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Relationship of the functional status, duration of the disease and pain intensity and some psychological variables in patients with rheumatoid arthritis


A sample of 61 patients with rheumatoid arthritis was studied to assess the interrelationship between depression, helplessness, functional abilities, pain intensity and duration of the disease. The following questionnaires were employed: Arthritis Helplessness Index (AHI), Epidemiological Studies Depression Scale (CES-D), and the Modified Health Assessment Questionnaire (MHAQ). The pain intensity level was assessed using the Visual Analogue Scale (VAS). Significant interrelationship of MHAQ with VAS and AHI was found as well as between AHI and CES-D and VAS and CES-D. A slight interrelationship between AHI and CES-D was also found. The results obtained from two groups of patients — one including patients with the disease lasting from 1 to 5, and the other extending over a period of 15 to 24 years — were compared. The second group manifested significantly greater difficulties in performing their everyday activities (MHAQ).

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  1. 1.

    Lee, P., Jasani, K.M., Dick, W.C., Buchanan, W.W. Evaluation of a functional index in rheumatoid arthritis. Scand J Rheumatol 1973, 2, 71–77.

    PubMed  Google Scholar 

  2. 2.

    Pincus, T., Summey, J.A., Soraci, S.A.Jr., Wallston, K.A., Hummon, N.P. Assessment of patient satisfaction in activities of daily living using a modified Sanford Health Assessment Questionnaire. Arthritis Rheum 1983, 26, 1346–1353.

    PubMed  Google Scholar 

  3. 3.

    Liang, M.H., Jette, A.M. Measuring functional ability in chronic arthritis. Arthritis Rheum 1981, 24, 80–86.

    PubMed  Google Scholar 

  4. 4.

    Zaphiropoulos, G., Burry, H.C. Depression in rheumatoid disease. Ann Rheum Dis 1974, 33, 132–135.

    PubMed  Google Scholar 

  5. 5.

    Burry, H.C., Zaphiropoulos, G. Depression in rheumatoid arthritis. In: Rheumatism and the Psyche. Ed.: Ansell B., Bern, Hans Huber Publishers, 1976, 20–24.

    Google Scholar 

  6. 6.

    Sternbach, R.A. Clinical aspects of pain. In: The Psychology of Pain. Ed.: Sternbach R.A., New York, Raven Press, 1978, 214–264.

    Google Scholar 

  7. 7.

    Blalock, S.J., De Vellis, R.F., Brown, G.K., Wallston, K.A. Validity of the Center for Epidemiological Studies Depression Scale in arthritis population. Arthritis Rheum 1989, 32, 991–997.

    PubMed  Google Scholar 

  8. 8.

    Charter, R.A., Nehemkis, A.M., Keenan, M.A., Person, D.E., Prete, P.E. The nature of arthritic pain. Br J Rheumatol 1985, 24, 53–60.

    PubMed  Google Scholar 

  9. 9.

    Anderson, K.O., Keefe, F.J., Bradley, L.A., McDaniel, L.K., Young, L.D., Turner, R.A., Agudelo, C.A., Semble, E.L., Pisko, E.J. Prediction of pain behaviour and functional status of rheumatoid arthritis patients using medical status and psychological variables. Pain 1988, 33, 25–32.

    PubMed  Google Scholar 

  10. 10.

    Nicassio, P.M., Wallston, K.A., Callahan, L.F., Herbert, M., Pincus, T. The measurement of helplessness in rheumatoid arthritis. The development of the Arthritis Helplessness Index. J Rheumatol 1985, 12, 462–467.

    PubMed  Google Scholar 

  11. 11.

    Scott, J., Huskisson, E.C. Graphic representation of pain. Pain 1976, 2, 20–24.

    Google Scholar 

  12. 12.

    Ohnhaus, E.E., Adler, R. Methodological problems in the measurement of pain: a comparison between the verbal rating scale and the visual analogue scale. Pain 1975, 1, 379–384.

    PubMed  Google Scholar 

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Correspondence to B. Šerbo.

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Šerbo, B., Jajić, I. Relationship of the functional status, duration of the disease and pain intensity and some psychological variables in patients with rheumatoid arthritis. Clin Rheumatol 10, 419–422 (1991).

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Key words

  • Rheumatoid Arthritis
  • Depression
  • Pain
  • Self Assessment (psychology)
  • Disability Evaluation