Types of pain and their psychosocial impact in women with rheumatoid arthritis
Identifieur interne : 000299 ( Main/Curation ); précédent : 000298; suivant : 000300Types of pain and their psychosocial impact in women with rheumatoid arthritis
Auteurs : Maria Gabriela Chancay [États-Unis] ; Shirin Nouri Guendsechadze [États-Unis] ; Irene Blanco [États-Unis]Source :
- Women's Midlife Health [ 2054-2690 ] ; 2019.
Abstract
Rheumatoid arthritis (RA) is a systemic inflammatory autoimmune disease predominantly affecting middle-aged women. Very commonly, pain is a manifestation of active disease and because untreated RA can result in joint deformities, the current evaluation of pain has largely focused on inflammation. In addition, treatment has centered on the premise of reducing disease activity with the hopes of halting worsening damage, preventing future deformities, and ultimately providing pain relief for the patient. Yet research shows that all patients with RA, but women in particular, often suffer from increased mechanical pain and fibromyalgia, as well as anxiety, depression, sleep disturbances, sexual dysfunction, and disability, which add to the burden of the illness. Determining and addressing alternative pain triggers as well as understanding the psychosocial burden of RA is key in treating patients, especially in those who may not improve with traditional pharmacotherapy.
Url:
DOI: 10.1186/s40695-019-0047-4
PubMed: 31417683
PubMed Central: 6688257
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PMC:6688257Le document en format XML
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<front><div type="abstract" xml:lang="en"><p id="Par1">Rheumatoid arthritis (RA) is a systemic inflammatory autoimmune disease predominantly affecting middle-aged women. Very commonly, pain is a manifestation of active disease and because untreated RA can result in joint deformities, the current evaluation of pain has largely focused on inflammation. In addition, treatment has centered on the premise of reducing disease activity with the hopes of halting worsening damage, preventing future deformities, and ultimately providing pain relief for the patient. Yet research shows that all patients with RA, but women in particular, often suffer from increased mechanical pain and fibromyalgia, as well as anxiety, depression, sleep disturbances, sexual dysfunction, and disability, which add to the burden of the illness. Determining and addressing alternative pain triggers as well as understanding the psychosocial burden of RA is key in treating patients, especially in those who may not improve with traditional pharmacotherapy.</p>
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