bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of a psychological treatment package for treating pain in juvenile rheumatoid arthritis
Authors: Lavigne John V. , Ross Caroline K. , Berry Sharon L. , Hayford Jennifer R. , Pachman Lauren M. 
Published: February 2007

AbstractWe examined the utility of psychological treatment procedures for children with high levels of pain associated with juvenile rheumatoid arthritis (JRA). By the use of a multiple baseline across subjects design, four children were assigned to an immediate treatment group, and four children to a delayed treatment group. The six‐session treatment included relaxation training, electromyogram, and thermal biofeedback for the child; mothers were trained in the use of behavioral techniques for managing physical therapy and school attendance. Visual inspection of the data indicates small changes on children's self‐reported pain diary scores for mean pain and ratings of high (greater than 5 on a 10‐point visual analogue scale) pain periods, with 50% to 62% showing at least a 25% reduction in pain immediately after treatment, and 62% to 88% showing a 25% reduction by 6‐month follow‐up. Maternal reports of changes paralleled those of the children. Comparisons of Mann‐Whitney U‐tests conducted pre‐ and posttreatment indicated no differences for children's ratings of mean pain or + 5 pain ratings between the immediate and delayed treatment groups; greater improvement for the immediate treatment group was noted on maternal reports of both mean pain (p < 0.05) and +5 pain (p < 0.5) ratings. The reduction of pain reports from pretreatment to follow‐up was significant for children's mean pain (p = 0.02), +5 pain ratings (p = 0.02), and mother's reports of mean pain (p = 0.03) and +5 pain periods (p = 0.01). Maternal reports of the number of pain‐related behaviors that the child exhibited also declined (p < 0.05). No reduction in physical therapist's ratings of pain during evaluation were noted. No increases in maternal reports of child's psychological adjustment problems were reported following treatment. Results provide modest support for the use of psychological interventions with patients with JRA.
The health assessment questionnaire 1992. Status and review
Authors: Ramey Dena R. , Raynauld Jean‐Pierre , Fries James F. 
Published: February 2007

AbstractOver 100 papers describing and utilizing the Stanford Health Assessment Questionnaire (HAQ) have been published since 1980. A brief overview of the HAQ is presented along with a guide to the accumulated literature. The topics covered include: studies using the disability, pain, economic, and drug side effect dimensions of the HAQ; reliability and validity studies; applications to various rheumatic diseases; language adaptations; modifications and derivative scales; studies correlating the HAQ with sociodemographic, health status, laboratory, and physical measures; and randomized controlled trials and observational studies using the HAQ. A few comments regarding future directions for research are also presented.
Sensitivity to change of the Health Assessment Questionnaire (HAQ) and other clinical and health status measures in rheumatoid arthritis results of short‐term clinical trials and observational studies versus long‐term observational studies
Authors: Hawley Donna J. , Wolfe Frederick 
Published: February 2007

AbstractTo obtain evidence concerning short‐term and longterm efficacy of clinical and health status measures in rheumatoid arthritis (RA), we conducted two observational studies—a 6‐month study of 233 patients receiving methotrexate and a 10‐year study of 157 patients receiving multiple treatments in a rheumatic disease clinic. Results of the 6‐month study yielded effect sizes for treatment similar to the metaanalyses reported by Weinblatt et al. (Arthritis Rheum 33:1449–1461, 1990) and the controlled trials of methotrexate reported by Weinblatt et al. (Arthritis Rheum 33:330–338, 1990), suggesting that observational studies provide valid measurements of treatment effect. The effect size for the Health Assessment Questionnaire (HAQ) was 0.5. By contrast, the 10‐year study suggested that standard clinical variables changed little and were not useful in assessing RA outcome, while the effect size of the HAQ was − 2.39. These data continue to underscore the differences between short‐term trials and the long‐term outcome of RA, and suggest an important place for the HAQ or similar instruments in all phases of RA evaluation and assessment.
Does musculoskeletal function deteriorate in a predictable sequence in the elderly?
Authors: Daltroy Lawren H. , Logigian Martha , Iversen Maura D. , Lian Matthew H. 
Published: February 2007

