Understanding the Role and Uses of Alternative Therapies for Management of Rheumatoid Arthritis

2021 ◽  
Vol 17 ◽  
Author(s):  
Archana Tripathy ◽  
Nitish Swain ◽  
Bhawna Gupta
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Pain ◽  
Animal Model ◽  
Well Being ◽  
Alternative Therapies ◽  
High Quality ◽  
Success Stories ◽  
Clinical Investigations ◽  
Number Of Patients ◽  
Mental Well Being

: With growing popularity of complementary and alternative medicine (CAM) among the individuals with chronic pain and muscular problems, a number of patients with rheumatoid arthritis (RA) show their interest in CAM interventions for disease improvement. Various reports published on CAM are based on animal model of RA however there is often lack of high quality clinical investigations for explaining the success stories of CAM therapies in patients with RA. CAMs having potential to be used for therapy in patients with RA have been identified, however lack of awareness and scepticism of their efficacy has made the patients reluctant to choose these drug less therapies. In this review, we have summarized the existing evidences which suggest promising efficacy of different alternative therapies in managing RA and providing both physical and mental well being to RA patients.

Neuropathic pain in patients with haemophilia, that is the question

2015 ◽  
Vol 35 (S 01) ◽  
pp. S5-S9 ◽  
Author(s):  
S. Krüger ◽  
T. Hilberg
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Pain ◽  
Neuropathic Pain ◽  
Differential Diagnosis ◽  
Pain Management ◽  
Pain Mechanisms ◽  
Number Of Patients ◽  
Paindetect Questionnaire ◽  
Chronic Disorders ◽  
Chronic Pain Conditions

SummaryChronic pain caused by recurrent joint bleedings affects a large number of patients with haemophilia (PwH). The basis of this pain, nociceptive or neuropathic, has not been investigated so far. In other pain-related chronic disorders such as osteoarthritis or rheumatoid arthritis, initial studies showed nociceptive but also neuropathic pain features. 137 PwH and 33 controls (C) completed the painDETECT-questionnaire (pDq), which identifies neuropathic components in a person´s pain profile. Based on the pDq results, a neuropathic pain component is classified as positive, negative or unclear. A positive neuropathic pain component was found in nine PwH, but not in C. In 20 PwH an unclear pDq result was observed. In comparison to C the allocation of pDq results is statistically significant (p≤0.001). Despite various pDq results in PwH and C a similar appraisal pain quality, but on a different level, was determined. Summarising the results, there is a potential risk to misunderstand underlying pain mechanisms in PwH. In chronic pain conditions based on haemophilic arthopathy, a differential diagnosis seems to be unalterable for comprehensive and individualised pain management in PwH.

scholarly journals THU0649-HPR ASSESSMENT OF THE EFFECTIVENESS OF THE EDUCATIONAL PROGRAM FOR PATIENTS WITH RHEUMATOID ARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 569.2-569
Author(s):  
M. Salokhiddinov ◽  
F. Umarov
Keyword(s):  
Rheumatoid Arthritis ◽  
Social Support ◽  
Educational Program ◽  
Well Being ◽  
Main Group ◽  
Psychological Status ◽  
Response To Treatment ◽  
Control Group ◽  
Functional Capabilities ◽  
Number Of Patients

Background:Effective therapy of rheumatoid arthritis (RA) is impossible without the active and competent participation of the patient in this process, which requires educational programs based on the real needs of the patientObjectives:The purpose of the study was to develop an educational program for patients with RA and evaluate its effectivenessMethods:The study included 65 patients with RA. 35 patients of the main group were trained in the educational program. Of these, 30 patients made up the control group. The educational program consisted of 4 daily classes of 90 minutes. Initially and after 6 months, the indices DAS28, HAQ, RAPID3 were determined using the MDHAQ questionnaireResults:After 6 months after training in the main group, the DAS28 index decreased by 1.28 ± 0.28 points (p <0.05), HAQ - by 0.65 ± 0.39 (55.2%) (p <0.01), RAPID3 - by 4.87 ± 0.82 (45.6%) (p <0.01), anxiety level - by 0.78 ± 0.28 (52.1%) (p < 0.05), depression - by 0.76 ± 0.54 (43.4%) (p <0.05), fatigue - by 2.96 ± 1.21 points (42.3%) (p <0, 05), sleep improved by 0.85 ± 0.34 (52.3%) (p <0.05). 6 months after participating in the educational program, a good response to treatment according to DAS28 according to EULAR criteria was significantly more often recorded (54.5% versus 29.0% in the control group (p <0.05), and the number of patients noted improvement well-being increased by 9 times (p <0.01). The dynamics in the control group was less pronounced, which determined statistically significant differences between groups for most indicators (p <0.05)Conclusion:The educational program improves functional capabilities, psychological status, helps control the activity of the disease and improves the quality of life of patients with RAReferences:[1]Chen SY Wang. The Relationship between Physical Function, Knowledge of Disease, Social Support and Self care behavior in Patients with Rheumatoid Arthritis. Journal of Nursing Research. 2007;15:183–191.[2]Taal E, Rasker JJ, Seydel ER, Wiegman O. Health Status, adherence with health recommendations, self-efficacy and social support in patients with rheumatoid arthritis. Patient Education & Counseling. 1993;20:63–76.Acknowledgments:I would like to thank to all my Prof Ahmedov and department of Rheumatology for their sincere supportDisclosure of Interests:None declared

scholarly journals The role of positive goal engagement in increased mental well-being among individuals with chronic non-cancer pain

