ASSESSMENT OF FUNCTIONAL AND PSYCHOSOCIAL SITUATIONS AMONG PATIENTS WITH RHEUMATOID ARTHRITIS

Year 2020, Volume: 6 Issue: 3, 267 - 284, 31.12.2020

İpek Serttan Ozden Dedeli Caydam

Abstract

The purpose of this study was to assess functional, emotional, social and psychological situations among patients with rheumatoid arthritis. This study was conducted with descriptive and cross-sectional study. A total of 306 patients with rheumatoid arthritis enrolled in from the rheumatology polyclinics in a university hospital in Manisa, Turkey (West Anatolian). The data were collected by means of socio-demographic form, Health Assessment Questionnaire and the Mental Health Continuum Short Form. Descriptive and correlation were used in statistical analysis. The average age of the patients were 49.7±11.8 (23-60) years, 70.6% of them were female. It was found that the mean of Health Assessment Questionnaire score was 15.7±13.7 (0-60), the mean of the Mental Health Continuum Short Form score was 43.3±14.5 (1-70) among patients with rheumatoid arthritis. A negative correlation was defined between Health Assessment Questionnaire and the Mental Health Continuum Short Form (r=-0.39 p<0.05). The results of this study indicated that the patients who rheumatoid arthritis experience moderate level of functional, emotional and psychosocial well-being. In addition, a better functional status of the patients associated with a higher level of emotional and psychosocial well-being.

Keywords

Rheumatoid arthritis, emotional well-being, psychosocial well-being

ROMATOİD ARTRİTLİ HASTALARIN FONKSİYONEL VE PSİKOSOSYAL DURUMLARININ DEĞERLENDİRİLMESİ

Abstract

Bu çalışmada amaç romatoid artritli hastaların fonksiyonel ve psikososyal durumlarının değerlendirilmesidir. Tanımlayıcı ve kesitsel tipteki araştırma, Manisa ilinde bir üniversite hastanesinin romatoloji polikliniklerinden sağlık bakım hizmeti alan 306 romatoid artritli hasta ile yürütüldü. Araştırmada veriler, sosyodemografik soru formu, Sağlık Değerlendirme Anketi (SDA) ve Ruh Sağlığı Sürekliliği Kısa Formu (RSS-KF) ile toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel analizler ve korelasyon analizi kullanıldı. Araştırmaya katılan romatoid artritli hastaların yaş ortalaması 49,7±11,8 (23-60) yıl olup büyük çoğunluğu (%70,6) kadın idi. Romatoid artritli hastaların SDA puan ortalaması 15,7±13,7 (0-60), RSS-KF puan ortalaması 43,3±14,5 (1-70) olarak bulundu. SDA ile RSS-KF puan ortalamaları arasında istatistiksel olarak negatif yönde anlamlı ilişki olduğu belirlendi. Araştırma sonuçları, romatoid artritli hastaların fonksiyonel, sosyal, duygusal ve psikolojik durumlarının orta düzeyde olduğu ve fonksiyonel iyilik halleri arttıkça sosyal, psikolojik ve duygusal iyilik hallerinin de arttığını gösterdi.

