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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

443
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
443

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Related Experiment Video

Updated: May 29, 2025

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Factors Affecting Pain Intensity Among Korean Women With Rheumatoid Arthritis: A Cross-Sectional Analysis.

Hyunjin Oh1,2, Sunjoo Boo1,2

  • 1Hyunjin Oh, PhD, College of Nursing, Gachon University, Incheon, South Korea.

Orthopedic Nursing
|February 3, 2025
PubMed
Summary

Pain intensity in rheumatoid arthritis (RA) is linked to disease activity, physical function, fatigue, and learned helplessness (LH). Addressing psychological factors like fatigue and LH is crucial for effective RA pain management.

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Area of Science:

  • Rheumatology
  • Pain Management
  • Psychological Health

Background:

  • Rheumatoid arthritis (RA) commonly causes significant pain, impacting patients' quality of life.
  • Understanding factors influencing pain intensity is crucial for developing effective management strategies.
  • Previous research has focused on inflammatory markers, but psychological factors may also play a significant role.

Purpose of the Study:

  • To investigate the factors associated with pain intensity in Korean women diagnosed with rheumatoid arthritis.
  • To explore the relationship between disease activity, physical function, fatigue, medication attitudes, learned helplessness, and pain intensity in RA patients.

Main Methods:

  • A cross-sectional study involving 246 Korean women with RA.
  • Data collected via patient self-report (pain, physical function, fatigue, medication attitudes, learned helplessness) and chart review (Disease Activity Score 28 - DAS28).

Main Results:

  • The average pain intensity was 3.59 out of 10.
  • Higher DAS28 scores, poorer physical function, increased fatigue, and higher levels of learned helplessness were significantly associated with greater pain intensity.
  • A higher number of painful joints (≥8) was also linked to increased pain.

Conclusions:

  • Pain in rheumatoid arthritis is multifactorial, influenced by inflammation, physical limitations, and psychological elements like fatigue and learned helplessness.
  • Cognitive and psychological variables, specifically fatigue and learned helplessness, are closely associated with pain intensity in RA patients.
  • Regular counseling addressing learned helplessness and fatigue is recommended for improving pain management in rheumatoid arthritis.