A Study To Assess The Correlation between Quality of Life, Pain, Severity And Duration of Disease In Arthritis Patients
A Study To Assess The Correlation between Quality of Life, Pain, Severity And Duration In Arthritis Patients
Keywords:
Arthritis, Duration of disease, Pain, Severity of disease, Quality of lifeAbstract
Background: Pain is a prominent symptom of arthritis. It may increase during a flare and subside but generally arthritis patients suffer from chronic pain. Aim: To study the correlation between pain, duration and severity of disease with quality of life among Indian adults suffering from arthritis in a tertiary care centre. Methods: The study sample comprised of adults age between 18-70 years with clinician diagnosed arthritis (n=370). Pain was assessed using a linear visual analogue scale ranging from 1 to 10 and quality of life was assessed by WHOQOL-BREF score. Results: On applying Pearson Product Moment Correlation between both the scores pain was found to be negatively correlated with quality of life. (r - 0.32, P < 0.000). On applying Pearson Product Moment Correlation between both the scores duration of disease was found to be negatively correlated with quality of life (r -- 0.17 P 0.001). On applying Pearson Product Moment Correlation between both the scores Severity of arthritis was found to be negatively correlated with quality of life (r -- 0.11 P 0. 045). Conclusion: The present study had limitations of a hospital based investigation as it may not reflect the picture at the population level. Also, instead of screening instruments structured interviews would have been useful in establishing clinical diagnosis. But considering the fact that pain, duration and severity of disease have much effect on health related quality of life as syndromal diagnoses this study can be considered to be of some value.
References
2. www.who.int/healthinfo/statistics/bod_osteoarthrits accessed 21 July 2017.
3. M L Harris. Physical and clinical predictors. In: Perry M Nicassio. Ed Psychosocial Factors in Arthritis. Springer 2015
4. www.arthritis-india.com accessed on 21 July 2017.
5. I B Wilson, P D Cleary. Linking clinical variables with health related quality of life. JAMA 1995; 273:59-65.
6. J Y Reginster. Prevalence and burden of arthritis. Rheumatology. 2002; 41: 3-6.
7. Hawker, G. A., Mian, S., Kendzerska, T. and French, M. (2011), Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res, 63: S240–S252. doi:10.1002/acr.20543.
8. The WHOQOL Group. Development of the WHOQOL: Rationale and Current status Int J Mental Health 1994a; 23:24-56.
9. William J. Taylor, Julie Myers, Russell T. Simpson, Kathryn M. Mcpherson, Mark Weatherall. Quality of Life of People with Rheumatoid Arthritis as Measured by the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF): Score Distributions and Psychometric Properties. Arthritis & Rheumatism (Arthritis Care & Research) Vol. 51, No. 3, June 15, 2004, pp 350 –357
10. C Dickens, F Creed. The burden of depression in patients with RA. Rheumatology 2001;12:1327-30
11. K A Hagglund, WE Haley, G Alarcon. Predicting individual differences in pain and functional
impairment among patients with RA. Arthritis and Rheumatology. 1989;32: 851
12. Smedstad LM, Vaglum P, Kvein TK et al. The relationship between self reported pain and sociodaemographic variables, anxiety and depressive symptoms in rheumatoid arthritis. The Journal of Rheumatology 1995; 22:514-520
13. LM Smedstad, P Vaglum T Moum. The Relationship between psychological distress and clinical variables. Brit J Rheumatology 1997; 36: 1304-11.
14. Bedi GS, Gupta N, Handa R, Pal H, Pandey. RMQuality of life in Indian patients with rheumatoid arthritis. Qual Life R.2005 Oct;14(8):1953-8.
15. Praj K. Quality of life in patients who suffer from rheumatoid arthritis. Annals Acad Med Stetin 2007; 53: 73-82.
16. Faith Matcham, Ian C.Scott, Lauren Rayner, .Matthew Hotopf et. Al. The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: A systematic review and meta-analysis. Seminars in Arthritis and Rheumatism Volume 44, Issue 2, October 2014, Pages 123-30.
17. Mehmet Atıf Erol Aksekili , Fatma Fidan , Berat Meryem Alkan , Ayşenur Alemdar , Hatice Aksekili , Özge Ardıçoğlu. Quality of Life in Knee Osteoarthritis; Correlation with Clinical Measures and the Knee Injury and Osteoarthritis Outcome Score. Acta Med Anatol 2016;4(1):1-7.
