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Dissatisfaction, disability, and rheumatoid arthritis

S Hewlett, P Young, J Kirwan

    Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association
    |March 1, 1995
    PubMed
    Summary

    Rheumatoid arthritis (RA) patients often report dissatisfaction with daily function, which is linked more to pain and psychological status than disability alone. Addressing these factors may improve patient satisfaction.

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    What Is the Relationship Between Morning Symptoms and Measures of Disease Activity in Patients With Rheumatoid Arthritis?

    Arthritis care & research·2015

    Area of Science:

    • Rheumatology
    • Health Psychology
    • Rehabilitation Science

    Background:

    • Rheumatoid arthritis (RA) significantly impacts patients' functional abilities and quality of life.
    • Understanding patient dissatisfaction with function is crucial for effective RA management.
    • Existing research may not fully capture the multifaceted nature of functional dissatisfaction in RA.

    Purpose of the Study:

    • To investigate the prevalence and determinants of dissatisfaction with global and specific daily function in rheumatoid arthritis (RA) patients.
    • To determine if functional disability alone adequately explains patient dissatisfaction.
    • To explore the relationship between dissatisfaction, disease activity, psychological status, and pain.

    Main Methods:

    • A cohort of 50 rheumatoid arthritis (RA) patients was evaluated.

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  • Assessments included disease activity, psychological status, disability, and expectations for future disability.
  • Patient satisfaction with global function and individual activities of daily living (ADL) was measured.

    • Main Results:

    • Half of the RA patients reported dissatisfaction with their overall function.
    • Dissatisfaction correlated more strongly with pain (r = 0.474) and psychological status than with functional disability (r = 0.398).
    • A significant majority (72%) were dissatisfied with at least one specific activity of daily living (ADL).

    Conclusions:

    • High levels of dissatisfaction with both global and ADL function are prevalent in RA patients.
    • Functional disability alone does not sufficiently explain patient dissatisfaction.
    • Pain and psychological status are significant factors; interventions targeting these may reduce dissatisfaction.