Neuropsychological manifestations in rheumatic patients with chronic pain
Introduction/Objective. Patients with rheumatoid arthritis (RA), osteoarthritis and fibromyalgia, alongside chronic pain, often suffer from functional disabilities, as well as cognitive dysfunction. The objective of this study is to compare the intensity of pain, symptoms of depression, anxiety, and...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Serbian Medical Society
2023-01-01
|
| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300004T.pdf |
| _version_ | 1811155173991514112 |
|---|---|
| author | Tomašević-Todorović Snežana Nožica-Radulović Tatjana Popović Tamara Milićević Saša Savić Damjan Spasojević Tijana Bošković Ksenija |
| author_facet | Tomašević-Todorović Snežana Nožica-Radulović Tatjana Popović Tamara Milićević Saša Savić Damjan Spasojević Tijana Bošković Ksenija |
| author_sort | Tomašević-Todorović Snežana |
| collection | DOAJ |
| description | Introduction/Objective. Patients with rheumatoid arthritis (RA), osteoarthritis and fibromyalgia, alongside chronic pain, often suffer from functional disabilities, as well as cognitive dysfunction. The objective of this study is to compare the intensity of pain, symptoms of depression, anxiety, and memory ability among rheumatic patients with chronic pain and to compare rheumatic patients to a control group of healthy participants. Methods. The cross-sectional study, which included 110 (82 female; 28 male) patients with chronic pain, was done at the Special Hospital for Rheumatic Diseases, Novi Sad. Depression was determined by Beck’s Depression Inventory, anxiety was diagnosed by Spielberger’s anxiety test, and memory was assessed by the Wechsler Memory Scale. Results. Mean pain intensity in patients with fibromyalgia were statistically significantly higher compared to patients with osteoarthritis and RA (p < 0.05). A statistically significant difference in the psychological status of patients (p < 0.001) and patient memory (p < 0.05) with chronic pain was established, compared to patients in the control group. There was no statistically significant difference in the psychological status of patients, patient memory level, and pain intensity in patients with positive fibromyalgia test results in comparison to rheumatic patients not meeting the criteria for fibromyalgia. Patients with osteoarthritis had a statistically significantly lower memory coefficient in comparison to patients with RA and fibromyalgia. Conclusion. In RA, osteoarthritis, and fibromyalgia patients, clinical factors such as pain, depression, and anxiety play an active role in cognitive impairment and should be considered when planning treatment. |
| first_indexed | 2024-04-10T04:29:43Z |
| format | Article |
| id | doaj.art-a6462b2b36974fe886217e9c9cba0ac2 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 2406-0895 |
| language | English |
| last_indexed | 2024-04-10T04:29:43Z |
| publishDate | 2023-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-a6462b2b36974fe886217e9c9cba0ac22023-03-10T08:06:27ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952023-01-011511-2323610.2298/SARH211109004T0370-81792300004TNeuropsychological manifestations in rheumatic patients with chronic painTomašević-Todorović Snežana0Nožica-Radulović Tatjana1Popović Tamara2Milićević Saša3Savić Damjan4Spasojević Tijana5https://orcid.org/0000-0002-4178-4740Bošković Ksenija6https://orcid.org/0000-0002-6362-4895Clinical Centre of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia University of Banja Luka, Faculty of Medicine, Dr Miroslav Zotović Institute for Physical Medicine and Rehabilitation, Department of Rheumatology, Banja Luka, Republic of Srpska, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Dr Miroslav Zotović Institute for Physical Medicine and Rehabilitation, Department of Rheumatology, Banja Luka, Republic of Srpska, Bosnia and HerzegovinaUniversity of Priština – Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaClinical Centre of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, SerbiaClinical Centre of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia + Special Hospital for Rheumatic Diseases, Novi Sad, SerbiaIntroduction/Objective. Patients with rheumatoid arthritis (RA), osteoarthritis and fibromyalgia, alongside chronic pain, often suffer from functional disabilities, as well as cognitive dysfunction. The objective of this study is to compare the intensity of pain, symptoms of depression, anxiety, and memory ability among rheumatic patients with chronic pain and to compare rheumatic patients to a control group of healthy participants. Methods. The cross-sectional study, which included 110 (82 female; 28 male) patients with chronic pain, was done at the Special Hospital for Rheumatic Diseases, Novi Sad. Depression was determined by Beck’s Depression Inventory, anxiety was diagnosed by Spielberger’s anxiety test, and memory was assessed by the Wechsler Memory Scale. Results. Mean pain intensity in patients with fibromyalgia were statistically significantly higher compared to patients with osteoarthritis and RA (p < 0.05). A statistically significant difference in the psychological status of patients (p < 0.001) and patient memory (p < 0.05) with chronic pain was established, compared to patients in the control group. There was no statistically significant difference in the psychological status of patients, patient memory level, and pain intensity in patients with positive fibromyalgia test results in comparison to rheumatic patients not meeting the criteria for fibromyalgia. Patients with osteoarthritis had a statistically significantly lower memory coefficient in comparison to patients with RA and fibromyalgia. Conclusion. In RA, osteoarthritis, and fibromyalgia patients, clinical factors such as pain, depression, and anxiety play an active role in cognitive impairment and should be considered when planning treatment.http://www.doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300004T.pdfchronic painrheumatic diseasesemotionsmemory |
| spellingShingle | Tomašević-Todorović Snežana Nožica-Radulović Tatjana Popović Tamara Milićević Saša Savić Damjan Spasojević Tijana Bošković Ksenija Neuropsychological manifestations in rheumatic patients with chronic pain Srpski Arhiv za Celokupno Lekarstvo chronic pain rheumatic diseases emotions memory |
| title | Neuropsychological manifestations in rheumatic patients with chronic pain |
| title_full | Neuropsychological manifestations in rheumatic patients with chronic pain |
| title_fullStr | Neuropsychological manifestations in rheumatic patients with chronic pain |
| title_full_unstemmed | Neuropsychological manifestations in rheumatic patients with chronic pain |
| title_short | Neuropsychological manifestations in rheumatic patients with chronic pain |
| title_sort | neuropsychological manifestations in rheumatic patients with chronic pain |
| topic | chronic pain rheumatic diseases emotions memory |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300004T.pdf |
| work_keys_str_mv | AT tomasevictodorovicsnezana neuropsychologicalmanifestationsinrheumaticpatientswithchronicpain AT nozicaradulovictatjana neuropsychologicalmanifestationsinrheumaticpatientswithchronicpain AT popovictamara neuropsychologicalmanifestationsinrheumaticpatientswithchronicpain AT milicevicsasa neuropsychologicalmanifestationsinrheumaticpatientswithchronicpain AT savicdamjan neuropsychologicalmanifestationsinrheumaticpatientswithchronicpain AT spasojevictijana neuropsychologicalmanifestationsinrheumaticpatientswithchronicpain AT boskovicksenija neuropsychologicalmanifestationsinrheumaticpatientswithchronicpain |