AbstractA variety of functions decline with aging, but whether losses occur in a predictable sequence is unknown. Improved understanding might facilitate the early detection and possible prevention of functional deterioration. We assessed self‐reported difficulty with functional tasks in 288 community‐dwelling elderly aged 65 to 97. We hypothesized that the ability to perform tasks involving strength, skill, and endurance (run errands, shop, yardwork or housework) would be lost first, followed by activities requiring less strength or mobility (rise from a chair with no hands, walk), followed by easier, but essential tasks (pick up clothes, rise from bed, lift a cup to the mouth). The patterns of decline were evaluated with Guttman scalograms. Picking up clothes and walking were reversed from the predicted order. Scale reliability was 0.92, indicating that functional decline is ordered; 75% of subjects fell into one of the modal sequence types. Analysis by self‐reported presence of arthritis showed that 83% of nonarthritic subjects fit the predicted patterns (reliability = 0.95) versus 65% of arthritic subjects (reliability = 0.86), who tended to lose hand ability out of sequence.Sequential functional loss scales may tell more than the typical simple summation of functional loss, and may have predictive value to the clinician monitoring an elderly patient. If the sequence is accelerated or out of order, such as was seen in patients with arthritis, it may indicate the need for intervention. Examination of sequences of loss may help characterize adaptations to impairment and differences among subgroups.
Scoring methods and application of the activity record (ACTRE) for patients with musculoskeletal disorders
Authors: Gerber Lynn H. , Furst Gloria P. 
Published: February 2007

AbstractThe National Institutes of Health (NIH) Activity Record (ACTRE) has been used to document daily activities in patients with musculoskeletal disorders. Quantification of the amount of time spent resting and physically active, the intensity of pain and fatigue associated with patterns of activities, and motivational considerations are possible with the ACTRE. Scoring has been streamlined to permit identification of the amount of pain, fatigue, and motivational factors as they relate to activity patterns (e.g., rest and physical activity). The ACTRE provides a performance‐based, quantifiable measure of daily activity.
Arthritis problem indicator preliminary report on a new tool for use in the primary care setting
Authors: Sotosky Judy R. , McGrory Carolyn H. , Metzger David S. , Dehoratius Raphael J. 
Published: February 2007

AbstractImproving the quality of life for people with rheumatic disease involves timely identification of problem areas and application of appropriate interventions. In response to a 1987 Commonwealth of Pennsylvania study, which reported a wide variety of unmet needs in arthritis patients and their families, the Arthritis Problem Indicator (API) was developed. It is a single‐page, self‐report, low‐cost tool. A mixed rheumatology population (n = 50) and their primary care physicians participated in a pilot study. The study revealed that the seven most common areas of patient concern were pain, weight control, sleep, mobility/walking, activities of daily living, community access, and depression/anxiety. The physicians reported that the patient's answers on the API led them to initiate new treatment or referral for 32% of the patients. The physicians also stated that for 80% of the patients, the API was helpful in providing information about the patient. The API is easily interpreted by health professionals and designed to be an indicator of problem areas frequently associated with arthritis.
Do self‐reported arthritis symptom (RADAR) and health status (AIMS2) data provide duplicative or complementary information?
Authors: Mason John Hayes , Meenan Robert F. , Anderson Jennifer J. 
Published: February 2007

AbstractThis study assessed whether self‐report measures of symptoms and functional health status provide unique outcome information, or whether functional status assessments primarily serve as a proxy for self‐reported arthritis symptoms. Symptom scores of 138 individuals with rheumatoid arthritis (RA) collected with the Rapid Assessment of Disease Activity in Rheumatology (RADAR) measure were compared with same‐day functional health scores collected with the recently revised Arthritis Impact Measurement Scales (AIMS2). Correlational and factor analyses revealed that self‐assessed arthritis symptoms, physical function and work impact, psychological status, and social health each made independent contributions to outcome. Satisfaction with health status was shown not to be independent of symptoms, functional capacity, or psychological status. It is important to document that self‐reported symptom and health status information, when collected concurrently, provides complementary rather than duplicative information.
Quality of life and policy analysis in arthritis
Authors: Kaplan Robert M. , Coons Stephen Joel , Anderson John P. 
Published: February 2007

