Types of pain and their psychosocial impact in women with rheumatoid arthritis
Identifieur interne : 000928 ( Ncbi/Merge ); précédent : 000927; suivant : 000929Types 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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Bronx, NY 10461 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>1300 Morris Park Ave, Forchh 701N, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Guendsechadze, Shirin Nouri" sort="Guendsechadze, Shirin Nouri" uniqKey="Guendsechadze S" first="Shirin Nouri" last="Guendsechadze">Shirin Nouri Guendsechadze</name><affiliation wicri:level="2"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0451 9117</institution-id><institution-id institution-id-type="GRID">grid.414636.2</institution-id><institution>Department of Medicine,</institution><institution>Jacobi Medical Center,</institution></institution-wrap>1400 Pelham Pkwy S, Bronx, NY 10461 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>1400 Pelham Pkwy S, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Blanco, Irene" sort="Blanco, Irene" uniqKey="Blanco I" first="Irene" last="Blanco">Irene Blanco</name><affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000121791997</institution-id><institution-id institution-id-type="GRID">grid.251993.5</institution-id><institution>Department of Rheumatology,</institution><institution>Albert Einstein College of Medicine,</institution></institution-wrap>1300 Morris Park Ave, Forchh 701N, Bronx, NY 10461 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>1300 Morris Park Ave, Forchh 701N, Bronx</wicri:cityArea></affiliation></author></analytic><series><title level="j">Women's Midlife Health</title><idno type="eISSN">2054-2690</idno><imprint><date 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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></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Minnock, P" uniqKey="Minnock P">P Minnock</name></author><author><name sortKey="Fitzgerald, O" uniqKey="Fitzgerald O">O FitzGerald</name></author><author><name sortKey="Bresnihan, B" uniqKey="Bresnihan B">B Bresnihan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scott, Dl" uniqKey="Scott D">DL Scott</name></author><author><name sortKey="Wolfe, F" uniqKey="Wolfe F">F Wolfe</name></author><author><name sortKey="Huizinga, Tw" uniqKey="Huizinga T">TW Huizinga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jawaheer, D" uniqKey="Jawaheer D">D Jawaheer</name></author><author><name sortKey="Lum, Rf" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Womens Midlife Health</journal-id><journal-id journal-id-type="iso-abbrev">Womens Midlife Health</journal-id><journal-title-group><journal-title>Women's Midlife Health</journal-title></journal-title-group><issn pub-type="epub">2054-2690</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">31417683</article-id><article-id pub-id-type="pmc">6688257</article-id><article-id pub-id-type="publisher-id">47</article-id><article-id pub-id-type="doi">10.1186/s40695-019-0047-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Types of pain and their psychosocial impact in women with rheumatoid arthritis</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Chancay</surname><given-names>Maria Gabriela</given-names></name><address><email>maria.g.chancay@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Guendsechadze</surname><given-names>Shirin Nouri</given-names></name><address><email>nourigs@nychhc.org</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-8540-1289</contrib-id><name><surname>Blanco</surname><given-names>Irene</given-names></name><address><email>irene.blanco@einstein.yu.edu</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000000121791997</institution-id><institution-id institution-id-type="GRID">grid.251993.5</institution-id><institution>Department of Rheumatology,</institution><institution>Albert Einstein College of Medicine,</institution></institution-wrap>1300 Morris Park Ave, Forchh 701N, Bronx, NY 10461 USA</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0451 9117</institution-id><institution-id institution-id-type="GRID">grid.414636.2</institution-id><institution>Department of Medicine,</institution><institution>Jacobi Medical Center,</institution></institution-wrap>1400 Pelham Pkwy S, Bronx, NY 10461 USA</aff></contrib-group><pub-date pub-type="epub"><day>9</day><month>8</month><year>2019</year></pub-date><pub-date pub-type="pmc-release"><day>9</day><month>8</month><year>2019</year></pub-date><pub-date pub-type="collection"><year>2019</year></pub-date><volume>5</volume><elocation-id>3</elocation-id><history><date date-type="received"><day>21</day><month>12</month><year>2018</year></date><date date-type="accepted"><day>1</day><month>8</month><year>2019</year></date></history><permissions><copyright-statement>© The Author(s). 2019</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><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></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Rheumatoid arthritis</kwd><kwd>Non-inflammatory pain</kwd><kwd>Women</kwd><kwd>Middle age</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2019</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Chancay, Maria Gabriela" sort="Chancay, Maria Gabriela" uniqKey="Chancay M" first="Maria Gabriela" last="Chancay">Maria Gabriela Chancay</name></region><name sortKey="Blanco, Irene" sort="Blanco, Irene" uniqKey="Blanco I" first="Irene" last="Blanco">Irene Blanco</name><name sortKey="Guendsechadze, Shirin Nouri" sort="Guendsechadze, Shirin Nouri" uniqKey="Guendsechadze S" first="Shirin Nouri" last="Guendsechadze">Shirin Nouri Guendsechadze</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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