Effect of Coping Strategies on Pain Intensity in Patients with Rheumatoid Arthritis

Author:

Chandra K Rohith1,Kumar B Jeevan12,Taj D Mubeen1,M Pavani1,Devaki Kondaveeti3,Shekhar Nunavath Raja4,Kommireddy Sirisha5,Chittipolu Ajay Kumar6,Yerrakula Goutham78ORCID

Affiliation:

1. Department of Pharmacy Practice, MB School of Pharmaceutical Science, Mohan Babu University, Rangampeta, Andhra Pradesh, India

2. Current affiliation: Department of Pharmacy Practice, KL College of Pharmacy, KLEF Deemed to be University, Vaddeswaram, Andhra Pradesh, India

3. Department of Pharmacology, Amity Institute of Pharmacy, Noida, Uttar Pradesh, India

4. Department of Pharmaceutical Analysis, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Ooty, The Nilgiris, Tamil Nadu, India

5. Consultant Rheumatologist, Isha Super Specialty Clinics, Tirupati, Andhra Pradesh, India

6. Department of Pharmaceutical Sciences, Vision College of Pharmaceutical Sciences and Research, Boduppal, Hyderabad, Telangana, India

7. School of Pharmacy, Faculty of Health Sciences, JSS Academy of Higher Education and Research, Vacoas-Phoenix, Mauritius

8. Department of Pharmacology, College of Pharmacy, JSS Academy of Technical Education, Noida, Uttar Pradesh, India

Abstract

Background Rheumatoid arthritis (RA) is a systemic autoimmune disease that imposes significant challenges globally. This research seeks to contribute valuable insights that can inform the development of targeted interventions, enhancing the quality of care for RA patients and potentially mitigating the broader societal burden associated with this chronic autoimmune condition. Objectives The main objective of the current study is to investigate the demographic, psychosocial, and clinical aspects of RA patients. Materials and Methods The study included 93 RA patients and examined their demographic characteristics, brief-Coping Orientation to Problems Experienced (COPE) strategies, the prevalence of depression and anxiety, pain experiences (Mankoski Pain Scale), and diagnostic markers (Disease Activity Score [DAS-28], Rheumatoid Factor [RF], Anti-Cyclic Citrullinated Peptide [ACCP]). Results The study revealed a bimodal age distribution, with a gender predominance aligning with established RA prevalence patterns. Patients exhibited a tendency toward adaptive coping strategies, notably religious coping, active coping, and positive reframing, with variability in maladaptive strategies. The prevalence of depression (14.0%) and anxiety (18.3%) among RA patients was consistent with documented mental health burdens. Pain experiences exhibited a heterogeneous spectrum, and diagnostic markers indicated elevated disease activity in a substantial proportion of patients, with varied distribution in RF and ACCP subcategories. Conclusion This study provides nuanced insights into RA, emphasizing the importance of personalized coping and pain management strategies. The prevalence of mental health challenges and the spectrum of pain experiences underscore the multidimensional nature of RA, informing holistic approaches to care for enhanced patient outcomes.

Publisher

SAGE Publications

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