AbstractProblems in the American health care system have stimulated interest in cost‐effectiveness methodologies. However, there is little consensus on how to define a common unit of health outcome. Many measures used in policy studies consider only mortality and do not fully capture the significant impact of disease‐related dysfunction. The impact of conditions, such as osteoarthritis, that have little impact on mortality rates but substantial impact on functioning and well‐being may be underestimated in these analyses. In this article, we propose a measurement and policy model that is based on a theoretical conceptualization of health outcome. The model considers the impact of disease and its treatment in terms of both morbidity and mortality. The value of the model for clinical trials, population assessments, and policy analysis is reviewed. A public policy application of the model in Oregon is briefly described.
Characterizing the meaning of psychological distress in rheumatoid arthritis
Authors: Fifield Judith , Reisine Susan 
Published: February 2007

AbstractSymptoms of depression are frequently reported by people with rheumatoid arthritis (RA). To advance our understanding of how best to assess and treat these symptoms, their meaning must be elucidated. This article explores two possible meanings for the emotional distress of RA patients reported on the Center for Epidemiological Studies Depression (CESD) scale: (1) Certain CES‐D scale items may inflate actual depressive symptom scores. (2) Depressive symptoms are experienced and/or expressed in unique ways in an RA population due to the presence of chronic physical symptoms. In this study of 988 people with RA, it was found that there is some modest inflation of the CES‐D scale due to the items of “having difficulty getting going” and “everything was an effort.” However, irrespective of the modest inflation of the scale, there is evidence that distress in RA is not a static concept. Distress in this RA population was expressed differently from that of a community population, and within the RA population, distress was expressed differently over time.
Psychological factors, immunologic activation, and disease activity in rheumatoid arthritis
Authors: Parker Jerry C. , Smarr Karen L. , Angelone Edgar O. , Mothersead Philip K. , Lee Byung S. , Walker Sara E. , Bridges Alan J. , Caldwell C. William 
Published: February 2007

AbstractThe purpose of this study was to use structural equation modeling techniques to examine potential interrelationships among psychological factors, im‐munologic activation, and disease activity in rheumatoid arthritis (RA). The subjects were 80 male patients with a diagnosis of classic or definite RA. Measures included the Beck Depression Inventory, the Arthritis Helplessness Index, and the Arthritis Impact Measurement Scales (AIMS) pain score. Joint counts and immunophenotypic analyses of peripheral blood lyMPHocytes also were collected. Path analysis showed that percentage of HLA‐DR+ cells in the peripheral blood and helplessness were related to join count. In addition, joint count had an effect upon depression. Depression had an effect upon pain, but there was no reciprocal effect of pain upon depression. This study describes a preliminary path model of interrelationships among psychological factors, immunologic activation, and disease activity in RA.
One‐year evaluation of cognitive‐behavioral intervention in osteoarthritis
Authors: Calfas Karen J. , Kaplan Robert M. , Ingram Rick E. 
Published: February 2007

AbstractWe compared a cognitive‐behavior modification and a traditional education intervention for adults with osteoarthritis (OA). Forty OA patients were randomly assigned to one of two groups: cognitive‐behavior modification or didactic lectures. During ten weekly sessions, the cognitive‐behavior group learned methods for coping with pain and the disabilities associated with OA. The traditional education group experienced a series of lectures from health care professionals. Prior to the interventions and following 2, 6, and 12 months, patients in both groups were evaluated with a general Quality of Well‐being (QWB) scale, the Arthritis Impact Measurement Scales (AIMS), the Beck Depression Inventory (BDI), and other measures. Although there were some differences between the two groups at 2‐month follow‐up, by the end of 1 year, physical and psychological functioning did not differ significantly between the two groups. In comparison to baseline, both groups demonstrated initial changes on QWB, depression, and the pain component of the AIMS. Improvements in depression remained through the 1‐year follow‐up. Multiple regression analysis demonstrated that the mobility and physical activity aspects of the AIMS were significant long‐term predictors of outcome (1 year) for general quality‐of‐Life measures. One‐year outcomes for depression were significantly predicted from scores on social support and mobility measures from the AIMS. We conclude that cognitive‐behavior modification and education produce similar effects on long‐term physical and psychological functioning in OA patients.
Cardiovascular functional disorder in primary fibromyalgia. A noninvasive study in 17 young men
Authors: Visuri Tuomo , Lindholm Harri , Lindqvist Ari , Dahlström Seppo , Viljanen Antti 
Published: February 2007

