Fatigue in rheumatoid arthritis: the role of self-efficacy and problematic social support

Riemsma, R.P.; Rasker, Johannes J.; Taal, Erik; Griep, E.N.; Wouters, Jacques M.G.W.; Wiegman, O.

doi:10.1093/rheumatology/37.10.1042

Cited by 139 publications

(130 citation statements)

References 3 publications

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“…An increase of one unit in the score of self-efficacy reduced the risk of fatigue among CLBP patients by 2%. In a study on the role of selfefficacy in fatigue among rheumatoid arthritis patients, a strong correlation was found between self-efficacy and fatigue (28) , confirming these findings.…”

Section: Discussionmentioning

confidence: 54%

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Prevalence of fatigue and associated factors in chronic low back pain patients

Salvetti

Pimenta

Braga

et al. 2013

Rev. Latino-Am. Enfermagem

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Objectives: to determine the prevalence and key factors associated with fatigue in chronic low back pain patients. Methods: cross-sectional study of 215 chronic low back pain patients from three health care centers and two industrial corporations. The crude prevalence of fatigue and its 95% confidence interval (CI) were calculated. Associations between fatigue and the independent variables were measured. Results: the prevalence of fatigue among the participants was 26.0% . Fatigue was independently associated with depression and self-efficacy.An increase of one unit in the score of depression increased the risk of fatigue by 9%; an increase of one unit in the score of self-efficacy reduced the risk of fatigue by 2%. Conclusions: fatigue was prevalent in chronic low back pain patients and associated with depression and self-efficacy.Knowing these factors can direct strategies for prevention and control of fatigue in chronic low back pain patients.Descriptors: Fatigue; Low Back Pain; Self Efficacy; Depression. Prevalência de fadiga e fatores relacionados em pacientes com dor lombar crônicaObjetivos: determinar a prevalência e os principais fatores relacionados à fadiga em pacientes com dor lombar crônica. Métodos: trata-se de estudo transversal, com a participação de 215 pacientes com dor lombar crônica, em três centros de saúde e duas indústrias. Foram calculadas a prevalência bruta de fadiga e seu intervalo de confiabilidade de 95% (IC). Resultados: a prevalência de fadiga entre os participantes com dor lombar crônica foi de 26% [20,5; IC 95%]. A fadiga foi associada à depressão e à autoeficácia de forma independente. O aumento de um ponto no escore de depressão aumentou o risco de fadiga em 9% e o aumento de um ponto no escore de autoeficácia reduziu o risco de fadiga em 2%. Conclusões: fadiga foi um fator predominante em pacientes com dor lombar crônica e indicou relação com depressão e autoeficácia. O conhecimento desses fatores pode orientar estratégias para prevenção e controle da fadiga em pacientes com dor lombar crônica.Descritores: Fadiga; Dor Lombar; Auto-Eficacia; Depressão. Prevalencia y factores asociados con la fatiga en pacientes con dolor lumbar crónicoObjetivos: Determinar la prevalencia y factores asociados con la fatiga en pacientes con dolor lumbar crónico. Métodos: Estudio transversal con 215 pacientes con dolor lumbar crónico en tres servicios de salud y dos industrias. La prevalencia de la fatiga y su intervalo de confianza (IC) se calcularon. Las asociaciones entre variables independientes y la fatiga se calcularon.Resultados: La prevalencia de la fatiga en los pacientes con dolor lumbar crónico fue del 26%[20,3 a 32,5, IC 95%]. La fatiga se asocia con la depresión y la autoeficacia. El aumento de un punto en la puntuación de depresión aumentó un 9% el riesgo de fatiga y un aumento de un punto en la auto-eficacia reduce el riesgo de la fatiga en el 2%. Conclusiones: La fatiga es frecuente en pacientes con dolor lumbar crónico y se asocia con la depresión y la autoeficacia.Conocer estos...

