Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Physical and Psychosocial Function in Rheumatoid Arthritis: Clinical Use of a Self-administered Health Status Instrument

Physical and Psychosocial Function in Rheumatoid Arthritis: Clinical Use of a Self-administered... Abstract The treatment of chronic disease is often directed at preservation of function, but most functional measures are crude, and rarely include indicators of psychosocial status. The Sickness Impact Profile (SIP) is a newer "health status" measure designed to comprehensively assess such outcomes. The functional and psychosocial impacts of rheumatoid arthritis and their relation to disease duration were measured by having 79 patients self-administer the SIP. Disease impacts were pervasive, including effects on leisure, social, and sexual activities, as well as physical function. While physical and psychosocial disease impacts were positively correlated, the association diminished with longer duration of disease. The self-administered SIP appears to be practical and useful in clinical settings. Specific results may help to target patient education, increase physician awareness of the distress patients experience, suggest the need for social and rehabilitative services, and help monitor responses to therapy. Back to top Article Information Reprint requests to Seattle VA Medical Center, 4435 Beacon Ave S, Seattle, WA 98108 (Dr Deyo). The views and opinions of this study are those of the authors and may not reflect those of the Robert Wood Johnson Foundation or the VA. This study was supported in part by the Health Services Research and Development Program, Seattle Veterans Administration Medical Center. At the time of this research, Dr Deyo was a VA Fellow and Dr Overman was a Public Health Service Fellow in the Robert Wood Johnson Clinical Scholars Program. References 1. Gilson BS, Gilson JS, Bergner M, et al: The Sickness Impact Profile: Development of an outcome measure of health care. Am J Public Health. 1975;65:1304-1310. PubMedGoogle ScholarCrossref 2. Sackett DL, Chambers LW, MacPherson AS, et al: The development and application of indices of health: General methods and a summary of results. Am J Public Health. 1977;67:423-428. PubMedGoogle ScholarCrossref 3. Patrick DL, Bush JW, Chen MM: Toward an operational definition of health. J Health Soc Behav. 1973;14:6-22.Google ScholarCrossref 4. Brook RH, Ware JE, Davies-Avery A, et al: Overview of adult health status measures fielded in Rand's Health Insurance Study: Overview. Med Care. 1979;17(suppl 7):1-131. PubMedGoogle ScholarCrossref 5. Carter WB, Bobbitt RA, Bergner M, et al: Validation of an interval scaling: The Sickness Impact Profile. Health Serv Res. 1976;11:516-528. PubMedGoogle Scholar 6. Bergner M, Bobbitt RA, Pollard WE, et al: The Sickness Impact Profile: Validation of a health status measure. Med Care. 1976;14:56-67. PubMedGoogle ScholarCrossref 7. Pollard WE, Bobbitt RA, Bergner M, et al: The Sickness Impact Profile: Reliability of a health status measure. Med Care. 1976;14:146-155. PubMedGoogle ScholarCrossref 8. Gilson BS, Bergner M, Bobbitt RA, et al: The Sickness Impact Profile: Final Development and Testing, 1975-1978. Seattle, Department of Health Services, School of Public Health and Community Medicine , University of Washington, 1979. 9. Rockey PH, Griep RJ: Behavioral dysfunction in hyperthyroidism: Improvement with treatment. Arch Intern Med. 1980;110:1194-1197. PubMedGoogle ScholarCrossref 10. Nocturnal Oxygen Therapy Trial Group: Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive lung disease. Ann Intern Med. 1980;93:391-398. PubMedGoogle ScholarCrossref 11. Ropes MW, Bennett EA, Coff S, et al: 1958 revision of diagnostic criteria for rheumatoid arthritis. Bull Rheum Dis. 1958;9:175.Google Scholar 12. Steinbrocker O, Traeger CH, Batterman RC: Therapeutic criteria in rheumatoid arthritis. JAMA. 1949;140:659-662.Google ScholarCrossref 13. Martin DP, Gilson BS, Bergner M, et al: The Sickness Impact Profile: Potential use of a health status instrument for physician training. J Med Educ. 1976;51:942-944. PubMedGoogle Scholar 14. Earle JR, Perricone PJ, Maultsby DM, et al: Psycho-social adjustment of rheumatoid arthritis patients from two alternative treatment settings. J Rheumatol. 1979;6:80-87. PubMedGoogle Scholar 15. Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Centre: How to read clinical journals: III. To learn the clinical course and prognosis of disease. Can Med Assoc J. 1981;124:869-872. PubMedGoogle Scholar 16. Meenan RF, Yelin EH, Nevitt M, et al: The impact of chronic disease: A sociomedical profile of rheumatoid arthritis. Arthritis Rheum. 1981;24:544-549. PubMedGoogle ScholarCrossref 17. Vignos PJ, Thompson HM, Katz S, et al: Comprehensive care and psychosocial factors in rehabilitation in chronic rheumatoid arthritis: A controlled study. J Chronic Dis. 1972;25:457-467.Google ScholarCrossref 18. Yelin E, Meenan R, Nevitt M, et al: Work disability in rheumatoid arthritis: Effects of disease, social and work factors. Ann Intern Med. 1980;93:551-556. PubMedGoogle ScholarCrossref 19. Meenan RF, Yelin EH, Henke LJ, et al: The cost of rheumatoid arthritis: A patient-oriented study of chronic disease costs. Arthritis Rheum. 1978;21:827-833. PubMedGoogle ScholarCrossref 20. Kaye RL, Hammond AH: Understanding rheumatoid arthritis: Evaluation of a patient education program. JAMA. 1978;239:2466-2467. PubMedGoogle ScholarCrossref 21. Lane DS, Evans D: Measures and methods in evaluating patient education programs for chronic illness. Med Care. 1979;17:30-42. PubMedGoogle ScholarCrossref 22. Vignos PJ: Physiotherapy in rheumatoid arthritis. J Rheumatol. 1980;7:269-271.Google Scholar 23. Meenan RF, Gertman PM, Mason JH: Measuring health status in arthritis: The Arthritis Impact Measurement Scales. Arthritis Rheum. 1980;23:146-152. PubMedGoogle ScholarCrossref 24. Fries JF, Spitz P, Kraines RG, et al: Measurement of patient outcome in arthritis. Arthritis Rheum. 1980;23:137-145.Google ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Physical and Psychosocial Function in Rheumatoid Arthritis: Clinical Use of a Self-administered Health Status Instrument