AbstractCardiovascular functional stability was studied in 17 young men (20‐year‐old conscripts) with the symptoms of primary fibromyalgia (PF). They were compared to 20 medical students of the same age. The subjects underwent an orthostatic test, deep breathing test, Valsalva maneuver, and a handgrip test. They were evaluated by an autoanamnestic questionnaire on vegetative symptoms and laboratory tests on blood chemistry. The heart rate of the PF group after 8 min of active standing was 32 ± 15 beats/min greater than at supine rest. The corresponding figure for the constrols was 23 ± 7 beats/min (p = 0.001). Twelve conscripts with PF (71%) presented sympathicotonic cardiovascular reaction on the orthostatic test (p < 0.001). Four of these sympathicotonic conscripts and two other conscripts (total 35%) had an abnormal high index of dystonic symptoms (p = 0.01). The results suggest that young men with symptoms of PF have not only cardiovascular dystonic symptoms but also increased sympathetic nervous reactivity of the cardiovascular system.
A comparison of pain perceptions in women with fibromyalgia and rheumatoid arthritis. Relationship to depression and pain extent
Authors: Burckhardt Carol S. , Clark Sharon R. , Bennett Robert M. 
Published: February 2007

AbstractTwo studies were conducted to characterize the pain of fibromyalgia syndrome (FMS); to compare it to rheumatoid arthritis (RAJ pain; and to examine the relationships between depression, pain extent, and pain description. Two methods of administering the McGill Pain Questionnaire (MPQ) were used. When the MPQ was administered in the standard manner, FMS pain could not be distinguished from RA pain. When participants were allowed to select as many words from an adapted MPQ as they wished, significant differences in word choice emerged. Depression and pain extent were major predictors of group differences in the evaluation of pain. However, depression scores contributed only 50% of the explanation for the differences in pain extent, with group membership contributing the other 50%. These. findings suggest that the character and extent o/pain in FMS are at least partially due to peripheral sensory components and not simply centrally controlled pain amplification secondary to depression.
Dietary intake and circulating vitamin levels of rheumatoid arthritis patients treated with methotrexate
Authors: Morgan Sarah L , Hine R Jean , Vaughn William H , Brown Allen 
Published: February 2007

AbstractThe nutrient intakes and circulating vitamin levels of 32 patients with rheumatoid arthritis who were treated with methotrexate were evaluated over a 6‐month period. Dietary data were obtained and blood was drawn prior to the initiation of and following 12and 24 weeks of methotrexate therapy. More than 50% of the patients had food intakes providing less than 67% of the recommended dietary allowance for zinc, vitamin E, foh'c acid, pyridoxine, qnd magnesium. Patients 51 years or older had better nutrient intakes than patients less than 51 years. Of the patients, 22% consumed vitamin supplements at thetime they were recruited for the study. Mean circulating vitamin levels measured over the6‐month period were within normal limits. Our findings agree with previously published reports that patients with rheumatoid arthritis, particularly the subpopulation taking methotrexate, consume diets that are marginal in some nutrients. Additional research needs to be done to identify more sensitive nutrient assays and to establish more definitively the nutrient needs of patients with rheumatoid arthritis taking several therapeutic agents.
Effect of a walking program on gait characteristics in patients with osteoarthritis
Authors: Peterson M. G. E. , Kovar‐Toledano P. A. , Otis J. C. , Allegrante J. P. , Mackenzie C. R. , Gutin B. , Kroll M. A. 
Published: February 2007

