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Non-pharmacological interventions for fatigue in rheumatoid arthritis

  1. Fiona Cramp1,*,
  2. Sarah Hewlett1,
  3. Celia Almeida1,
  4. John R Kirwan2,
  5. Ernest HS Choy3,
  6. Trudie Chalder4,
  7. Jon Pollock1,
  8. Robin Christensen5

Editorial Group: Cochrane Musculoskeletal Group

Published Online: 23 AUG 2013

Assessed as up-to-date: 1 OCT 2012

DOI: 10.1002/14651858.CD008322.pub2


How to Cite

Cramp F, Hewlett S, Almeida C, Kirwan JR, Choy EHS, Chalder T, Pollock J, Christensen R. Non-pharmacological interventions for fatigue in rheumatoid arthritis. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD008322. DOI: 10.1002/14651858.CD008322.pub2.

Author Information

  1. 1

    University of the West of England, Faculty of Health & Life Sciences, Bristol, UK

  2. 2

    University of Bristol, Bristol Royal Infirmary, Rheumatology Unit, Bristol, UK

  3. 3

    Cardiff University School of Medicine, Section of Rheumatology, Department of Medicine, Cardiff, UK

  4. 4

    Institute of Psychiatry, King's College London, Department of Psychological Medicine, London, UK

  5. 5

    Copenhagen University Hospital, Frederiksberg, Copenhagen, Denmark, Musculoskeletal Statistics Unit (MSU), The Parker Institute, Dept Rheumatology, Copenhagen, Denmark

*Fiona Cramp, Faculty of Health & Life Sciences, University of the West of England, Glenside campus, Blackberry Hill, Bristol, BS16 1DD, UK. fiona.cramp@uwe.ac.uk.

