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Understanding Fatigue-Related Disability in Rheumatoid Arthritis and Ankylosing Spondylitis: The Importance of Daily Correlates.
Hegarty, Roisin S M; Conner, Tamlin S; Stebbings, Simon; Fletcher, Benjamin D; Harrison, Andrew; Treharne, Gareth J.
Afiliación
  • Hegarty RSM; University of Otago, Dunedin, New Zealand.
  • Conner TS; University of Otago, Dunedin, New Zealand.
  • Stebbings S; Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
  • Fletcher BD; University of Otago, Dunedin, New Zealand.
  • Harrison A; University of Otago, Wellington, New Zealand.
  • Treharne GJ; University of Otago, Dunedin, New Zealand.
Arthritis Care Res (Hoboken) ; 73(9): 1282-1289, 2021 09.
Article en En | MEDLINE | ID: mdl-32339390
OBJECTIVE: Fatigue is common among people with inflammatory arthritis but is hard to manage. The aim of this study was to investigate how daily fluctuations in psychological variables correspond with changes in fatigue-related disability in the daily lives of people with inflammatory arthritis and to identify factors to target in psychological interventions and routine clinical practice. METHODS: A cohort of 143 patients with rheumatoid arthritis (n = 97) or ankylosing spondylitis (n = 46) participated in a 10-day online diary study. Each evening participants completed a diary questionnaire assessing their fatigue, pain, fatigue-related disability, and 4 components of psychological flexibility (valued activity, mindfulness, cognitive fusion, and fatigue avoidance). RESULTS: On days when participants were more engaged in valued activities or more mindful, they reported less disability due to fatigue, even when controlling for levels of fatigue and pain that day. The daily psychological flexibility variables explained a total of 15.6% of the variance in daily fatigue-related disability. CONCLUSION: Psychological flexibility variables are directly associated with fatigue-related disability in the daily lives of inflammatory arthritis patients. Further research is needed to investigate whether interventions that target psychological flexibility are effective at reducing fatigue-related disability.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Reumatoide / Espondilitis Anquilosante / Evaluación de la Discapacidad / Fatiga Tipo de estudio: Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Arthritis Care Res (Hoboken) Asunto de la revista: REUMATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Reumatoide / Espondilitis Anquilosante / Evaluación de la Discapacidad / Fatiga Tipo de estudio: Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Arthritis Care Res (Hoboken) Asunto de la revista: REUMATOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Nueva Zelanda Pais de publicación: Estados Unidos