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FRI0626-HPR Higher Level of Psychological Distress, Pain and Tiredness Have a Negative Influence on Arthritis Patients' Well-Being
  1. K. Grønning1,2,
  2. O. Bratås1
  1. 1Faculty of Nursing, Sør-Trøndelag University College
  2. 2Rheumatology, The University Hospital in Trondheim, Trondheim, Norway


Background The health status of patients with arthritis has consistently improved in later years (1), but research shows that depression still is a frequent comorbidity (2). It is also shown that patients' self-efficacy may prevent future development of psychological problems (3), and that patients' well-being is affected by disease-activity and coping skills (4).

Objectives The aim of this study was to investigate the independent influence of disease-related and psychological factors on arthritis patients' well-being by conducting secondary analyses on data collected in a randomized controlled trial (RCT) (5). The RCT studied the effect of nurse-led patient education (PE) in patients with arthritis.

Methods The participants (N=132) were adult patients with arthritis from St. Olavs Hospital in Trondheim Norway. The present data were collected at 12 months follow-up, and consist of information on psychological distress, well-being, self-efficacy and disease-characteristics. A multivariable linear regression analyses was performed with well-being as dependent variable. Demographics, psychological distress, self-efficacy and disease-characteristics were independent variables. The analyses adjusted for participation in the PE program.

Results The majority of our sample had RA, were women, with a mean age of 58 years. The analyses showed that more psychological distress, pain and tiredness had a negative independent influence on patients' well-being when controlling for other variables.

Table 1.

Explained variance in patients' well-being, adjusted R2=40%

Conclusions This study found that higher psychological distress, more pain and tiredness were associated with lower well-being. Implications for clinical practice are that nurses continually need to focus on patients' well-being and support patients with their daily management of disease symptoms.


  1. Uhlig T, et al. Rheumatoid arthritis is milder in the new millennium: health status in patients with rheumatoid arthritis 1994-2004. Ann Rheum Dis 2008:67:1710-5.

  2. Matcham F, et al. The prevalence of depression in rheumatoid arthritis: a systematic review and meta-analysis. Rheumatology (Oxford) 2013:52: 2136-48.

  3. Garnefski N, et al. Effect of a cognitive behavioral self-help intervention on depression, anxiety, and coping self-efficacy in people with rheumatic disease. Arthritis Care Res (Hoboken) 2013:65:1077-84.

  4. Englbrecht M, et al. The interaction of physical function and emotional well-being in rheumatoid arthritis–what is the impact on disease activity and coping? Semin Arthritis Rheum 2013:42:482-91.

  5. Gronning K, et al. Long-term effects of a nurse-led group and individual patient education programme for patients with chronic inflammatory polyarthritis - a randomised controlled trial. J Clin Nurs, doi: 201310.1111/jocn.12353.

Disclosure of Interest None declared

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