Arthritis, Rheumatoid, Stress Disorder
Conditions
Keywords
Rheumatoid arthritis, Stress
Brief summary
Rheumatoid Arthritis (RA) is an inflammatory rheumatic disease that can lead to structural damage and handicap. The RA physiopathology is multifactorial, including genetic and environmental risk factors. The identification of environmental factors implication is crucial to understand the RA mechanism, and improves the diagnosis and the treatment of the disease.
Detailed description
The physiopathology of RA is multifactorial, implicating genetic and environmental factors. Within the environmental factors, the exact role of psychological stress and life events on the onset of the disease is still under question. In clinical practice, patients usually report the occurrence of a stressing life event before the diagnosis of the disease (mourning, dismissal, divorce…). Nevertheless, literature reviews present some discrepancies and did not lead to a clear identification of the role of psychological stress in RA onset. This is mainly due to the evaluation methods of stress within those previous studies, considering stress as a unique response of the organism without taking into account personal, sociological, biological or environmental history. The aim of the study is to analyze the impact of stress on the RA onset within an integrative model, to evaluate patient assessment of the stress, and to present strategies to fix it.
Interventions
BEHAVIORALQuestionnaire
Questionnaire
BIOLOGICALblood sample
7 ml whole blood for Peripheral blood
Sponsors
University Hospital, Bordeaux
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients RA : Inclusion Criteria: * patients aged over 18 years old * patients affected by RA according to ACR/EULAR 2010 criteria, with a disease duration less than 2 years. * Speaking and understanding French language * Being informed about the study and having given his oral consent
Exclusion criteria
* Pregnant or breastfeeding women * Patient who refuse to participate. Control : Inclusion Criteria: * patients aged over 18 years old * patients with a visceral surgery for less than 2 years (appendectomy, cholecystectomy, bowel obstruction, hernia, eventration…) * Speaking and understanding French language * Being informed about the study and having given his oral consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Life events calculated over the year preceding the onset of PR symptoms | At inclusion (day 0) | Social Readjustment Rating Scale (SRRS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation between cytokine levels and RA activity | 12 months from baseline | — |
| Correlation between cytokine levels and stress for RA patients | 12 months from baseline | — |
| State Anxiety | At inclusion (day 0) | State-Trait Anxiety Inventory (STAI-Y-A) |
| Coping | At inclusion (day 0) | Ways of Coping Checklist Scale (WCC) |
| Cytokine levels in RA patients sera | 12 months from baseline | — |
| Perceived control | At inclusion (day 0) | Multidimensional Health Locus of Control Scale (MHLCS) |
| Perceived social support | At inclusion (day 0) | Social Support Questionnaire (SSQ) |
| Identification of neuropathic pain for RA patients evalued by douleur-neuropathique 10 items questionnaire | 12 months from baseline | douleur-neuropathique 10 items questionnaire providing a score between 0 and 10, with a positive threshold value beyond 4/10. |
| Characterization of neuropathic pain for RA patients evalued by Neuropathic Pain Symptom Inventory questionnaire | 12 months from baseline | Neuropathic Pain Symptom Inventory questionnaire with 12 items to complete, providing for each item the presence (or the absence) of several pain symptoms |
| Perceived stress | At inclusion (day 0) | Perceived Stress Scale (PSS) |
Countries
France
Outcome results
None listed