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Relationship between chronic pain syndrome and anxiety disorders in patients with rheumatoid arthritis

Published online by Cambridge University Press:  01 September 2022

N. Chernus ,
R. Gorenkov ,
S. Sivkov ,
A. Sivkov ,
T. Savina ,
A. Serdakova  and
A. Zolotovickaja
N. Chernus*
Affiliation:
The I.M. Sechenov First Moscow State Medical University: Moscow, Russia, The Outpatient Care Department, Moscow, Russian Federation
R. Gorenkov
Affiliation:
The I.M. Sechenov First Moscow State Medical University: Moscow, Russia, The Outpatient Care Department, Moscow, Russian Federation
S. Sivkov
Affiliation:
The I.M. Sechenov First Moscow State Medical University: Moscow, Russia, The Outpatient Care Department, Moscow, Russian Federation
A. Sivkov
Affiliation:
The I.M. Sechenov First Moscow State Medical University: Moscow, Russia, The Outpatient Care Department, Moscow, Russian Federation
T. Savina
Affiliation:
The I.M. Sechenov First Moscow State Medical University: Moscow, Russia, The Outpatient Care Department, Moscow, Russian Federation
A. Serdakova
Affiliation:
The I.M. Sechenov First Moscow State Medical University: Moscow, Russia, The Outpatient Care Department, Moscow, Russian Federation
A. Zolotovickaja
Affiliation:
The I.M. Sechenov First Moscow State Medical University: Moscow, Russia, The Outpatient Care Department, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Chronic pain syndrome is still one of the leading complaints of patients with rheumatoid arthritis (RA).

Objectives

Study the relationship between chronic pain syndrome of different duration and the level of anxiety disorders.

Methods

Clinical and psychophysiological examination of 76 patients with RA was carried out, the average age was 42.4 ± 7.2 years. The severity of pain syndrome was determined on the VAS scale, the level of anxiety by the Spielberger-Hanin technique

Results

Analysis of pain syndrome according to YOUR revealed higher rates (p < 0, () 1) in patients with shorter periods of disease: up to 12 months and more than 12 months: 66.0 ± 1.5 mm and 61.9 ± 1.5 mm, respectively, than in patients with a longer period of war - more than 3 years (53.7 ± 1.0 mm). Psychophysiological examination of RA patients revealed anxiety spectrum disorders in 53 (69.7%) patients. The severity of anxiety disorders was different depending on the duration of the chronic pain syndrome: the highest indicators of reactive anxiety were detected in patients with a length of pain syndrome of up to 12 months: 45.7 ± 0.6 points, in patients with a disease period of more than 12 months - 42.4 ± 0.5 points, and in patients with a disease period of more than 3 years 37.6 + 0.5 points.

Conclusions

Thus, a direct correlation between the degree of pain severity and the level of anxiety disorders is revealed, which is desirable to consider when selecting pathogenetic therapy

Disclosure

No significant relationships.

Keywords

painanxietyrheumatoid arthritispain,
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S662
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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