Catastrophism in Chronic Inflammatory Rheumatism

  • End date
    Oct 24, 2021
  • participants needed
  • sponsor
    Centre Hospitalier Universitaire de Nīmes
Updated on 24 January 2021


Catastrophic is defined as a negative cognitive and emotional response based on inadequate pain expression. It has three components: rumination, amplification and vulnerability. The assessment of catastrophism is carried out using a validated questionnaire called the "Pain Catatrophizing Scale" (PCS).

Recent studies highlight the significant impact of catastrophism in neuromuscular and mechanical rheumatic diseases such as gonarthrosis gonalgia and low back pain. In these diseases, it has been shown that catastrophism has a negative impact both on the experience of pain and on the response to different types of treatments (medical and surgical). Several studies have implemented multidisciplinary management and in particular cognitive-behavioural therapy with an improvement in the pain experience in patients who are catastrophic.

In chronic inflammatory rheumatic diseases such as rheumatoid arthritis, spondyloarthritis and psoriatic arthritis, the prevalence and impact of catastrophism is still poorly understood.

Condition Chronic Inflammatory Rheumatism
Treatment completing self-questionnaires
Clinical Study IdentifierNCT04174092
SponsorCentre Hospitalier Universitaire de Nīmes
Last Modified on24 January 2021


Yes No Not Sure

Inclusion Criteria

Is your age greater than or equal to 18 yrs?
Gender: Male or Female
Do you have any of these conditions: Do you have Chronic Inflammatory Rheumatism??
Major patients, hospital follow-up, with RA according to ACR 2010 criteria, or spondyloarthritis according to ASAS 2009 criteria or according to AMOR or psoriatic arthritis according to Caspar 2006 criteria
Patient who has given free and informed consent
Patient who has signed the consent form
Patient affiliated or benefiting from a health insurance plan
Adult patient (18 years old)

Exclusion Criteria

Patient under the protection of justice, under guardianship or curatorship
Patient unable to express consent
Patient for whom it is impossible to provide informed information
Poor command and understanding of the French language making it impossible to complete self-questionnaires
Clear my responses

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