Loading next page...
 
/lp/american-medical-association/physical-and-psychosocial-function-in-rheumatoid-arthritis-clinical-0WhkSaxGPX
Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340180037008
Publisher site
See Article on Publisher Site

Abstract

Abstract The treatment of chronic disease is often directed at preservation of function, but most functional measures are crude, and rarely include indicators of psychosocial status. The Sickness Impact Profile (SIP) is a newer "health status" measure designed to comprehensively assess such outcomes. The functional and psychosocial impacts of rheumatoid arthritis and their relation to disease duration were measured by having 79 patients self-administer the SIP. Disease impacts were pervasive, including effects on leisure, social, and sexual activities, as well as physical function. While physical and psychosocial disease impacts were positively correlated, the association diminished with longer duration of disease. The self-administered SIP appears to be practical and useful in clinical settings. Specific results may help to target patient education, increase physician awareness of the distress patients experience, suggest the need for social and rehabilitative services, and help monitor responses to therapy. Back to top Article Information Reprint requests to Seattle VA Medical Center, 4435 Beacon Ave S, Seattle, WA 98108 (Dr Deyo). The views and opinions of this study are those of the authors and may not reflect those of the Robert Wood Johnson Foundation or the VA. This study was supported in part by the Health Services Research and Development Program, Seattle Veterans Administration Medical Center. At the time of this research, Dr Deyo was a VA Fellow and Dr Overman was a Public Health Service Fellow in the Robert Wood Johnson Clinical Scholars Program. References 1. Gilson BS, Gilson JS, Bergner M, et al: The Sickness Impact Profile: Development of an outcome measure of health care. Am J Public Health. 1975;65:1304-1310. PubMedGoogle ScholarCrossref 2. Sackett DL, Chambers LW, MacPherson AS, et al: The development and application of indices of health: General methods and a summary of results. Am J Public Health. 1977;67:423-428. PubMedGoogle ScholarCrossref 3. Patrick DL, Bush JW, Chen MM: Toward an operational definition of health. J Health Soc Behav. 1973;14:6-22.Google ScholarCrossref 4. Brook RH, Ware JE, Davies-Avery A, et al: Overview of adult health status measures fielded in Rand's Health Insurance Study: Overview. Med Care. 1979;17(suppl 7):1-131. PubMedGoogle ScholarCrossref 5. Carter WB, Bobbitt RA, Bergner M, et al: Validation of an interval scaling: The Sickness Impact Profile. Health Serv Res. 1976;11:516-528. PubMedGoogle Scholar 6. Bergner M, Bobbitt RA, Pollard WE, et al: The Sickness Impact Profile: Validation of a health status measure. Med Care. 1976;14:56-67. PubMedGoogle ScholarCrossref 7. Pollard WE, Bobbitt RA, Bergner M, et al: The Sickness Impact Profile: Reliability of a health status measure. Med Care. 1976;14:146-155. PubMedGoogle ScholarCrossref 8. Gilson BS, Bergner M, Bobbitt RA, et al: The Sickness Impact Profile: Final Development and Testing, 1975-1978. Seattle, Department of Health Services, School of Public Health and Community Medicine , University of Washington, 1979. 