2019 ◽  
Vol 13 (4) ◽  
pp. 230-238
Author(s):  
Joanne E Iddon ◽  
Peter J Taylor ◽  
Jen Unwin ◽  
Joanne M Dickson
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Well Being ◽  
Protective Role ◽  
Self Report ◽  
Pain Interference ◽  
Cross Sectional ◽  
Positive Goal ◽  
Mental Well Being

Individuals with chronic pain commonly report significant functional impairment and reduced quality of life. Despite this, little is known about psychological processes and mechanisms underpinning enhancements in well-being within this population. The study aimed to investigate whether (1) increased levels of pain intensity and interference were associated with lower levels of mental well-being, (2) increased positive goal engagement was associated with higher levels of mental well-being and (3) whether the relationships between pain characteristics and mental well-being were mediated by increased positive goal engagement. A total of 586 individuals with chronic pain participated in the cross-sectional, online study. Participants completed self-report measures to assess pain intensity and interference, mental well-being and goal motivation variables. Results showed that pain interference and positive goal engagement were associated with mental well-being. Moreover, the relationship between pain interference and mental well-being was partially mediated by positive goal engagement. The results provide tentative evidence for the protective role of positive goal engagement in enabling individuals with chronic pain to maintain a sense of mental well-being. The study develops the biopsychosocial model of chronic pain by examining the roles and relationships of relevant yet previously unexplored psychological constructs. The promotion of mental well-being through the enhancement of positive goal engagement is discussed, offering a platform for further research and clinical interventions.

Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: empirical evidence and reappraisal

Pain ◽  
2003 ◽  
Vol 106 (1) ◽  
pp. 65-72 ◽  
Author(s):  
Ilse Viane ◽  
Geert Crombez ◽  
Christopher Eccleston ◽  
Carine Poppe ◽  
Jacques Devulder ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Empirical Evidence ◽  
Independent Predictor ◽  
Well Being ◽  
Mental Well Being

scholarly journals Insomnia Symptoms and Chronic Pain among Patients Participating in a Pain Rehabilitation Program—A Registry Study

2021 ◽  
Vol 10 (18) ◽  
pp. 4040
Author(s):  
Josefine Lind ◽  
Paulin Andréll ◽  
Anna Grimby-Ekman
Keyword(s):  
Chronic Pain ◽  
Physical Function ◽  
Well Being ◽  
Social Function ◽  
Rehabilitation Program ◽  
Future Research ◽  
Chronic Pain Patients ◽  
Mental Well Being ◽  
Pain Patients ◽  
Insomnia Symptoms

Insomnia and chronic pain are prevalent health complaints. Previous research has shown that they are closely associated, but their interaction and causality are not completely understood. Further research is needed to uncover the extent to which a treatment strategy focusing on one of the conditions affects the other. This study aimed to map the prevalence of insomnia symptoms among patients in interdisciplinary pain rehabilitation program (IPRP) and investigate associations between the degree of insomnia at baseline and the treatment outcome regarding pain intensity, physical function, social function, mental well-being, anxiety, and depression. Of the 8515 patients with chronic pain, aged 15–81 who were registered in the Swedish Quality Registry for Pain Rehabilitation during 2016–2019 and participated in IPRP, 7261 had follow-up data after treatment. Logistic regression analysis was used to investigate associations. The prevalence of clinical insomnia, according to Insomnia Severity Index (ISI), among chronic pain patients in IPRP was 66%, and insomnia symptoms were associated with both country of birth and educational level. After IPRP, the prevalence of clinical insomnia decreased to 47%. There were statistically significant associations between the degree of insomnia symptoms before IPRP and physical function (p < 0.001), social function (p = 0.004) and mental well-being (p < 0.001). A higher degree of insomnia symptoms at baseline was associated with improvement after IPRP. In conclusion, IPRP seem to have beneficial effects on insomnia symptoms in chronic pain patients. Nevertheless, almost half of the patients still suffer from clinical insomnia after IPRP. The possible effect of systematic screening and treatment of insomnia for improving the effect of IPRP on pain is an important area for future research.

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

Compensatory Coping Through the Extension of Working Hours

2019 ◽  
Vol 63 (3) ◽  
pp. 115-128 ◽  
Author(s):  
Maie Stein ◽  
Sylvie Vincent-Höper ◽  
Nicole Deci ◽  
Sabine Gregersen ◽  
Albert Nienhaus
Keyword(s):  
Job Demands ◽  
Working Hours ◽  
Well Being ◽  
Leader Member Exchange ◽  
Workplace Health ◽  
High Quality ◽  
Data Analyses ◽  
Member Exchange ◽  
The Relationship ◽  
Advance Knowledge

Abstract. To advance knowledge of the mechanisms underlying the relationship between leadership and employees’ well-being, this study examines leaders’ effects on their employees’ compensatory coping efforts. Using an extension of the job demands–resources model, we propose that high-quality leader–member exchange (LMX) allows employees to cope with high job demands without increasing their effort expenditure through the extension of working hours. Data analyses ( N = 356) revealed that LMX buffers the effect of quantitative demands on the extension of working hours such that the indirect effect of quantitative demands on emotional exhaustion is only significant at low and average levels of LMX. This study indicates that integrating leadership with employees’ coping efforts into a unifying model contributes to understanding how leadership is related to employees’ well-being. The notion that leaders can affect their employees’ use of compensatory coping efforts that detract from well-being offers promising approaches to the promotion of workplace health.

Implications of Physical and Mental Well-being of Migrant Head Start Parents

2008 ◽  
Author(s):  
Raquel Cumba ◽  
Sandra Barrueco ◽  
Kendra Sena ◽  
Christine Alvarado
Keyword(s):  
Head Start ◽  
Well Being ◽  
Mental Well Being
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