Comparison of mental and physical health between patients with primary and secondary Raynaud's phenomenon Category: Article

Fábián, Balázs; Fábián, Anna; Csiki, Zoltán

doi:10.1016/j.jpsychores.2018.11.001

Cited by 6 publications

(9 citation statements)

References 44 publications

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“…Those with primary and secondary Raynaud's did not significantly differ in terms of stress, depression, anxiety sensitivity or beliefs about emotions, suggesting overall mental health is similar between Raynaud's types; however, anxiety was higher in those who experience Raynaud's secondary to another health problem. Group differences in relation to symptom severity and quality of life reflect a more significant detrimental impact in secondary Raynaud's in comparison with primary Raynaud's, in keeping with prior research (Fábián et al, 2019;Shapiro and Wigley, 2017). This may be partly attributable to more systemic health problems in those with secondary Raynaud's.…”

Section: Discussionsupporting

confidence: 78%

Psychological factors in symptom severity and quality of life in Raynaud’s phenomenon

Irving,

Daniels

2024

Behav. Cogn. Psychother.

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Background: Despite emotional stress being recognised as a key trigger for Raynaud’s phenomenon episodes, research in the area is still in its infancy. Aims: This study investigated the role of psychological factors relating to symptom severity and quality of life, and differences between Raynaud’s types (primary and secondary) to further inform the development of intervention in this field. Method: A cross-sectional design was used. Two hundred and ten adults with Raynaud’s completed an online questionnaire measuring stress, anxiety, depression, anxiety sensitivity, beliefs about emotions, symptom severity and quality of life. Results: Primary and secondary Raynaud’s groups differed in anxiety (p < .004), symptom severity (p < .001) and quality of life (p < .001). Stepwise multiple regressions indicated anxiety and Raynaud’s type explained 23% variance in hand symptom severity (p < .001); anxiety, Raynaud’s type and anxiety sensitivity explained 29% variance in symptom severity (global impact, p < .001); depression, Raynaud’s type and anxiety sensitivity explained 32% variance in quality of life (p < .001). Conclusions: Results highlight the importance of psychological factors in Raynaud’s phenomenon, indicating possible targets for treatment. Interventions such as cognitive behavioural therapy, which target both physical and psychological wellbeing, bear some promise as an adjuvant therapy for this group.

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Section: Discussionsupporting

confidence: 78%

Psychological factors in symptom severity and quality of life in Raynaud’s phenomenon

Irving,

Daniels

2024

Behav. Cogn. Psychother.

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“…Irrespective of the underlying cause, RP has a significant negative impact on individuals' quality of life and can result in persistent digital ischaemia including ulceration and gangrene in secondary forms of RP (Fig 2). [1][2][3][4] The purpose of this review is to describe the relevant epidemiology and pathogenesis, clinical features including complications, and provide a practical approach to the investigation and multi-faceted management of RP.…”

Section: Introductionmentioning

confidence: 99%

Raynaud's phenomenon

Haque

Hughes

2020

Clinical Medicine

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“…2 Significantly more patients with secondary RP had anxiety and depressive symptoms than patients with primary RP (43.9% vs 23.3% and 31.7% vs 11.7%, respectively). 66 Patients with secondary RP have a poorer physical health condition and RP -specific QoL than patients with primary RP. 66 The severity of RP had one of the strongest associations with reduced hand function in SSc.…”

Section: Monitoring Of Patients With Primary Raynaud Phenomenon For Tmentioning

confidence: 99%

“…66 Patients with secondary RP have a poorer physical health condition and RP -specific QoL than patients with primary RP. 66 The severity of RP had one of the strongest associations with reduced hand function in SSc. 67 Therefore, anxiety, depression, and reduced QoL should be considered when managing all patients with RP.…”

Section: Monitoring Of Patients With Primary Raynaud Phenomenon For Tmentioning

confidence: 99%

Recent advances in the workup and management of Raynaud’s phenomenon

Lis‐Święty

2019

Polish Archives of Internal Medicine

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oxide synthase 1 gene as significantly correlated with RP in the general population. 4 Major risk factors for primary RP include, in addition to the female sex and family history, a previous sensation of cold hands, migraine, cardiovascular diseases, decreased body mass index, manual occupation (not including vibration tool use), and estrogen replacement therapy. 3-6 Cigarette smoking and alcohol consumption are still of unclear significance when concerning the prevalence of primary RP. 7 Secondary RP associated with a known disease, mainly with systemic sclerosis (SSc) (>80% of patients) or other connective tissue diseases (CTDs), is rare and accounts for 10% to 20% of all RP cases. 8 Other common causes of secondary RP include diseases of arteries in the upper limbs (60% of RP occurring in individuals older than 60 years), malignancies, endocrine diseases, occupational syndromes, hematologic disorders, and infections (TABLE 1). 8,9 In addition, several Introduction Raynaud phenomenon (RP) is defined as recurrent, reversible episodes of vasospasm involving peripheral small vessels of the fingers and toes, at times also of the other acral sites (nose, ears, oral mucosa, lips, or nipples), when exposed to a cold environment or stressful situation. 1 This is characterized by a series of color changes in the affected area: first white (lack of blood flow), then bluish (deoxygenation of remaining blood), and red (reperfusion). Attacks can cause distal pain, burning, numbness, and paresthesia. 2 Regarding its etiology, RP is classified as primary (idiopathic) or secondary. Primary RP, which is an isolated finding without an underlying pathology, is common, occurring in about 5% of the general population living in areas with cold climates. 3 The prevalence of RP is higher in women (female-to-male ratio of 9 to 1). There is an associated genetic predisposition: one polymorphic variant was identified within the nitric

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Comparison of mental and physical health between patients with primary and secondary Raynaud's phenomenon Category: Article

Cited by 6 publications

References 44 publications

Psychological factors in symptom severity and quality of life in Raynaud’s phenomenon

Psychological factors in symptom severity and quality of life in Raynaud’s phenomenon

Raynaud's phenomenon

Recent advances in the workup and management of Raynaud’s phenomenon

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