POS1396-HPR DOES FIBROMYALGIA WORSEN CATASTROPHIZING IN PATIENTS WITH RHEUMATOID ARTHRITIS?

Background Pain is a cardinal symptom of several rheumatic conditions such as rheumatoid arthritis (RA) and fibromyalgia. Catastrophizing incorporates an amplification symptoms associated with pain, therefore contributes to its sustainability. Objectives We aimed assess the impact RA-associated fibromyalgia on catastrophizing. Methods conducted cross-sectional study including RA patients meeting 2010 ACR/EULAR criteria. Patients were divided into two groups: group 1 (G1) RA, 2 (G2) RA. Fibromyalgia screening was based Rapid Screening Tool (FIRST). activity assessed using Disease Activity Score (DAS 28 ESR). Quality life Health Assessment Questionnaire (HAQ). Scale (PCS), which composed 13 items. The PCS total score varies between 0 (absence catastrophizing) 52 (significant tendency catastrophizing). cognitive emotional representation pain by Brief Perception Illness (BPIS). It consists 9 items: 8 quantitative questions numerical scale ranging from 10, one last item in form qualitative question. 90, without predefined thresholds. higher score, more threatening patient’s perception disease is. significance threshold set at p value 0.05. Results Our included 80 (G1: N= 40 G2: N=40), 76 women 4 men, average age 59±9 years [42-77] G1 53±10 G2 [37-74]. mean duration 11.29±6.24 years. erosive 90% cases. Rheumatoid factor and/or ACPA positive 85% delay diagnosis 49±7 months. Seventy five percent corticosteroids dose 10 mg per day Prednisone equivalent. All receiving DMARD: methotrexate 85%, leflunomide 11.2%, biologics 37.5%. VAS 6.3±1.8 cm G1, 5±1.1 G2. fatigue 6±2.3 ±0.9 global patient assessment 5.9±2 3±0.5 morning stiffness 30 minutes 55 DAS ESR 5±0.7 3.97±0.5 HAQ 1±0.3 0.7±0.1 greater 41± 8.2 vs 32±4.4 (p=0.01). Cognitive also compared BPIS 71±9 55±7.5 (p=0.05). Conclusion showed that aggravates catastrophizing illness important remind place therapy management these chronic conditions. REFERENCES: NIL. Acknowledgements: Disclosure Interests None Declared.