Si. Bekkelund et al., QUALITY-OF-LIFE IN RHEUMATOID-ARTHRITIS - A CASE-CONTROL STUDY IN PATIENTS LIVING IN NORTHERN NORWAY, Clinical and experimental rheumatology, 13(4), 1995, pp. 471-475
Objective. To study quality of life parameters in patients with rheuma
toid arthritis and the possible association of these parameters with d
isease activity.Methods, Fifty-two women with rheumatoid arthritis and
52 controls completed two self reporting psychiatric screening tests:
the General Health Questionnaire (GHQ - 30) and the Cantril Ladder sc
ale. The number of psychiatric cases detected was not significantly hi
gher for either group using the GHQ score S+ as the criterion. Results
. Comparing the GHQ scores, patients,showed a higher score compared wi
th the controls (p = 0.02). The patients scored significantly higher o
n feelings of incompetance (p = 0.004), but not on the other subgroups
of psychiatric factors. The patients reported lower life satisfaction
on the Cantril self anchoring ladder (p = 0.0001). The functional cap
acity score was positively associated with the GHQ score. No associati
on was detected between disease duration or the other disease activity
parameters and either the GHQ score or the life satisfaction score. C
onclusion. This inconsistant relationship between clinical parameters
and quality of life scores may be due to the fact that RA patients suf
fer from a chronic disease, or is may reflect an impaired psychosocial
status in the patients. This study demonstrates that the increased ps
ychological disturbances in women with RA is mainly explained by feeli
ngs of incompetance.