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Clinically suspect arthralgia and rheumatoid arthritis: patients' perceptions of illness.
Khidir, Sarah J H; de Jong, Pascal H P; Willemze, Annemiek; van der Helm-van Mil, Annette H M; van Mulligen, Elise.
Afiliación
  • Khidir SJH; Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands. Electronic address: s.j.h.khidir@lumc.nl.
  • de Jong PHP; Department of Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands.
  • Willemze A; Department of Rheumatology and Clinical Immunology, Maasstad Hospital, Rotterdam, Netherlands.
  • van der Helm-van Mil AHM; Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands; Department of Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands.
  • van Mulligen E; Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands; Department of Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands.
Joint Bone Spine ; 91(6): 105751, 2024 Jun 08.
Article en En | MEDLINE | ID: mdl-38857876
ABSTRACT

OBJECTIVES:

Clinically suspect arthralgia (CSA) is an at-risk stage of rheumatoid arthritis (RA), in which patients experience symptoms and physical limitations. Perceptions of CSA-patients have remained largely unknown. Therefore, we aimed to map perceptions of CSA-patients and compare these to RA-patients. Additionally, we studied changes in perceptions in CSA over time.

METHODS:

Three hundred and ninety-nine consecutively included CSA-patients from the Leiden and Rotterdam CSA-cohorts and 100 recently diagnosed RA-patients from the Leiden Early Arthritis Clinic were included. Patients' illness perceptions (IP) were assessed using the Brief Illness Perception Questionnaire (BIPQ), consisting of 8 questions (scale 0-10; higher score indicating more negative IP) covering cognitive, emotional and comprehensibility domains, and one open question about causes of disease. IP were measured at baseline in both populations and during 2years follow-up in the CSA-cohorts.

RESULTS:

Total BIPQ-scores were comparable at CSA-presentation and RA-diagnosis (40±11 and 40±10; range 0-80). Comparing dimensions separately revealed that CSA-patients were less worried about physical complaints compared to RA-patients. However, CSA-patients were more negative about expected treatment-effect on symptoms. IP over time in CSA improved in patients without development of clinical arthritis (from 38±11 to 34±14; P=0.005) but remained similar in CSA-patients who progressed to arthritis/RA (mean 40 at both timepoints). CSA-patients mainly perceived physical strain and heredity as causes of their complaints.

CONCLUSIONS:

Although CSA-patients have not developed clinical arthritis, illness perceptions at CSA-presentation and RA-diagnosis are equally severe. Knowledge on worries and expectations may contribute to improving patient-contact and care in patients at risk of RA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Joint Bone Spine Asunto de la revista: REUMATOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Joint Bone Spine Asunto de la revista: REUMATOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Francia