A biopsychosocial network model of fatigue in rheumatoid arthritis: a systematic review.
biopsychosocial model
depression
disease activity
fatigue
obesity
pain
physical functioning
psychological functioning
rheumatoid arthritis
sleep
Journal
Rheumatology (Oxford, England)
ISSN: 1462-0332
Titre abrégé: Rheumatology (Oxford)
Pays: England
ID NLM: 100883501
Informations de publication
Date de publication:
01 11 2019
01 11 2019
Historique:
received:
18
04
2019
revised:
09
08
2019
entrez:
5
11
2019
pubmed:
5
11
2019
medline:
3
4
2020
Statut:
ppublish
Résumé
Fatigue in RA is prevalent, intrusive and disabling. We propose a network model of fatigue encompassing multiple and mutually interacting biological, psychological and social factors. Guided by this model, we reviewed the literature to offer a comprehensive overview of factors that have been associated with fatigue in RA. Six categories of variables were found: physical functioning, psychological functioning, medical status, comorbidities and symptoms, biographical variables and miscellaneous variables. We then systematically reviewed associations between fatigue and factors commonly addressed by rheumatology health professionals. Correlations of fatigue with physical disability, poor mental well-being, pain, sleep disturbance and depression and anxiety were ∼0.50. Mostly these correlations remained significant in multivariate analyses, suggesting partly independent influences on fatigue and differences between individuals. These findings indicate the importance of research into individual-specific networks of biopsychosocial factors that maintain fatigue and tailored interventions that target the influencing factors most relevant to that person.
Identifiants
pubmed: 31682275
pii: 5611823
doi: 10.1093/rheumatology/kez403
pmc: PMC6827269
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
v10-v21Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of the British Society for Rheumatology.
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