Publication History

  1. Publication Status: New
  2. Published Online: 23 AUG 2013

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Bilberg 2005 {published data only}
  • Bilberg A, Ahlmen M, Mannerkorpi K. Moderately intensive exercise in a temperate pool for patients with rheumatoid arthritis: a randomized controlled study. Rheumatology (Oxford) 2005;44(4):502-8.
Burgos 2009 {published data only}
  • Burgos RA, Hancke JL, Bertoglio JC, Aguirre V, Arriagada S, Calvo M, et al. Efficacy of an Andrographis paniculata composition for the relief of rheumatoid arthritis symptoms: A prospective randomized placebo-controlled trial. Clinical Rheumatology 2009;28(8):931-46.
Danoff-Burg 2006 - I {published data only}
  • Danoff-Burg S, Agee JD, Romanoff NR, Kremer JM, Strosberg JM. Benefit finding and expressive writing in adults with lupus or rheumatoid arthritis. Psychology & Health 2006;21(5):651-65.
Danoff-Burg 2006 - II {published data only}
  • Danoff-Burg S, Agee JD, Romanoff NR, Kremer JM, Strosberg JM. Benefit finding and expressive writing in adults with lupus or rheumatoid arthritis. Psychology & Health 2006;21(5):651-65.
Das Gupta 2009 {published data only}
  • Das Gupta AB, Hossain AK, Islam MH, Dey SR, Khan AL. Role of omega-3 fatty acid supplementation with indomethacin in suppression of disease activity in rheumatoid arthritis. Bangladesh Medical Research Council Bulletin 2009;35(2):63-8.
Evans 2012 {published and unpublished data}
  • Evans S, Lung K, Tsao J, Zeltzer L. Iyengar yoga for young adults with rheumatoid arthritis. Journal of Pain 2012;13 Suppl 4:s90.
Evers 2002 {published data only}
  • Evers AW, Kraaimaat FW, van Riel PL, de Jong AJ. Tailored cognitive-behavioral therapy in early rheumatoid arthritis for patients at risk: a randomized controlled trial. Pain 2002;100(1-2):141-53.
Furst 1987 {published data only}
  • Furst GP, Gerber LH, Smith CC, Fisher S, Shulman B. A program for improving energy conservation behaviors in adults with rheumatoid arthritis. American Journal of Occupational Therapy 1987;41(2):102-11.
Giraudet-Le-Quintrec 2007 {published data only}
  • Giraudet-Le Quintrec JS, Mayoux-Benhamou A, Ravaud P, Champion K, Dernis E, Zerkak D, et al. Effect of a collective educational program for patients with rheumatoid arthritis: a prospective 12-month randomized controlled trial. Journal of Rheumatology 2007;34(8):1684-91.
  • Mayoux-Benhamou A, Giraudet-Le Quintrec JS, Ravaud P, Champion K, Dernis E, Zerkak D, et al. Influence of patient education on exercise compliance in rheumatoid arthritis: a prospective 12-month randomized controlled trial. Journal of Rheumatology 2008;35(2):216-23.
Hakkinen 2003 {published data only}
Hakkinen 2003-II {published data only}
Hammond 2008 {published data only}
  • Hammond A, Bryan J, Hardy A. Effects of a modular behavioural arthritis education programme: a pragmatic parallel-group randomized controlled trial. Rheumatology (Oxford) 2008;47(11):1712-8.
Harkcom 1985 {published data only}
Helliwell 1999 {published data only}
  • Helliwell PS, O'Hara M, Holdsworth J, Hesselden A, King T, Evans P. A 12-month randomized controlled trial of patient education on radiographic changes and quality of life in early rheumatoid arthritis. Rheumatology 1999;38:303-8.
Hewlett 2011 {published data only}
  • Hewlett S, Ambler N, Almeida C, Cliss A, Hammond A, Kitchen K, et al. Self-management of fatigue in rheumatoid arthritis: a randomised controlled trial of a group cognitive-behavioural therapy. Annals of the Rheumatic Diseases 2011;70:1060-7.
Huffstutter 2007 {published data only}
  • Huffstutter J, Craig WD, Schimizzi G, Harshbarger J, Lisse J, Kasle S, et al. A multicenter, randomized, open study to evaluate the impact of an electronic data capture system on the care of patients with rheumatoid arthritis. Current Medical Research and Opinion 2007;23(8):1967-79.
Laforest 2008 {published data only}
  • Laforest S, Nour K, Gignac M, Gauvin L, Parisien M, Poirier M C. Short-term effects of a self-management intervention on health status of housebound older adults with arthritis. Journal of Applied Gerontology 2008;27(5):539-67.
