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

Abstract

IntroductionChronic pain syndrome is still one of the leading complaints of patients with rheumatoid arthritis (RA).ObjectivesStudy the relationship between chronic pain syndrome of different duration and the level of anxiety disorders.MethodsClinical 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 techniqueResultsAnalysis 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.ConclusionsThus, 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 therapyDisclosureNo significant relationships.