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Rheumatology International

, Volume 38, Issue 12, pp 2167–2182 | Cite as

Expert recommendations on the psychological needs of patients with rheumatoid arthritis

  • Leticia Leon
  • Marta Redondo
  • Antonio Fernández-Nebro
  • Susana Gómez
  • Estíbaliz Loza
  • María Montoro
  • Rosario Garcia-Vicuña
  • María GalindoEmail author
Recommendations

Abstract

Objective

To establish feasible and practical recommendations for the management of the psychological needs of patients with rheumatoid arthritis (RA) from the moment of diagnosis through the course of the disease.

Methods

A nominal group meeting was held with an RA expert team including rheumatologists and psychologists, at which a guided discussion addressed the most important psychological and emotional needs in RA. Based on the comments collected, and a literature review, a matrix document of recommendations for telematics discussion was prepared, as well as a Delphi survey to test agreement with these recommendations. Agreement was defined if at least 80% of participants voted ≥ 7 (from 1, totally disagree to 10, totally agree). For each recommendation, the level of evidence and grading of recommendations was established following the Oxford criteria, and the degree of agreement through the Delphi.

Results

Thirteen recommendations were established, addressing several key processes: (1) identification of psychological problems and needs in patients with RA, and a guideline for their management in daily practice; (2) communication with patients; (3) referral criteria to mental health professionals.

Conclusions

These recommendations are intended to help health care professionals openly address the psychological aspects of patients in daily practice to follow and treat them properly.

Keywords

Rheumatoid arthritis Psychological issues Recommendations 

Notes

Acknowledgements

To Milena Gobbo Montoya, Jose Bernardo Negrón, Rebeca Pardo Cebrián, Javier García González, Elisa Trujillo Martín, Blanca Estela Hernández Cruz, Ana Ortiz García, Cristina Lajas Petisco, José Manuel Rodríguez Heredia, Ana Pérez Gómez, María Victoria Hernández, Teresa Otón-Sánchez, María Jesús García de Yébenes, Loreto Carmona, the LIRE and ConArtritis.

Author contribution

Maria Galindo, Estíbaliz Loza and Maria Montoro participated in the study design. All of the authors took part in the rest of the study phases, contributed in this article discussion and reviewed the final version.

Funding

This research was funded by Pfizer. Estibaliz Loza, from the institute of musculoskeletal health (Instituto de Salud Musculoesquelética, INMUSC), which in turn was funded by Pfizer, and helped in methodological coordination.

Compliance with ethical standards

Conflict of interest

Authors report no conflicts of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Rheumatology Unit, IDISSCSan Carlos Clinical HospitalMadridSpain
  2. 2.Faculty of Heath SciencesCamilo José Cela UniversityMadridSpain
  3. 3.Rheumatology Clinical Management Unit, Biomedical Research Institute in Malaga (IBIMA), Regional University Hospital in MalagaUniversity of MalagaMalagaSpain
  4. 4.Pfizer Medical DepartmentAlcobendasSpain
  5. 5.Musculoskeletal Health InstituteMadridSpain
  6. 6.Rheumatology Service, Hospital Universitario de la PrincesaIIS-IPMadridSpain
  7. 7.Rheumatology Service12 de Octubre University HospitalMadridSpain

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