2015

Einloggen, um Zugang zu erhalten

Abstract

This study aimed to examine the difficulties with performing valued life activities in relation to pain intensity in women and men with rheumatoid arthritis (RA). In total, 737 persons with RA (73 % women) from three rheumatology units in Sweden responded to a questionnaire measuring performance of 33 valued life activities and self-rated pain. The relationships between performance of valued life activities (VLAs) and pain (measured by visual analogue scale (VAS)) were analysed based on gender. Multiple linear regression analyses were conducted with the total VLA score as dependent variable. Women reported more pain and difficulties in performing valued life activities than men. Across genders, 85 % reported at least one valued life activity affected by RA. Significantly more women than men encountered difficulties in performing some activities such as cooking, gardening and meeting new people. Women reported higher pain intensity (35 mm) than men (31 mm). Almost all 33 difficulty ratings for valued life activities were higher among persons with high pain (>40 mm) than persons with lower pain. Difficulty ratings for valued life activities correlated positively with pain in persons with lower pain, but not among those with high pain. The results highlight the importance of addressing pain, especially among women with RA, as they reported pain to impact on their valued life activities. Interestingly, this was evident also in women with lower levels of pain.

Englund M, Jöud A, Geborek P, Felson DT, Jacobsson LT, Petersson IF (2010) Prevalence and incidence of rheumatoid arthritis in southern Sweden 2008 and their relation to prescribed biologics. Rheumatology 49(8):1563–1569. doi:10.1093/rheumatology/keq127 PubMedCrossRef

Bjork M, Gerdle B, Thyberg I, Peolsson M (2008) Multivariate relationships between pain intensity and other aspects of health in rheumatoid arthritis—cross sectional and five year longitudinal analyses (the Swedish TIRA project). Disabil Rehabil 30(19):1429–1438PubMedCrossRef

Hallert E, Björk M, Dahlström Ö, Skogh T, Thyberg I (2012) Disease activity and disability in women and men with early rheumatoid arthritis (RA): an 8-year followup of a Swedish early RA project. Arthritis Care Res 64(8):1101–1107. doi:10.1002/acr.21662

Courvoisier DS, Agoritsas T, Glauser J, Michaud K, Wolfe F, Cantoni E, Perneger TV, Finckh A, Swiss Clinical Quality Management Program for Rheumatoid A, National Data Bank for Rheumatic D (2012) Pain as an important predictor of psychosocial health in patients with rheumatoid arthritis. Arthritis Care Res 64(2):190–196. doi:10.1002/acr.20652 CrossRef

Sverker A, Östlund G, Thyberg M, Thyberg I, Valtersson E, Björk M. Dilemmas of participation in everyday life in early rheumatoid arthritis: a qualitative interview study (The Swedish TIRA Project). Disabil Rehabil 0 (0):1–9. doi: 10.3109/09638288.2014.961658

Kirwan JR, Newman S, Tugwell PS, Wells GA (2009) Patient perspective on outcomes in rheumatology—a position paper for OMERACT 9. J Rheumatol 36(9):2067–2070. doi:10.3899/jrheum.090359 PubMedCrossRef

WHO (2001) International classification of functioning, disability and health (ICF). World Health Organization, Geneva

Thyberg M, Arvidsson P, Thyberg I, Nordenfelt L Simplified bipartite concepts of functioning and disability recommended for interdisciplinary use of the ICF. Disabil Rehabil 0 (0):1-10. doi: 10.3109/09638288.2014.978506

Ahlstrand I, Björk M, Thyberg I, Börsbo B, Falkmer T (2012) Pain and daily activities in rheumatoid arthritis. Disabil Rehabil 34(15):1245–1253. doi:10.3109/09638288.2011.638034 PubMedCrossRef

10.

Feldthusen C, Björk M, Forsblad-d’Elia H, Mannerkorpi K (2013) Perception, consequences, communication, and strategies for handling fatigue in persons with rheumatoid arthritis of working age—a focus group study. Clin Rheumatol 1–10. doi: 10.1007/s10067-012-2133-y

11.

Thyberg I, Hass U, Nordenskiöld U, Gerdle B, Skogh T (2005) Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: the Swedish TIRA project. Arthritis Rheum 53(6):886–896PubMedCrossRef

12.

Björk M, Thyberg I, Haglund L, Skogh T (2006) Hand function in women and men with early rheumatoid arthritis. A prospective study over three years (the Swedish TIRA project). Scand J Rheumatol 35(1):15–19PubMedCrossRef

13.

Scott D, Smith C, Kingsley G (2005) What are the consequences of early rheumatoid arthritis for the individual? Clin Rheumatol 19(1):117–136

14.

Tengstrand B, Ahlmén M, Hafström I (2004) The influence of sex on rheumatoid arthritis: a prospective study of onset and outcome after 2 years. J Rheumatol 31(2):214–222PubMed

15.