Lorig 2005 {published data only}
Lorig 2008 {published data only}
Lumley 2011-I {published and unpublished data}
  • Lumley MA, Keefe FJ, Slatcher R, Mosley-Williams A,   Rice J, Mayo A, et al. The raised trial: Effects of coping skills training and written emotional disclosure on daily diary outcomes for patients with rheumatoid arthritis. Psychosomatic Medicine 2011;73(4):164.
Lumley 2011-II {published data only}
  • Lumley MA, Keefe FJ, Slatcher R, Mosley-Williams A,   Rice J, Mayo A, et al. The raised trial: Effects of coping skills training and written emotional disclosure on daily diary outcomes for patients with rheumatoid arthritis. Psychosomatic Medicine 2011;73(4):164.
Neuberger 2007 - I {published data only}
Neuberger 2007 - II {published data only}
Otter 2010 {published and unpublished data}
  • Otter S, Church A, Murray A, Lucas J, Creasey N, Woodhouse J, et al. The effects of reflexology in reducing the symptoms of fatigue in people with rheumatoid arthritis: a preliminary study. The Journal of Alternative and Complementary Medicine 2010;16(12):1251-2.
Riemsma 2003 - I {published data only}
Riemsma 2003 - II {published data only}
Skoldstam 2003 {published data only}
Wang 2008 {published data only}
  • Wang C. Tai Chi improves pain and functional status in adults with rheumatoid arthritis: results of a pilot single-blinded randomized controlled trial. Medicine and Sport Science 2008;52:218-29.
Zangi 2012 {published and unpublished data}
  • Zangi HA, Mowinckel P, Finset A, Eriksson LR, Høystad TØ, Lunde AK, Hagen KB. A mindfulness-based group intervention to reduce psychological distress and fatigue in patients with inflammatory rheumatic joint diseases: a randomised controlled trial. Annals of the Rheumatic Diseases 2012;71:911-7.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Barlow 1998 {published data only}
  • Barlow JH, Turner AP, Wright CC. Long-term outcomes of an arthritis self-management programme. British Journal of Rheumatology 1998;37(12):1315-9.
Barlow 2000 {published data only}
Barlow 2009 {published data only}
Behandling og traening {published data only}
  • Behandling og traening. Danske Fysioter 2000; Vol. 12:11-3.
Bhat 2008 {published data only}
  • Bhat A. Literacy in arthritis. North Carolina, USA: The University of North Carolina at Chapel Hill, 2008:146.
Bhat 2010 {published data only}
  • Bhat AA, DeWalt DA, Zimmer CR, Fried BJ, Callahan LF. The role of helplessness, outcome expectation for exercise and literacy in predicting disability and symptoms in older adults with arthritis. Patient Education and Counseling 2010;81:73-8.
Callahan 2008 {published data only}
Daltroy 1995 {published data only}
  • Daltroy LH, Robb-Nicholson C, Iversen MD, Wright EA, Liang MH. Effectiveness of minimally supervised home aerobic training in patients with systemic rheumatic disease. British Journal of Rheumatology 1995;34(11):1064-9.
de Buck 2005 {published data only}
  • de Buck PD, le Cessie S, van den Hout WB, Peeters AJ, Ronday HK, Westedt ML, et al. Randomized comparison of a multidisciplinary job-retention vocational rehabilitation program with usual outpatient care in patients with chronic arthritis at risk for job loss. Arthritis and Rheumatism 2005;53(5):682-90.
Evers 2005 {published data only}
  • Evers AWM. Cognitive-behavioral therapy in rheumatoid arthritis [Dutch]. Nederlands Tijdschrift Voor Fysiotherapie 2005;115(5):143-6.
Furst 2000 {published data only}
  • Furst D, Felson D, Thoren G, Gendreau RM. Immunoadsorption for the treatment of rheumatoid arthritis: final results of a randomized trial. Prosorba Trial Investigators. Therapeutic Apheresis 2000;4(5):363-73.
Goldbach-Mansky 2009 {published data only}
  • Goldbach-Mansky R, Wilson M, Fleischmann R, Olsen N, Silverfield J, Kempf P, et al. Comparison of Tripterygium wilfordii Hook F versus sulfasalazine in the treatment of rheumatoid arthritis: A randomized trial. Annals of Internal Medicine 2009;151(4):229-40.
Hagfors 2003 {published data only}