Keywords

Romatoid artrit, emosyonel iyilik, psikososyal

References

• 1. Silman AJ, Pearson JE. Epidemiology and genetics of rheumatoid arthritis. Arthritis Res 2002; 4 (suppl 3):265-72.
• 2. Akkoç N. A comparison of rheumatic diseases epidemiology in Turkey and other countries. RAED Journal. 2010; 2:1-8.
• 3. Ryan S. Psychological effects of living with rheumatoid arthritis. Nurs Stand. 2014;29(13):52-9.
• 4. Pollard L, Choy EH, Scott DL. The consequences of rheumatoid arthritis: Quality of life measures in the individual patient. Clin Exp Rheumatol. 2005; 23(5Suppl. 39): 43-52.
• 5. Corbacho MI, Dapueto JJ. Assessing the functional status and quality of life of patients with rheumatoid arthritis. Bras J Rheumatol. 2010; 50(1):31-43.
• 6. Pehlivan S, Ovayolu Ö, Ovayolu N, Pehlivan Y, Onat AM. Quality of life patients with rheumatologic problems and its correlates with some symptoms. Gaziantep Medicine Journal. 2010;16(1):10-4.
• 7. Maska L, Anderson J, Michaud K. Measures of functional status and quality of life in rheumatoid arthritis. Arthritis Care Res (Hoboken). 2011;63(Suppl 11):4-13.
• 8. Matcham F, Scott IC, Rayner L, Hotopf M, Kingsley GH, Norton S, et al. The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: A systematic review and meta-analysis. Semin Arthritis Rheum. 2014; 44:123-30.
• 9. Pehlivan S, Ersoy S, Ugan Y, Fadıloglu C. Self-care agency and factors affecting this in patients with rheumatoid arthritis. Journal of Ege University Nursing Faculty. 2015; 31(1): 27-38.
• 10. Kwon JH, Kim LY, Lee SM. Relation between functional ability and health-related quality of life of children with juvenile rheumatoid arthritis. J Phys Ther Sci. 2015; 27: 837-40.
• 11. Baloglu HH, Askin A, Yener M. Determination of the factors that affect health-related quality of life in patients with rheumatoid arthritis. Acta Medica Mediterranea. 2015; 31: 687-95.
• 12. Altan L, Bingol U, Sagirkaya Z, Sarandol A, Yurtkuran M. Anxiety and depression in rheumatoid arthritis patients. Rheumatism. 2004; 19(1):7-13.
• 13. Uçar M, Gül Aİ, Sarp Ü. The relationship between rheumatoid arthritis and depression. Dicle Med J 2014; 41(3): 548-51.
• 14. Benka JJ, Nagyova I, Rosenberger J, Calfova A, Macejova Z, Middel B, et al. Social support and psychological distress in rheumatoid arthritis: a 4-year prospective study. Disabil & Rehabil. 2012; 34(9): 754–61.
• 15. Doeglas D, Suurmeijer T, Krol B, Sanderman R, van Rijswijk M & van Leeuwen M. Social support, social disability, and psychological well-being in rheumatoid arthritis. Arthritis Care Res. 1994; 7(1):10-5.
• 16. Walsh JD, Blanchard BE, Kremer JM, Blanchard GC. The psychosocial effects of rheumatoid arthritis on the patient and the well partner. Behav Res Ther. 1999 Mar; 37: 259-71.
• 17. Backman CL, Kennedy SM, Chalmers A, Singer J. Participation in paid and unpaid work by adults with rheumatoid arthritis. J Rheumatol. 2004; 31:47-56.
• 18. Getting L. Psychological well-being in rheumatoid arthritis: A review of the literature. Musculoskelet Care. 2010; 8: 99–106.
• 19. Fries JF & Ramey DR. Arthritis specific "global health analog scales assess "generic" health related quality-of-life in patients with rheumatoid arthritis. J Rheumatol. 1997; 24(9):1697-702.
• 20. Küçükdeveci AA, Şahin H, Ataman Ş, Griffiths B, Tennant. Issues in cross-cultural validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum. 2004; 51(1):14-9.
• 21. Keyes CLM, Wissing M, Potgieter JP, Temane M, Kruger A & van Rooy S. Evaluation of the Mental Health Continuum Short Form (MHC-SF) in Setswana speaking South Africans. Clin Psychol Psychother. 2008; 15:181-92.
• 22. Demirci I & Akın A. The Validity and Reliability of the Mental Health Continuum Short Form. JFES. 2015; 48(1):49-64.
• 23. Kim Y, Oh HC, Park JW, Kim IS, Kim JY, Chae DS, et al. Diagnosis and treatment of inflammatory joint disease. Hip Pelvis. 2017;29(4): 211-22.