Sokka T, Toloza S, Cutolo M, Kautiainen H, Makinen H, Gogus F, Skakic V, Badsha H, Peets T, Baranauskaite A, Geher P, Ujfalussy I, Skopouli F, Mavrommati M, Alten R, Pohl C, Sibilia J, Stancati A, Salaffi F, Romanowski W, Zarowny-Wierzbinska D, Henrohn D, Bresnihan B, Minnock P, Knudsen L, Jacobs J, Calvo-Alen J, Lazovskis J, Pinheiro G, Karateev D, Andersone D, Rexhepi S, Yazici Y, Pincus T, Group tQ-R (2009) Women, men, and rheumatoid arthritis: analyses of disease activity, disease characteristics, and treatments in the QUEST-RA Study. Arthritis Res Ther 11(1):R7PubMedCentralPubMed

16.

Ahlmén M, Svensson B, Albertsson K, Forslind K, Hafström I (2010) Influence of gender on assessments of disease activity and function in early rheumatoid arthritis in relation to radiographic joint damage. Ann Rheum Dis 69(01):230–233. doi:10.1136/ard.2008.102244 PubMedCrossRef

17.

Heiberg T, Kvien TK (2002) Preferences for improved health examined in 1,024 patients with rheumatoid arthritis: pain has highest priority. Arthritis Care Res 47(4):391–397. doi:10.1002/art.10515 CrossRef

18.

Harding G, Parsons S, Rahman A, Underwood M (2005) “It struck me that they didn’t understand pain”: the specialist pain clinic experience of patients with chronic musculoskeletal pain. Arthritis Rheum 53(5):691–696PubMedCrossRef

19.

Thyberg I, Dahlström Ö, Björk M, Arvidsson P, Thyberg M (2012) Potential of the HAQ score as clinical indicator suggesting comprehensive multidisciplinary assessments: the Swedish TIRA cohort 8 years after diagnosis of RA. Clin Rheumatol 31(5):775–783. doi:10.1007/s10067-012-1937-0 PubMedCrossRef

20.

Katz PP, Morris A, Yelin EH (2006) Prevalence and predictors of disability in valued life activities among individuals with rheumatoid arthritis. Ann Rheum Dis 65(6):763–769. doi:10.1136/ard.2005.044677 PubMedCentralPubMedCrossRef

21.

Katz P, Morris A, Yelin E (2008) Subclinical disability in valued life activities among individuals with rheumatoid arthritis. Arthritis Care Res 59(10):1416–1423. doi:10.1002/art.24110 CrossRef

22.

Björk M, Thyberg M, Waltersson E, Stenström B, Katz P (2013) SAT0598-HPR Valued Life Activities: Swedish Version (VLA-SWE) with cultural adaptation, ICF linkage and psychometric testing. Ann Rheum Dis 72(Suppl 3):A785. doi:10.1136/annrheumdis-2013-eular.2322 CrossRef

23.

Coenen M, Cieza A, Stamm T, Amann E, Kollerits B, Stucki G (2006) Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups. Arthritis Res Ther 8(4):R84. doi:10.1186/ar1956 PubMedCentralPubMedCrossRef

24.

Katz P (2004) Function, disability, and psychological well-being. Adv Psychosom Med 25:41–62PubMedCrossRef

25.

Ahlmén M, Nordenskiöld U, Archenholtz B, Thyberg I, Rönnqvist R, Lindén L, Andersson AK, Mannerkorpi K (2005) Rheumatology outcomes: the patient’s perspective. A multicentre focus group interview study of Swedish rheumatoid arthritis patients. Rheumatology 44(1):105–110PubMedCrossRef

26.

Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS, Medsger TA, Mitchell DM, Neustadt DH, Pinals RS, Schaller JG, Sharp JT, Wilder RL, Hunder GG (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31(3):315–324. doi:10.1002/art.1780310302 PubMedCrossRef

27.

Prevoo MLL, Van’t Hof MA, Kuper HH, Van Leeuwen MA, Van De Putte LBA, Van Riel PLCM (1995) Modified disease activity scores that include twenty-eight-joint counts development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum 38(1):44–48. doi:10.1002/art.1780380107 PubMedCrossRef

28.

Ekdahl C, Eberhardt K, Andersson SI, Svensson B (1988) Assessing disability in patients with rheumatoid arthritis. Scand J Rheumatol 17(4):263–271. doi:10.3109/03009748809098795 PubMedCrossRef

29.

Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P (2005) Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 8(2):94–104. doi:10.1111/j.1524-4733.2005.04054.x PubMedCrossRef

30.

Paul SM, Zelman DC, Smith M, Miaskowski C (2005) Categorizing the severity of cancer pain: further exploration of the establishment of cutpoints. Pain 113(1–2):37–44. doi:10.1016/j.pain.2004.09.014 PubMedCrossRef

31.

Kapstad H, Hanestad B, Langeland N, Rustoen T, Stavem K (2008) Cutpoints for mild, moderate and severe pain in patients with osteoarthritis of the hip or knee ready for joint replacement surgery. BMC Musculoskelet Disord 9(1):55PubMedCentralPubMedCrossRef

32.