  • Hagfors LM. A Mediterranean dietary intervention study of patients with rheumatoid arthritis [PhD Thesis]. Sweden: Umea Universitet (Sweden), 2003:184.
Hagfors 2005 {published data only}
  • Hagfors L, Nilsson I, Skoldstam L, Johansson G, Hagfors L, Nilsson I, et al. Fat intake and composition of fatty acids in serum phospholipids in a randomized, controlled, Mediterranean dietary intervention study on patients with rheumatoid arthritis. Nutrition and Metabolism 2005;2:26.
He 2008 {published data only}
  • He Y, Lu A, Lu C, Zha Y, Yan X, Song Y, et al. Symptom combinations assessed in traditional Chinese medicine and its predictive role in ACR20 efficacy response in rheumatoid arthritis. American Journal of Chinese Medicine 2008;36(4):675-83.
Heiberg 2007 {published data only}
Jiang 2012 {published data only}
  • Jiang M, Zha Q, He Y, Lu A. Risk factors of gastrointestinal and hepatic adverse drug reactions in the treatment of rheumatoid arthritis with biomedical combination therapy and Chinese medicine. Journal of Ethnopharmacology 2012;141:615-21.
Kremer 1987 {published data only}
  • Kremer JM, Jubiz W, Michalek A, Rynes RI, Bartholomew LE, Bigaquette J, et al. Fish-oil fatty acid supplementation in active rheumatoid arthritis. Annals of Internal Medicine 1987;106(4):497-503.
Lee 2006 {published data only}
  • Lee KY, Jeong OY, Lee K-Y, Jeong O-Y. The effect of Tai Chi movement in patients with rheumatoid arthritis. Taehan Kanho Hakhoe Chi 2006;36(2):278-85.
MacDonald 1994 {published data only}
Minnock 2008 {published data only}
  • Minnock P, Bresnihan B. Fatigue is related to poor pain outcomes in women with established rheumatoid arthritis. Clinical and Experimental Rheumatology 2008;26(4):707-8.
Mur 2002 {published data only}
  • Mur E, Hartig F, Eibl G, Schirmer M. Randomized double blind trial of an extract from the pentacyclic alkaloid-chemotype of uncaria tomentosa for the treatment of rheumatoid arthritis. Journal of Rheumatology 2002;29(4):678-81.
Neuberger 1997 {published data only}
  • Neuberger GB, Press AN, Lindsley HB, Hinton R, Cagle PE, Carlson K, et al. Effects of exercise on fatigue, aerobic fitness, and disease activity measures in persons with rheumatoid arthritis. Research in Nursing & Health 1997;20(3):195-204.
Nordemar 1981 {published data only}
  • Nordemar R. Physical training in rheumatoid arthritis: A controlled long-term study. II. Functional capacity and general attitudes. Scandinavian Journal of Rheumatology 1981;10(1):25-30.
Noreau 1995 {published data only}
  • Noreau L, Martineau H, Roy L, Belzile M. Effects of a modified dance-based exercise on cardiorespiratory fitness, psychological state and health status of persons with rheumatoid arthritis. American Journal of Physical Medicine and Rehabilitation 1995;74(1):19-27.
O'Leary 1986 {published data only}
  • O'Leary AM. Psychological factors in rheumatoid arthritis pain and immune function: a self-efficacy approach [PhD Thesis]. United States - California: Stanford University, 1986:209.
Pan 2009 {published data only}
Poulsen 1991 {published data only}
  • Poulsen A. Psychodynamic, time-limited group therapy in rheumatic disease: A controlled study with special reference to alexithymia. Psychotherapy and Psychosomatics 1991;56(1-2):12-23.
Rall 1996 {published data only}
  • Rall LC, Meydani SN, Kehayias JJ, Dawson-Hughes B, Roubenoff R. The effect of progressive resistance training in rheumatoid arthritis. Increased strength without changes in energy balance or body composition. Arthritis and Rheumatism 1996;39(3):415-26.
Rauma 1993 {published data only}
  • Rauma AL, Nenonen M, Helve T, Hanninen O. Effect of a strict vegan diet on energy and nutrient intakes by Finnish rheumatoid patients. European Journal of Clinical Nutrition 1993;47(10):747-9.
Solomon 2002 {published data only}
  • Solomon DH, Warsi A, Brown-Stevenson T, Farrell M, Gauthier S, Mikels D, et al. Does self-management education benefit all populations with arthritis? A randomized controlled trial in a primary care physician network. Journal of Rheumatology 2002;29(2):362-8.
Song 2007 {published data only}