• 24. Widdifield J, Paterson MJ, Bernatsky S, Tu K, Tomlinson G, Kuriya B, et al. The epidemiology of rheumatoid arthritis in Ontario, Canada. Arthritis Rheumatol. 2014; 66(4):786-93.
• 25. Emrem A, Karatas Z, Reyhanoglu S, Demir Usan H, Icagasioglu A, Kaya Bilir B, et al. Comparing radiographic evaluation and functional assesment questionnaires in rheumatoid hand. Goztepe Medical Journal. 2007; 21(2):64-7.
• 26. Karahan AY, Bagcaci S, Salbas E, Erol K, Karpuz S, Kucuk A. The assessment of knowledge level about their disease in patients with rheumatoid arthritis. JCEI. 2014; 5(3): 429-34.
• 27. Ucar M, Sarp U, Karacavus S, Borekci E, Nas O, Akyol L, et al. Relationship between disease activity scores and bone mineral density in patients with rheumatoid arthritis. Bozok Med J. 2014; 4(3):1-6.
• 28. Kaya T, Karatepe AG, Gunaydin R, Turkmen G, Ozbek G. Quality of life in patients with rheumatoid arthritis: relation with disease activity, functional and health status. Rheumatism. 2007; 22(4): 119-22.
• 29. Akkaya F, Kiyak E. Evaluational of the loneliness, social support and quality of life in patients with rheumatoid arthritis. International Journal of Caring Sciences. 2018;11:457-63. 30. Osiri M, Wongchinsri J, Ukritchon S, Hanvivadhanakul P, Kasitanon N & Siripaitoon B. Comprehensibility, reliability, validity, and responsiveness of the Thai version of the Health Assessment Questionnaire in Thai patients with rheumatoid arthritis. Arthritis Res Ther. 2009; 11:R129.
• 31. Song Y, Zhu L, Wang S, Leng L, Bucala R & Lu L. Multi-Dimensional Health Assessment Questionnaire in China: Reliability, validity and Clinical Value in patients with rheumatoid arthritis. PLOSE ONE. 2014; 21;9(5):e97952.
• 32.Wolfe F, Michaud K, Pincus T. Development and validation of the Health Assessment Questionnaire II. Arthritis Rheum. 2004; 50(10):3296-305.
• 33. Evers AWM, Kraaimaat FW, Geenen R, Bijlsma JWJ. Psychosocial predictors of functional change in recently diagnosed rheumatoid arthritis patients. Behav Res Ther. 1998; 36:179-93.
• 34. Harrison BJ, Symmons DPM, Brennan P, Bankhead CR, Barret EM, Scott DG, et al. Inflammatory polyarthritis in the community is not a benign disease: predicting functional disability one year after presentation. J Rheumatol. 1996; 23:1326–31.
• 35. van der Heijde DM, van Riel PLCM, van Leeuwen JA, van’t Hof MA, van Rijswijk MH, van de Putte LBA. Prognostic factors for radiographic damage and physical disability in early rheumatoid arthritis. A prospective follow-up study of 147 patients. Br J Rheumatol. 1992; 31:519–25.
• 36. van der Heide A, Jacobs JWG, Haanen HCM, Bijlsma JWJ. Is it possible to predict the first year extent of pain and disability for patients with rheumatoid arthritis? J Rheumatol. 1995; 22:1466–70.
• 37. Jansen LMA, Schaardenburg D, Horst-Bruinsma IE, Bezemer PD, Dijkmans BAC. Predictors of functional status in patients with early rheumatoid arthritis. Ann Rheum Dis 2000; 59:223-6.
• 38. Affleck G, Urrows S, Tennen H, Higgins P, Pav D, Aloisi R. A dual pathway model of daily stressor effects on rheumatoid arthritis. Ann Behav Med 1997; 19:161–70.
• 39. Parker J, Smarr K, Anderson S, Hewwett J, Walker S, Bridges A, et al. Relationship of changes in helplessness and depression to disease activity in rheumatoid arthritis. J Rheumatol. 1992;19:1901–5.
• 40. Zautra AJ, Burleson MH, Matt KS, Roth S, Burrows L. Interpersonal stress, depression, and disease activity in rheumatoid arthritis and osteoarthritis patients. Health Psychol. 1994; 13:139–48.
• 41. Eberhardt K, Larsson BM, Nived K. Early rheumatoid arthritis-some social, economical, and psychological aspects. Scand J Rheumatol. 1993; 22(3):119-23.
• 42. Griffith J, Carr A. What is the impact of early rheumatoid arthritis on the individual? Best Pract Res Clin Rheumatol. 2001; 15(1):77-90.
