Document Detail


Social and emotional problems in early rheumatoid arthritis. 75 patients followed up for two years.
MedLine Citation:
PMID:  3690985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seventy-five patients with an early RA (disease duration between 2 and 12 months; 79% female; average age 49 years; 72% with "definite" RA) were followed in a prospective study over a period of 2 years. Within this 24 month observation period there was a drop in the average diagnostic ARA count from 5.0 to 4.2, in the ESR from 48 to 31 mm within the first hour and also in the number of affected joints from 13 to 9. Pain intensity and functional capacity showed a slight decrease in the average score. Despite a consistent antirheumatic therapy (72% on RID's after one year) there was a noticeable increase from 23 to 58% in the prevalence of patients with any erosive changes in the X-ray. Within the two years of this study one third of the patients employed at the onset had to quit their job. The number of patients retired due to RA rose from 0 to 23%. A comparison of two groups of patients (employed versus retired) revealed no significant differences in the initial examination with one exception: The patients eventually retired by the end of the study were significantly older with an average age of 51 versus 39 in the group of still employed patients. On the other hand, by the end of the study the patients remaining employed for the duration of the 2 years were significantly less active and also less severely diseased and handicapped. The number of patients with clinically relevant depression (BDI) or anxiety (STAI) did not change significantly over the 24 month period.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
H H Raspe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical rheumatology     Volume:  6 Suppl 2     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1988-02-20     Completed Date:  1988-02-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  20-5     Citation Subset:  IM    
Affiliation:
Abteilung Erkrankungen der Bewegungsorgane und des Stoffwechsels Medizinische Hochschule, Hannover, FRG.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adjustment Disorders / psychology
Adolescent
Adult
Aged
Arthritis, Rheumatoid / psychology*
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Sick Role*
Social Adjustment*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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