scholarly journals Selected psychological factors and medication adherence in patients with rheumatoid arthritis

2021 ◽  
Vol 59 (2) ◽  
pp. 90-97
Author(s):  
Monika Bąk-Sosnowska ◽  
Julia Wyszomirska ◽  
Anna Daniel-Sielańczyk
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Psychological Factors

scholarly journals The influence of behavioural and psychological factors on medication adherence over time in rheumatoid arthritis patients: a study in the biologics era

Rheumatology ◽  
2015 ◽  
Vol 54 (10) ◽  
pp. 1780-1791 ◽  
Author(s):  
Catharine Morgan ◽  
John McBeth ◽  
Lis Cordingley ◽  
Kath Watson ◽  
Kimme L. Hyrich ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Psychological Factors ◽  
Over Time

scholarly journals POS1455-HPR RELATIONSHIP BETWEEN PSYCHOLOGICAL FACTORS AND MEASURES OF RHEUMATOID ARTHRITIS ACTIVITY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1011.2-1011
Author(s):  
Y. Olyunin ◽  
V. Rybakova ◽  
E. Likhacheva ◽  
E. Nasonov
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Psychological Factors ◽  
Global Assessment ◽  
Activity Level ◽  
Anxiety And Depression ◽  
Tender Joint Count ◽  
Sf 36 ◽  
Patient Reported

Background:The patient-reported outcomes are important components of quantitative methods of rheumatoid arthritis (RA) activity assessment which are used to choose the appropriate drug therapy. The value of these parameters can be significantly affected not only by the inflammatory process, but also by the psychological characteristics of the patient and, in particular, by hardiness [1].Objectives:To study the relationship between psychological factors and signs of RA activity.Methods:Patients with RA who met the EULAR/ACR 2010 criteria, and observed at the V. A. Nasonova Research Institute of Rheumatology were included. Clinical examination was performed including patient global assessment (PGA), physician global assessment (PhGA), pain measurement on a visual analog scale, tender joint count (TJC), swollen joint count (SJC). The functional status was determined by HAQ, the quality of life – by SF-36 EQ-5D, the nature of pain – by painDETECT, the presence of anxiety and depression – by HADS. Patients also completed Hardiness Survey questionnaire to assess hardiness (HDS) and 3 components of the HDS – commitment (CMT), control (CT) and challenge (CLN). Disease activity was evaluated with DAS28, CDAI, and RAPID3. All patients signed informed consent to participate in the study. Analysis of the data was performed using Spearman’s rank test, Fisher exact test, qui-square and t-tests.Results:85 patients with RA were included. There were 69 women and 16 men. Mean age was 56.7±13.1 years, disease duration – 7.6±2.7 years. 72 patients were positive for rheumatoid factor, 75 – for anti-cyclic citrullinated peptide antibody. CDAI showed high activity in 15, moderate – in 37, low – in 30, and remission in 3 patients, DAS 28 – in 10, 55, 12, and 8, and RAPID3 – in 24, 25, 15, and 21, respectively. 24 patients had subclinically or clinically expressed anxiety and 15 –subclinically or clinically expressed depression (≥8 according to HADS). In 31 patients, the painDETECT questionnaire revealed possible or probable neuropathic pain. Mean HDS was 84.8±21.7, CMT – 38.9±9.2, CT – 29.4±8.6, CLN – 17.3±7.1. These values were comparable with the corresponding population data for this age group. There was a significant inverse correlation between HDS and RA activity measures, including SJC, TJC, DAS28 (p<0.05), pain, PGA, PhGA, CDAI, RAPID3, and HAQ (p<0.01). In addition, HDS and all its components positively correlated with quality of life, assessed by SF-36 and EQ-5D (p<0.01). In patients with subclinically and clinically expressed anxiety and depression, HDS, CMT, and CT were significantly lower than in patients without anxiety and depression (p<0.01), while the values of CLN in these groups did not differ significantly.Conclusion:The results of the present study suggest that low HDS may be one of the significant factors determining RA activity level because it does not allow patients to adapt adequately to a stressful situation produced by the disease.References:[1]Maddi SR. Am Psychol. 2008 Sep;63(6):563-4.Disclosure of Interests:None declared

scholarly journals Predictors of medication adherence in people with rheumatoid arthritis: studies are necessary but non-validated measures of medication adherence are of concern

Rheumatology ◽  
2005 ◽  
Vol 44 (10) ◽  
pp. 1330-1330 ◽  
Author(s):  
G. J. Treharne ◽  
A. C. Lyons ◽  
E. D. Hale ◽  
K. M. J. Douglas ◽  
G. D. Kitas
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence

scholarly journals Relationship Between Medication Adherence, Disease Severity And Employment Status In Rheumatoid Arthritis

2015 ◽  
Vol 18 (3) ◽  
pp. A164
Author(s):  
S. Ghosh ◽  
K.M. Kamal ◽  
P. Koerner ◽  
R. Miller ◽  
M.H. Parekh ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Disease Severity ◽  
Employment Status

Development of a process to improve medication adherence in patients with rheumatoid arthritis in the specialty pharmacy setting

2020 ◽  
Vol 60 (3) ◽  
pp. S61-S64.e1 ◽  
Author(s):  
Angie Y. Amado ◽  
Charlie Frye ◽  
Will Holland ◽  
Christy R. Holland ◽  
Laura A. Rhodes ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Improve Medication Adherence ◽  
Specialty Pharmacy ◽  
Pharmacy Setting
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