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Early rheumatoid arthritis--some social, economical, and psychological aspects

Eberhardt, Kerstin LU ; Larsson, B M and Nived, K (1993) In Scandinavian Journal of Rheumatology 22(3). p.119-123
Abstract
Physical, psychological, and social features were assessed with standardized methods in 84 early RA patients followed prospectively for 2 years. During this time disease activity decreased, and disability evaluated by HAQ remained small. Psychological distress measured by SCL-90 (Symptom Check List) was in general not very pronounced and fairly stable over time. A high pain level at baseline provided a 4 times higher risk for a high level of psychological distress after 2 years. The prevalence of early retirement was 37% at the end of the study. Physical demanding work and a high initial HAQ score were the best predictors of work disability, increasing the risk of not working 10.7 and 5.5 times, respectively. At least 28% of patients had... (More)
Physical, psychological, and social features were assessed with standardized methods in 84 early RA patients followed prospectively for 2 years. During this time disease activity decreased, and disability evaluated by HAQ remained small. Psychological distress measured by SCL-90 (Symptom Check List) was in general not very pronounced and fairly stable over time. A high pain level at baseline provided a 4 times higher risk for a high level of psychological distress after 2 years. The prevalence of early retirement was 37% at the end of the study. Physical demanding work and a high initial HAQ score were the best predictors of work disability, increasing the risk of not working 10.7 and 5.5 times, respectively. At least 28% of patients had lower annual income compared to the year before disease onset. The ability to do shopping, home work, leisure time activities and social activities were negatively influenced by the disease in more than half of the patients. The social and economical consequences were thus considerable in the early stages of RA. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
outcome, early rheumatoid arthritis, work disability, psychological distress, social impacts, economics
in
Scandinavian Journal of Rheumatology
volume
22
issue
3
pages
119 - 123
publisher
Taylor & Francis
external identifiers
  • pmid:8316772
  • scopus:0027286756
ISSN
1502-7732
DOI
10.3109/03009749309099255
language
English
LU publication?
yes
id
16a02f5d-7ba8-4efd-a493-e13b85d6b879 (old id 1107576)
date added to LUP
2008-07-31 12:51:55
date last changed
2017-10-22 03:41:21
@article{16a02f5d-7ba8-4efd-a493-e13b85d6b879,
  abstract     = {Physical, psychological, and social features were assessed with standardized methods in 84 early RA patients followed prospectively for 2 years. During this time disease activity decreased, and disability evaluated by HAQ remained small. Psychological distress measured by SCL-90 (Symptom Check List) was in general not very pronounced and fairly stable over time. A high pain level at baseline provided a 4 times higher risk for a high level of psychological distress after 2 years. The prevalence of early retirement was 37% at the end of the study. Physical demanding work and a high initial HAQ score were the best predictors of work disability, increasing the risk of not working 10.7 and 5.5 times, respectively. At least 28% of patients had lower annual income compared to the year before disease onset. The ability to do shopping, home work, leisure time activities and social activities were negatively influenced by the disease in more than half of the patients. The social and economical consequences were thus considerable in the early stages of RA.},
  author       = {Eberhardt, Kerstin and Larsson, B M and Nived, K},
  issn         = {1502-7732},
  keyword      = {outcome,early rheumatoid arthritis,work disability,psychological distress,social impacts,economics},
  language     = {eng},
  number       = {3},
  pages        = {119--123},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Rheumatology},
  title        = {Early rheumatoid arthritis--some social, economical, and psychological aspects},
  url          = {http://dx.doi.org/10.3109/03009749309099255},
  volume       = {22},
  year         = {1993},
}