Modeling quality of life in patients with rheumatic diseases: the role of pain catastrophizing, fear-avoidance beliefs, physical disability, and depression

Abstract

The current results underscore the significant role of cognitive, affective, and behavioral factors in perceived physical disability and their mediated detrimental effect on physical and psychological quality of life in patients with rheumatic diseases. Implications for rehabilitation The fear-avoidance model is applicable to the prediction of quality of life in patients with rheumatic diseases. As pain-catastrophizing and fear-avoidance beliefs are important factors linked to physical disability and depression, intervening these cognitive factors is necessary to improve physical function and depression in patients with rheumatic diseases. Considering the strong association between depression and physical and psychological quality of life, the assessment and treatment of the former should be included in the rehabilitation of patients with rheumatic diseases. Interventions targeting physical function and depression are likely to be effective in terms of improving physical and psychological quality of life in patients with rheumatic diseases.

The impact of disease activity and psychological status on quality of life for Chinese patients with primary Sjögren’s syndrome

“…Fatigue and pain are the most common extraglandular symptoms, 35 and pain severity explained 14% of the variance in disability of daily activities in Korean patients with pSS. 36 Our results were in line with previous studies reporting that pain is a major symptomatic problem related to low physical functioning and health outcomes. Therefore, systematic monitoring of pain treatment seems essential.…”

Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review

“…They often avoid activities which are assumed to provoke a real or potential injury/reinjury, developing in turn, further physical inactivity 9. This fear to carry out certain movements can cause a negative vicious cycle where people with CMP show greater levels of pain, disability and emotional distress,9 and as a result, poor quality of life 101. Our results support this statement as we identified moderate and strong evidence of associations between a greater degree of kinesiophobia and greater levels of pain, greater levels of disability and poorer quality of life and in addition, moderate evidence that a greater degree of kinesiophobia is a predictor of the progression of disability overtime.…”

Evaluation and comparison of pain questionnaires for clinical screening of osteoarthritis in cats

“…In a recent publication on feline personality, it was also suggested that cats scoring low on agreeableness could be suffering from underlying pain 40 . The association between chronic pain and mood or depression has long been known in human medicine 41–43 …”