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Kwaliteit van leven bij mensen met fibromyalgie, artrose en reumatoide artritis met neuropathische of nociceptieve pijn

Berenbrinker, C.J. (2015) Kwaliteit van leven bij mensen met fibromyalgie, artrose en reumatoide artritis met neuropathische of nociceptieve pijn.

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Abstract:Background: Chronic pain has a negative impact on quality of life, both nociceptive and neuropathic pain. Whether the quality of life of patients with neuropathic pain is comparable to patients without neuropathic pain and which role the intensity of the pain plays is still unclear. These types of pain also occur in patients with fibromyalgia, osteoarthritis and rheumatoid arthritis. It is not clear yet if possible differences in quality of life between the diseases are determined by the type of pain and its intensity. Objective: The aim of this research was to get insight in (1) how the quality of life differs between patients with and without neuropathic pain and how this is determined by the intensity of the pain, and (2) how the quality of life of patients with fibromyalgia, osteoarthritis or rheumatoid arthritis differs and how this is determined by the type of pain and the intensity of the pain. Methods: The type of pain, the intensity and the quality of life is examined in 217 patients with rheumatoid arthritis, 53 patients with osteoarthritis and 36 patients with fibromyalgia from the DREAM register. This data includes the results of the Dutch versions of the painDETECT questionnaire and the SF-36v2 Health Survey. Results: The patients without neuropathic pain showed significantly higher scores on every aspect of quality of life compared to patients with neuropathic pain. The intensity of pain was negatively related to the quality of life. The patients with rheumatoid arthritis showed significantly higher scores on all scales compared to the patients with fibromyalgia and osteoarthritis. The differences between the fibromyalgia and osteoarthritis did not differ significantly from each other on almost all scales. The differences in quality of life between the three diseases could to a large extent be explained by the type of pain and the average intensity of pain Conclusion: Patients with neuropathic pain report a poorer quality of life than patients without neuropathic pain. The intensity of pain plays a major role regarding the quality of life. Patients with rheumatoid arthritis have a significantly better quality of life than patients with fibromyalgia of osteoarthritis, which do not clearly differ from each other. These differences are strongly influenced by the type of pain and the intensity of the pain.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/68297
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