AbstractThis paper reports the results of a study of the gait of 102 patients with osteoarthritis of theknee. Functional status was measured by a 6‐min test of walking distance; the stride characteristics associated with the walk test were assessed. Stride characteristics were measured by a StrideAnalyzer. Patients were randomized to an 8‐week educational and walking program (the intervention group) or to a weekly telephone survey (the control group). The intervention group patients had a 15% increase in walking distance (P < 0.0001) and increases of 9.1% in stride length at freewalking speeds (P < 0.007) and 17% in stride length at fast walking speeds (P < 0.01) comparedtothe control group. The results of this study have shown that the walking and educational program was effective in improving gait function in patients with osteoarthritis of the knee.
Self‐management of osteoarthritis
Authors: Hampson Sarah E , Glasgow Russell E , Zeiss Antonette M , Birskovich Stephen F , Foster Lyn , Lines Alana 
Published: February 2007

AbstractOsteoarthritis is the most prevalent activity‐limiting condition among older persons. In addition to, or instead of, taking nonsteroidal anti‐inflammatory drugs, people use a variety of activities to manage their osteoarthritis. This study describesthe self‐management methods reported by 61 participants aged 60 years or older assessed on two occasions 8 months apart. A questionnaire was developed to assess levels of use of 10 self‐management methods including low‐impact activity, rest, range‐of‐motion exercises, relaxation, heat (or cold), taking medication, jointprotection, massage, splints, and any other activity. On a typical day, participants usedabout four of these activities to manage Osteoarthritis symptoms, and significantly more on a day that their arthritis was worse than usual. Three self‐management scales were formed from groups of activities suggested by factor analysis (medication taking, typical management, and worse‐day passive management) that demonstrated adequate internal consistency and stability across the two assessments. The findings are discussed in terms of the importance of developing a brief measure of Osteoarthritis self‐management, and the substantial individual variation in subsets of methods used.
Effect of counselor training on skills development and psychosocial status of volunteers with systemic lupus erythematosus
Authors: Peterson Margaret G. E. , Horton Roberta , Engelhard Enid , Lockshin Michael D , Abramson Theodore 
Published: February 2007

AbstractVolunteers with systemic lupus erythematosus were recruited for a telephone service to provide psychosocial support to peers. The volunteers attended an 8‐week counselor training program. The aim was to evaluate the impact of the training on counselors' skill development and to record possible changes in the counselors' psychosocial status. A second group of trainees (n = 15) was used as a delayed control for the first group (n = 14). The data were analyzed using multivariate repeated measures analysis of variance. Tests chosen to monitor psychosocial status included: Arthritis Impact Measurement Scales Anxiety and Depression subscales, Arthritis Helplessness Index, Wallston General Self‐Efficacy Scale, University of California at Los Angeles Loneliness Scale, Rosenberg Self‐Esteem, and Campbell Personal Competence scales. Tests selected to measure skills and knowledge development included the Carkhuff Communications and Discrimination Skills Inventories and the Applied Knowledge Assessment scale. The latter was developed in‐house and tested for reliability. Only the Carkhuff Communications Skills (P < 0.001) and the Applied Knowledge Assessment (P < 0.001) showed significant changes pre‐ and post‐test within subjects. These results persisted at the 6‐month level.
Gender, depression, and ankylosing spondylitis
Authors: Barlow Julie Helen , Macey Stephen John , Struthers George Robert 
Published: February 2007

AbstractDepression has been established as a common reaction to rheumatoid arthritis but has rarely beeninvestigated among people with other forms of arthritis. The present study examined the prevalence and determinants of depressive symptoms in people with ankylosing spondylitis, focusing on gender differences and set in the context of widely held medical views concerning the psychosocial nature of ankylosing spondylitis patients. Results showed that approximately one third of the ankylosing spondylitis patients reported a high level of depressive symptoms and that women reported more depression than men. No evidence was found to support the stereotype of the “typical” ankylosing spondylitis patient as being less depressed than people with other forms of arthritis. Pain was found to be a major determinant of depression for women, but was of lesser importance for men. The implications of these findings are discussed.