9. Rockey PH, Griep RJ: Behavioral dysfunction in hyperthyroidism: Improvement with treatment. Arch Intern Med. 1980;110:1194-1197. PubMedGoogle ScholarCrossref 10. Nocturnal Oxygen Therapy Trial Group: Continuous or nocturnal oxygen therapy in hypoxemic chronic obstructive lung disease. Ann Intern Med. 1980;93:391-398. PubMedGoogle ScholarCrossref 11. Ropes MW, Bennett EA, Coff S, et al: 1958 revision of diagnostic criteria for rheumatoid arthritis. Bull Rheum Dis. 1958;9:175.Google Scholar 12. Steinbrocker O, Traeger CH, Batterman RC: Therapeutic criteria in rheumatoid arthritis. JAMA. 1949;140:659-662.Google ScholarCrossref 13. Martin DP, Gilson BS, Bergner M, et al: The Sickness Impact Profile: Potential use of a health status instrument for physician training. J Med Educ. 1976;51:942-944. PubMedGoogle Scholar 14. Earle JR, Perricone PJ, Maultsby DM, et al: Psycho-social adjustment of rheumatoid arthritis patients from two alternative treatment settings. J Rheumatol. 1979;6:80-87. PubMedGoogle Scholar 15. Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Centre: How to read clinical journals: III. To learn the clinical course and prognosis of disease. Can Med Assoc J. 1981;124:869-872. PubMedGoogle Scholar 16. Meenan RF, Yelin EH, Nevitt M, et al: The impact of chronic disease: A sociomedical profile of rheumatoid arthritis. Arthritis Rheum. 1981;24:544-549. PubMedGoogle ScholarCrossref 17. Vignos PJ, Thompson HM, Katz S, et al: Comprehensive care and psychosocial factors in rehabilitation in chronic rheumatoid arthritis: A controlled study. J Chronic Dis. 1972;25:457-467.Google ScholarCrossref 18. Yelin E, Meenan R, Nevitt M, et al: Work disability in rheumatoid arthritis: Effects of disease, social and work factors. Ann Intern Med. 1980;93:551-556. PubMedGoogle ScholarCrossref 19. Meenan RF, Yelin EH, Henke LJ, et al: The cost of rheumatoid arthritis: A patient-oriented study of chronic disease costs. Arthritis Rheum. 1978;21:827-833. PubMedGoogle ScholarCrossref 20. Kaye RL, Hammond AH: Understanding rheumatoid arthritis: Evaluation of a patient education program. JAMA. 1978;239:2466-2467. PubMedGoogle ScholarCrossref 21. Lane DS, Evans D: Measures and methods in evaluating patient education programs for chronic illness. Med Care. 1979;17:30-42. PubMedGoogle ScholarCrossref 22. Vignos PJ: Physiotherapy in rheumatoid arthritis. J Rheumatol. 1980;7:269-271.Google Scholar 23. Meenan RF, Gertman PM, Mason JH: Measuring health status in arthritis: The Arthritis Impact Measurement Scales. Arthritis Rheum. 1980;23:146-152. PubMedGoogle ScholarCrossref 24. Fries JF, Spitz P, Kraines RG, et al: Measurement of patient outcome in arthritis. Arthritis Rheum. 1980;23:137-145.Google ScholarCrossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: May 1, 1982

Keywords: rheumatoid arthritis,health status,self administration,chronic disease,illness length,rehabilitation,physical function

References