The experience of rheumatoid arthritis pain and fatigue: Examining momentary reports and correlates over one week
The experience of rheumatoid arthritis pain and fatigue: Examining momentary reports and correlates over one week
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DOI：
10.1002/art.1790100306
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发表时间：
1997-06-01
影响因子：
4.7
通讯作者：
Kaell, AT
中科院分区：
文献类型：
--
作者：
Stone, AA;Broderick, JE;Kaell, AT
目标。为评价类风湿关节炎(RA)患者的日常生活体验，采用生态瞬时评估(EMA)方法。研究自述疼痛和疲劳的昼夜周期和日内变化，以及疼痛、疲劳、日常应激事件和睡眠之间的关系。对35例类风湿关节炎患者连续7天每天发出7次电子蜂鸣音。在每次哔声时记录评估，每天醒来时报告睡眠信息。疼痛和疲劳的变异存在较大的个体差异。应激源与疼痛增加有关，但与疲劳无关。睡眠不佳的受试者疼痛和疲劳程度更高。疼痛和疲劳存在昼夜循环，但只有一些患者(分别为37%和34%)观察到了疼痛和疲劳。EMA的使用加深了我们对RA患者所经历的疼痛和疲劳的了解。这种方法可能有助于识别对环境刺激高度“心理反应”和/或症状有昼夜规律的患者亚群。它还可以用来改进现有的工具。
Objective. To evaluate the daily experience of patients with rheumatoid arthritis (RA) in an ecologically valid manner; Ecological Momentary Assessment (EMA) was employed. Diurnal cycles and within-day variation of self-reported pain and fatigue were examined as were relationships between pain, fatigue, daily stressful events, and sleep.Methods. Thirty-five patients with RA were alerted with an electronic beep 7 times per day for 7 consecutive days. Assessments were recorded at each beep, Upon awakening each day, sleep information was reported.Results. There were large individual differences in variation of pain and fatigue. Stressors were associated with increased pain but not fatigue. Subjects with poor sleep had higher levels of pain and fatigue. Diurnal cycles of pain and fatigue were found, yet were observed for only some patients (37% and 34%, respectively),Conclusion. The use of EMA deepens our understanding of the pain and fatigue experienced by RA patients. This method may help identify subgroups of patients who are highly ''psychoreactive'' to environmental stimuli and/or who have diurnal patterns to their symptoms. It may also be used to improve existing instruments.