  • Song YW, Lee EY, Koh EM, Cha HS, Yoo B, Lee CK, et al. Assessment of comparative pain relief and tolerability of SKI306X compared with celecoxib in patients with rheumatoid arthritis: A 6-week, multicenter, randomized, double-blind, double-dummy, phase III, noninferiority clinical trial. Clinical Therapeutics 2007;29(5):862-73.
Stenstrom 1993 {published data only}
  • Stenstrom CH. Dynamic therapeutic exercise in rheumatoid arthritis: Qualitative and quantitative aspects [PhD Thesis]. Sweden: Karolinska Institutet (Sweden), 1993:128.
Stenstrom 1994 {published data only}
  • Stenstrom CH. Home exercise in rheumatoid arthritis functional class II: goal setting versus pain attention. Journal of Rheumatology 1994;21(4):627-34.
Stenstrom 1996 {published data only}
  • Stenstrom CH, Arge B, Sundbom A. Dynamic training versus relaxation training as home exercise for patients with inflammatory rheumatic diseases. A randomized controlled study. Scandinavian Journal of Rheumatology 1996;25(1):28-33.
Taibi 2009 {published data only}
Toirov 2010 {published data only}
  • Toirov ES, Imamov AKh. Peculiarities of therapy of neurotic disorders in patients with rheumatoid arthritis. Klinicheskaia Meditsina 2010;88(1):49-53.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Berbert 2005 {published data only}
Wiesenauer 1991 {published data only}
  • Wiesenauer M, Gaus W. A randomized double blind trial on the efficiency of a homeopathic drug for rheumatoid arthritis. Aktuelle Rheumatologie 1991;16(1):1-9.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Arnett 1988
Brosseau 2005
Cameron 2011
Casimiro 2002
  • Casimiro L, Brosseau L, Welch V, Milne S, Judd M, Wells GA, et al. Therapeutic ultrasound for the treatment of rheumatoid arthritis. Cochrane Database of Systematic Reviews 2002, Issue 3. [DOI: 10.1002/14651858.CD003787]
Casimiro 2005
Chinn 2000
Cohen 1998
  • Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd Edition. Hillsdale, NJ: Lawrence Erlbaum, 1988.
Conaghan 1999
Department of Health 2006
  • Department of Health. The Musculoskeletal Services Framework. London: DoH, 2006. [: 270211]
Egan 2001
  • Egan M, Brosseau L, Farmer M, Ouimet M, Rees S, Tugwell P, et al. Splints and orthosis for treating rheumatoid arthritis. Cochrane Database of Systematic Reviews 2001, Issue 4. [DOI: 10.1002/14651858.CD004018]
EU 2001
  • EU Directive 2001/83/EEC. http://ec.europa.eu/enterprise/pharmaceuticals/eudralex/vol-1/dir_2001_83_cons/dir2001_83_cons_20081230_en.pdf accessed 18 June 2009.
Hagen 2009
Han 2004
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Hewlett 2005
Hewlett 2007
Hewlett 2008
  • Hewlett S, Nicklin J, Treharne GJ. Fatigue in musculoskeletal conditions. Reports on the Rheumatic Diseases (Series 6). Topical Reviews 1. Arthritis Research Campaign 2008 Autumn.
Hewlett 2011a
  • Hewlett S, Chalder T, Choy E, Cramp F, Davis B, Dures E, et al. Fatigue in rheumatoid arthritis: Time for a conceptual model (Editorial). Rheumatology 2011;50:1004-6.
Hewlett 2011b
Hewlett 2011c
  • Hewlett S, Ambler N, Almeida C, Cliss A, Hammond A, Kitchen K, et al. Self-management of fatigue in rheumatoid arthritis: a randomised controlled trial of group cognitive behavioural therapy. Annals of the Rheumatic Diseases 2011;70:1060-7.
Higgins 2003
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Hurkmans 2009
  • Hurkmans E, van der Giesen FJ, Vliet Vlieland TPM, Schoones J, Van den Ende ECHM. Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database of Systematic Reviews 2009, Issue 4. [DOI: 10.1002/14651858.CD006853]
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Kirwan 2007
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Pelland 2002
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Pollard 2006
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Silva 2010
Treharne 2009
  • Treharne GJ, Lyons AC, Hale ED, Goodchild CE, Booth DA, Kitas GD. Predictors of fatigue over 1 year among people with rheumatoid arthritis. Psychology, Health and Medicine 2008;13(4):494-504.
Tuntland 2009
Verhagen 2004
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