Determination of Correlation between Invalidation and Health Status in Patients with Rheumatoid Arthritis
Keywords:
Type Rheumatoid arthritis, neglecting, Invalidation, DAS28Abstract
Background: Patients with symptoms without any apparent signs suffer from a lack of understanding and support from others, which is called 'invalidation.’ In rheumatoid arthritis (RA), some of the physical problems are often hidden, leading to a conflict, affecting the quality of life (QOL). We investigated the correlation between ‘invalidation’ of disease from other, with the QOL and symptom severity in RA patients.
Methods: In a cross- sectional study, 80 patients just diagnosed with RA – and without fibromyalgia criteria- entered the survey. To investigate invalidation, a questionnaire (Illness invalidation inventory) was used. Symptom severity of RA was measured by The Disease Activity Score28 (DAS28), and for Quality of life (QOL), the 12-item short-form (SF12) was used.
Results: The sense of being ignored by the spouse and family has the highest score (average: 35.5- 34.91, respectively) in patients with severe disease activity was the lowest (average: 15/73- 17.4, respectively) in patients with low disease activity, which was statistically significant (P<0.001). The QOL had a significant negative correlation with the sense of being ignored by their spouse (r = -0.84), family (r = -0.797), and medical staff (r = -0.414), (All P <0.001).
Conclusion: Patients with more severe RA experienced more neglect from their spouse, family, and employment. QOL fell considerably in individuals with greater DAS28 and was adversely connected with a sensation of being neglected by the spouse, family, and medical personnel. The overall degree of neglect in RA patients was high and was substantially connected to the patients' SF12 scores.
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