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Section: Discussionmentioning

confidence: 54%

“…Research has shown that depression is a predictor of fatigue among CLBP and neck pain patients (21) and in healthy women (26) . Studies that used multiple regression analysis confirm the significance of depression in fatigue (21)(22) ; however, the relationship between self-efficacy and fatigue has received little attention (28) .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of fatigue and associated factors in chronic low back pain patients

Salvetti

Pimenta

Braga

et al. 2013

Rev. Latino-Am. Enfermagem

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“…The question read, "How tired were you on average during the past week due to your arthritis?" The range of the scale was 0 (not tired at all) to 100 (very tired) (31).…”

Section: Methodsmentioning

confidence: 99%

Group education for patients with rheumatoid arthritis and their partners

Riemsma

Taal

Rasker

2003

Arthritis & Rheumatism

102

126

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Objective. To determine the effects of group education followed by booster sessions for people with rheumatoid arthritis (RA), and to determine whether participation of a significant other influenced the effects. Methods. A total of 218 RA patients, each of them with a partner, took part in the study. Two-thirds of the patients received a 5-week group self-management education program, with booster sessions after 3, 6, and 9 months; half of them received the intervention with a partner, and half without. One-third of the patients received the same educational materials without group sessions. Data were collected 1 week before the group sessions began and 2, 6, and 12 months later. The assessments included health behavior, arthritis self-efficacy, health status, and social interactions. Results. After 12 months, self-efficacy scores for coping with other symptoms were significantly higher for patients participating in the group education without a partner and significantly lower for patients participating in the group education with a partner. Fatigue increased in patients participating in the group education with a significant other and decreased in patients participating in the group education without a significant other. No other effects were found on health status, health behavior, or social interactions. Conclusion. Our findings suggest that participation of a significant other in psychoeducational programs does not have only positive effects. Instead of stimulating patients to adopt beneficial health behaviors and increase their self-efficacy expectations, participation of a significant other led in our program to decreases in self-efficacy and increased fatigue, whereas patients participating in group education without partners showed increases in self-efficacy and decreased fatigue. Booster sessions did not seem to influence results. KEY WORDS. Rheumatoid arthritis; Spouses; Patient education; Self management. INTRODUCTIONRheumatoid arthritis (RA) is a chronic, disabling disease characterized by chronic inflammation of joints, in most patients resulting in progressive joint destruction with deformities and various degrees of incapacitation (1). Disease activity can vary considerably, even from day to day. The unpredictable and painful course of the disease causes a lot of stress for patients, which has great impact on their quality of life (2).People with arthritis can play an important part in the management of their disease. Patient education can help them to develop the necessary self-management skills and prepare them to make decisions about adjustments in their treatment regimen (3,4). Several studies have shown that patient education can increase knowledge and lead to improvements in self management practices and health status (3,5-10). However, a review of group education for RA patients showed that benefits were limited. Group education interventions for RA patients less often showed beneficial effects on health behavior and physical and psychosocial health status than group interventions for popu...

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“…The patient's perceptions of pain [14], stiffness [15], and fatigue [16][17][18] were measured on a 100-mm visual analog scale and were considered as primary outcomes.…”

Section: Methodsmentioning

confidence: 99%

“…The DAS 28, BASDAI, and ESR were considered as tertiary outcomes. These measurements are fairly routine in clinical research and have been proven to be valid, reliable, and of good sensitivity to change [14][15][16][17][18][19][20][21][22][23][24][25].…”

Section: Methodsmentioning

confidence: 99%

Infrared sauna in patients with rheumatoid arthritis and ankylosing spondylitis

et al. 2008

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To study the effects of infrared (IR) Sauna, a form of total-body hyperthermia in patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS) patients were treated for a 4-week period with a series of eight IR treatments. Seventeen RA patients and 17 AS patients were studied. IR was well tolerated, and no adverse effects were reported, no exacerbation of disease. Pain and stiffness decreased clinically, and improvements were statistically significant (p<0.05 and p<0.001 in RA and AS patients, respectively) during an IR session. Fatigue also decreased. Both RA and AS patients felt comfortable on average during and especially after treatment. In the RA and AS patients, pain, stiffness, and fatigue also showed clinical improvements during the 4-week treatment period, but these did not reach statistical significance. No relevant changes in disease activity scores were found, indicating no exacerbation of disease activity. In conclusion, infrared treatment has statistically significant short-term beneficial effects and clinically relevant period effects during treatment in RA and AS patients without enhancing disease activity. IR has good tolerability and no adverse effects.

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Fatigue in rheumatoid arthritis: the role of self-efficacy and problematic social support

Cited by 139 publications

References 3 publications

Prevalence of fatigue and associated factors in chronic low back pain patients

Prevalence of fatigue and associated factors in chronic low back pain patients

Group education for patients with rheumatoid arthritis and their partners

Infrared sauna in patients with rheumatoid arthritis and ankylosing spondylitis

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