Sun S, Pan W, Wang LL (2010) A comprehensive review of effect size reporting and interpreting practices in academic journals in education and psychology. J Educ Psychol 102(4):989–1004. doi:10.3102/0013189X025002026 CrossRef

33.

Goldenberg DL, Clauw DJ, Fitzcharles M-A (2011) New concepts in pain research and pain management of the rheumatic diseases. Semin Arthritis Rheum 41(3):319–334. doi:10.1016/j.semarthrit.2011.04.005 PubMedCrossRef

34.

Skjutar A, Schult M, Christensson K, Mullersdorf M (2010) Indicators of need for occupational therapy in patients with chronic pain: occupational therapists’ focus groups. Occup Ther Int 17(2):93–103. doi:10.1002/oti.282 PubMed

35.

Lindén C, Björklund A (2010) Living with rheumatoid arthritis and experiencing everyday life with TNF-α blockers. Scand J Occup Ther 17(4):326–334. doi:10.3109/11038120903480055 PubMedCrossRef

36.

Luyster FS, Chasens ER, Wasko MC, Dunbar-Jacob J (2011) Sleep quality and functional disability in patients with rheumatoid arthritis. J Clin Sleep Med 7(1):49–55PubMedCentralPubMed

37.

Linton SJ, Shaw WS (2011) Impact of psychological factors in the experience of pain. Phys Ther 91(5):700–711. doi:10.2522/ptj.20100330 PubMedCrossRef

38.

Stoffer MA, Smolen JS, Woolf A, Ambrozic A, Bosworth A, Carmona L, Fialka-Moser V, Loza E, Olejnik P, Petersson IF, Uhlig T, Stamm TA, group ten-w (2013) Development of patient-centred standards of care for rheumatoid arthritis in Europe: the eumusc.net project. Ann Rheum Dis. doi: 10.1136/annrheumdis-2013-203743

39.

Tubach F, Ravaud P, Martin-Mola E, Awada H, Bellamy N, Bombardier C, Felson DT, Hajjaj-Hassouni N, Hochberg M, Logeart I, Matucci-Cerinic M, van de Laar M, van der Heijde D, Dougados M (2012) Minimum clinically important improvement and patient acceptable symptom state in pain and function in rheumatoid arthritis, ankylosing spondylitis, chronic back pain, hand osteoarthritis, and hip and knee osteoarthritis: results from a prospective multinational study. Arthritis Care Res 64(11):1699–1707. doi:10.1002/acr.21747 CrossRef

40.

Stucki G, Cieza A, Melvin J (2007) The International Classification of Functioning, Disability and Health (ICF): a unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med 39(4):279–285. doi:10.2340/16501977-0041 PubMedCrossRef

41.

Meesters J, Pont W, Beaart-Van De Voorde L, Stamm T, Vliet Vlieland T (2013) Do rehabilitation tools cover the perspective of patients with rheumatoid arthritis? A focus group study using the ICF as a reference. Eur J Phys Rehabil Med

42.

Hemmingsson H, Jonsson H (2005) An occupational perspective on the concept of participation in the international classification of functioning, disability and health—some critical remarks. AJOT 59(5):569–576. doi:10.5014/ajot.59.5.569 PubMedCrossRef

43.

Kirchberger I, Stamm T, Cieza A, Stucki G (2007) Does the comprehensive ICF Core Set for rheumatoid arthritis capture occupational therapy practice? A content-validity study. Can J Occup Ther 74(Special Issue):267–280PubMedCrossRef

44.

Katz P, Morris A, Gregorich S, Yazdany J, Eisner M, Yelin E, Blanc P (2009) Valued life activity disability played a significant role in self-rated health among adults with chronic health conditions. J Clin Epidemiol 62(2):158–166PubMedCentralPubMedCrossRef

45.

Kalyoncu U, Dougados M, Daurès J-P, Gossec L (2009) Reporting of patient-reported outcomes in recent trials in rheumatoid arthritis: a systematic literature review. Ann Rheum Dis 68(2):183–190. doi:10.1136/ard.2007.084848 PubMedCrossRef

Titel: Pain and difficulties performing valued life activities in women and men with rheumatoid arthritis
verfasst von: Inger Ahlstrand
Mathilda Björk
Ingrid Thyberg
Torbjörn Falkmer
Publikationsdatum: 01.08.2015
Verlag: Springer London
Erschienen in: Clinical Rheumatology / Ausgabe 8/2015
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-015-2874-5

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2015

A feasibility study for a randomised controlled trial of treatment withdrawal in psoriatic arthritis (REmoval of treatment for patients in REmission in psoriatic ArThritis (RETREAT (F))

Attitudes towards subsequent entry biologics/biosimilars: A survey of Canadian rheumatologists

Use of tissue Doppler and its comparison with other pulse Doppler echocardiography in the evaluation of diastolic functions in patients with active juvenile idiopathic arthritis

Combined glucosamine and chondroitin sulfate, once or three times daily, provides clinically relevant analgesia in knee osteoarthritis

Delayed diagnosis is linked to worse outcomes and unfavourable treatment responses in patients with axial spondyloarthritis