Leticia Leon1,2, Marta Redondo2, Antonio Fernández-Nebro3, Susana Gómez4, Estíbaliz Loza5, María Montoro4, Rosario Garcia-Vicuña6, María Galindo7. 1. Rheumatology Unit, IDISSC, San Carlos Clinical Hospital, Madrid, Spain. 2. Faculty of Heath Sciences, Camilo José Cela University, Madrid, Spain. 3. Rheumatology Clinical Management Unit, Biomedical Research Institute in Malaga (IBIMA), Regional University Hospital in Malaga, University of Malaga, Malaga, Spain. 4. Pfizer Medical Department, Alcobendas, Madrid, Spain. 5. Musculoskeletal Health Institute, Madrid, Spain. 6. Rheumatology Service, Hospital Universitario de la Princesa, IIS-IP, Madrid, Spain. 7. Rheumatology Service, 12 de Octubre University Hospital, Av. Cordoba, s/n, 28041, Madrid, Spain. mgalindo@h12o.es.
Abstract
OBJECTIVE: To establish feasible and practical recommendations for the management of the psychological needs of patients with rheumatoid arthritis (RA) from the moment of diagnosis through the course of the disease. METHODS: A nominal group meeting was held with an RA expert team including rheumatologists and psychologists, at which a guided discussion addressed the most important psychological and emotional needs in RA. Based on the comments collected, and a literature review, a matrix document of recommendations for telematics discussion was prepared, as well as a Delphi survey to test agreement with these recommendations. Agreement was defined if at least 80% of participants voted ≥ 7 (from 1, totally disagree to 10, totally agree). For each recommendation, the level of evidence and grading of recommendations was established following the Oxford criteria, and the degree of agreement through the Delphi. RESULTS: Thirteen recommendations were established, addressing several key processes: (1) identification of psychological problems and needs in patients with RA, and a guideline for their management in daily practice; (2) communication with patients; (3) referral criteria to mental health professionals. CONCLUSIONS: These recommendations are intended to help health care professionals openly address the psychological aspects of patients in daily practice to follow and treat them properly.
OBJECTIVE: To establish feasible and practical recommendations for the management of the psychological needs of patients with rheumatoid arthritis (RA) from the moment of diagnosis through the course of the disease. METHODS: A nominal group meeting was held with an RA expert team including rheumatologists and psychologists, at which a guided discussion addressed the most important psychological and emotional needs in RA. Based on the comments collected, and a literature review, a matrix document of recommendations for telematics discussion was prepared, as well as a Delphi survey to test agreement with these recommendations. Agreement was defined if at least 80% of participants voted ≥ 7 (from 1, totally disagree to 10, totally agree). For each recommendation, the level of evidence and grading of recommendations was established following the Oxford criteria, and the degree of agreement through the Delphi. RESULTS: Thirteen recommendations were established, addressing several key processes: (1) identification of psychological problems and needs in patients with RA, and a guideline for their management in daily practice; (2) communication with patients; (3) referral criteria to mental health professionals. CONCLUSIONS: These recommendations are intended to help health care professionals openly address the psychological aspects of patients in daily practice to follow and treat them properly.
Authors: Juan Antonio Martínez López; M Luz García Vivar; Rafael Cáliz; Mercedes Freire; María Galindo; Maria Victoria Hernández; Francisco Javier López Longo; Víctor Martínez Taboada; Jose María Pego Reigosa; Esteban Rubio; Elisa Trujillo; Paloma Vela-Casasempere Journal: Reumatol Clin Date: 2016-06-17
Authors: Saedis Saevarsdottir; Sara Wedrén; Maria Seddighzadeh; Camilla Bengtsson; Annmarie Wesley; Staffan Lindblad; Johan Askling; Lars Alfredsson; Lars Klareskog Journal: Arthritis Rheum Date: 2011-01
Authors: Marianne Belia Kool; Rens van de Schoot; Isabel López-Chicheri García; Ricarda Mewes; José A P Da Silva; Karoline Vangronsveld; Andreas A J Wismeijer; Mark A Lumley; Henriët van Middendorp; Johannes W J Bijlsma; Geert Crombez; Winfried Rief; Rinie Geenen Journal: Ann Rheum Dis Date: 2013-02-14 Impact factor: 19.103
Authors: Kelly Warmington; Carol Flewelling; Carol A Kennedy; Rachel Shupak; Angelo Papachristos; Caroline Jones; Denise Linton; Dorcas E Beaton; Sydney Lineker Journal: Open Access Rheumatol Date: 2017-02-24