Vol.20 No.5

Original Article

Body image in patients with rheumatoid arthritis

Authors

Renata Trajano Borges Jorge1 , Christine Brumini1 , Anamaria Jones1 , Jamil Natour1

  • Division of Rheumatology, Federal University of S?o Paulo (UNIFESP), UNIFESP Botucatu
Received:

12 February 2010

Accepted:

28 April 2010

Published online:

4 June 2010

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Abstract

We investigated body image in patients with rheumatoid arthritis (RA), correlating it with self-esteem, function, and quality of life. Forty-three RA patients and 39 control individuals from the community between 18 and 70 years of age and paired for gender, age, and body mass index (BMI) were evaluated. Patients were assessed for body image [Body Dysmorphic Disorder Examination (BDDE)], self-esteem (Rosenberg Self-Esteem Scale), function [Health Assessment Questionnaire (HAQ)] and quality of life [Short Form-36 (SF-36)]. The RA group had a mean age of 51.6 years, BMI 26.01, and disease duration 12.2 years. Most participants were categorized in functional class I. The BDDE score of the RA group (51.8) was significantly higher than in the control group (22.6) (p < 0.001). Rosenberg Self-Esteem Scale, HAQ and some SF-36 subscales were worse in the RA group than in the control group. These scores had a direct correlation with body image scores (p < 0.001). Individuals with RA had a worse body image than individuals without this condition. Body image was directly correlated with self-esteem, function, and quality of life.

Key words

Rheumatoid arthritis - Body image - Quality of life