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Volume 13 Issue 8 (August) 2024

Original Articles

Evaluation of fear avoidance beliefs in adults with Rheumatoid Arthritis
Dr. Abhinav Gupta, Dr. Azghar Ali, Dr. Danish Habib Naik, Dr. Vidushi Handoo

Introduction: RA is systemic inflammatory disease that can involve other tissue and organ as well as synovial joint. When the pain becomes chronic in nature fear avoidance beliefs are significantly associated with the experience of pain with affected the Quality of life. Aim of the study: To Assess the fear avoidance beliefs in adults with Rheumatoid Arthritis. Material and Methods: The present prospective cross-sectional observational study was conducted after ethical clearance on adult patients (>18 years) with rheumatoid arthritis (RA) diagnosed as per 2010 ACR/EULAR classification criteria. The patients were enrolled from outpatient department of the Department of Medicine, Government Medical College, Jammu for a period of one year from November, 2020 to October, 2021.The demographic profiles of all the enrolled patients were recorded along with a detailed history and examination as per the pre-validated proforma. Results: In our study, females (80.9%) were more as compared to males (19.1%). Mean age of onset of rheumatoid arthritis of the patients was 41.25±12.03 years. Mean±SD ESR of the patients was 54.06±27.50. Overall, WHO-QoL of the patients was 57.07±11.77. Physical domain was affected more followed by psychological domain.Significant positive correlation (p<0.05) was found between physical activity score, work score, total mFABQ score, ESR, disease severity score, PVAS, FVAS, GHVAS as well ADL. Conclusion: High fear-avoidance beliefs about physical activity in patients with RA were associated with being female and having a high level of pain. Thus, intensive treat to target strategy and patient-oriented treatment methods focused on cognitive-behaviour accounts may help in combating against FA beliefs of RA patients.

 
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