• 43. Brown GK, Nicassio PM & Wallston KA. Pain coping strategies and depression in rheumatoid arthritis. J Consult Clin Psychol.1989; 57(5):652-57.
• 44. El-Miedany YM, El-Rasheed AHE. Is anxiety a more common disorder than depression in rheumatoid arthritis? Joint Bone Spine. 2002;69:300–7.
• 45. van Lankveld W, Naering G, van der Staak C, van’t Pad Bosh P, van de Putte L. Stress caused by rheumatoid arthritis: relation among subjective stressors of the disease, disease status and well-being. J Behav Med.1993; 16:309-21.
• 46. Lacaille D, Sheps S, Spinelli JJ, Chalmers A, Esdaile JM. Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Rheum 2004; 51:843-52.
• 47. Evans S, Shipton EA, Keenan TR. Psychosocial functioning of mothers with chronic pain: a comparison to pain-free controls. Eur J Pain. 2005; 9:683-90.
• 48. Li X, Gignac MAM, Anis AH. Workplace, psychosocial factors and depressive symptoms among working people with arthritis:A longitudinal study. J Rheumatol. 2006; 33:1849-55.
• 49. Folkman S, Lazarus RS. If changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology. 1985; 48:150–70.
• 50. Walker JG, Littlejohn GO, McMurray NE, Cutolo M. Stress system response and rheumatoid arthritis: a multilevel approach. Rheumatol. 1999; 38:1050-7.
• 51. Katz PP, Yelin EH. Activity loss and the onset of depressive symptoms. Do some activities matter more than others? Arthritis Rheum. 2001;44:1194-202.
• 52. Katz PP, Morris A, Yelin E. Prevalence and predictors of disability in valued life activities among individuals with rheumatoid arthritis. Ann Rheum Dis. 2006; 65:763-9.
• 53. Hirsh AT, Waxenberg LB, Atchison JW, Gremillion HA, Robinson ME. Evidence for sex differences in the relationships of pain, mood and disability. J Pain. 2006; 7:592-601.
• 54. Kaya HE. An overview of Turkish women’s status in Turkey. Toplum ve Demokrasi. 2009; 2(5): 211-19.
• 55. Aslan SH, Karaköse H, Soy M, Alparslan ZN. Body image, self esteem, alexithymia, depression and anxiety in female patients with rheumatoid arthritis. Dusunen Adam The Journal of Psychiatry and Neurological Sciences. 1996; 9(4):23-27.
• 56. Wikström I, Book C, Jacobsson LTH. Difficulties in performing leisure activities among persons with newly diagnosed rheumatoid arthritis: A prospective, controlled study. Rheumatology. 2006;45(9):1162-6.
• 57. Cüre E, Sahin M, Eren I, Tunc ES, Basturk A, Inanli CI. Psychiatric symptoms and quality of life in patients rheumatoid arthritis. MN Dahili Tıp Bilimleri. 2006; 1/5-6:358-64.
• 58. Young LD. Psychological factors in rheumatoid arthritis. J Consult Clin Psychol.1992; 60(4): 619-27.
• 59. Dirik G, Karancı AN. Psychological distress in rheumatoid arthritis patients: An evaluation within the conservation of resources theory. Psychol Health. 2010;25(5):617-32.
• 60. Tsai PF. Predictors of distress and depression in elders with arthritic pain. J Adv Nurs. 2005; 51:158–65.
• 61. Benight C, Bandura A. Social cognitive theory of posttraumatic recovery: The role of perceived self-efficacy. Behav Res Ther. 2004; 42:1129–48.
• 62. VanDyke MM, Parker JC, Smarr KL, Hewett JE, Johnson GE, Slaughter JR, et al. Anxiety in rheumatoid arthritis. Arthritis Rheum. 2004; 51:408-12.
• 63. Treharne GJ, Kıtas GD, Lyons AC, Booth DA. Well-being in rheumatoid arthritis: The effects of disease duration and psychological factors. J Health Psychol. 2005; 10(3):457–74.
• 64. Dickens C, Jackson J, Tomenson B, Hay E, Creed, F. Association of depression and rheumatoid arthritis. Psychosomatics. 2003; 44: 209–15.
• 65. Knittle KP, De Gucht V, Hurkmans EJ, Vlieland TV, Peeters AJ, Ronday HK, Maes S. Effect of self-efficacy and physical activity goal achievement on arthritis pain and quality of life in patients with rheumatoid arthritis. Arthritis Care Res (Hoboken). 2011; 63(11).1613-19.