Impact of fatigue on health-related quality of life in rheumatoid arthritis

Autor: Rupp, Ines, Boshuizen, Hendriek C., Jacobi, Catharina E., Dinant, Huibert J., van den Bos, Geertrudis A. M.
Přispěvatelé: Public and occupational health, Clinical Immunology and Rheumatology
Jazyk: angličtina
Rok vydání: 2004
Předmět:
Zdroj: Arthritis and rheumatism, 51(4), 578-585. John Wiley and Sons Inc.
ISSN: 0004-3591
Popis: Objective. To multidimensionally assess fatigue in rheumatoid arthritis (RA) and to evaluate the impact of fatigue on health-related quality of life (HRQOL). Methods. The study was conducted in 1999 among 490 RA patients with varying disease duration. Fatigue was measured with the Multidimensional Fatigue Inventory (MFI-20) and HRQOL with a validated Dutch version of the RAND 36-Item Health Survey. We evaluated the impact of fatigue on HRQOL by multiple linear regression analyses taking into account RA-related pain and depressive symptoms. Results. Different aspects of fatigue selectively explained different dimensions of HRQOL. The MFI-20 was entered last to the linear regression models, resulting in an additional increase of explained variance of 1% (mental health) to 14% (vitality). Conclusion. The multidimensional portrayal of RA-related fatigue can be used to develop intervention strategies targeted to specific aspects of fatigue. Fatigue, supplementary to RA-related pain and depressive symptoms, appears to be a feasible and treatable target in the clinical management of RA to increase HRQOL
Databáze: OpenAIRE