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<p>This overview deals with rheumatic diseases, such as rheumatoid arthritis (RA), spondylarthritis (SpA), psoriatic arthritis (PsA) and systemic lupus erythematosus (SLE) with respect to the psychological consequences and effects on the ability to work. These diseases are associated in particular with an increased prevalence of depression and anxiety disorders, which may worsen the course of the disease, influence pain management but can also impair the ability to work and lead to presenteeism, absenteeism and early retirement, among other things. In addition, inflammatory processes can favor a&#xa0;bidirectional connection between rheumatic and mental illnesses. Despite modern treatment strategies, the professional integration of people with rheumatic diseases remains difficult. The basic prerequisite for this goal is a&#xa0;sufficient control of the immunologically induced inflammation with the appropriate medication. Thus, occupational health-related workplace adjustments could also contribute to maintaining the ability to work for longer; however, an interdisciplinary, holistic approach that takes both physical and psychological aspects into account is essential for the optimal care of those affected. In order to better understand the long-term effects on the ability to work, further longitudinal studies are required from a&#xa0;scientific perspective and from a&#xa0;practical perspective, close collaboration between the specialist disciplines of rheumatology, psychology and occupational medicine in order to help those affected to maintain their ability to work in the long term and simultaneously to improve the quality of life.</p>

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Rheumatische Erkrankungen

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月28日

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  • Paula Rathke,
  • Robin Hardt,
  • Fabian Holzgreve,
  • Julia Bille,
  • Verena Prinz,
  • Eileen M. Wanke,
  • Gerhard Oremek,
  • Stefan Rehart,
  • Daniela Ohlendorf

摘要

This overview deals with rheumatic diseases, such as rheumatoid arthritis (RA), spondylarthritis (SpA), psoriatic arthritis (PsA) and systemic lupus erythematosus (SLE) with respect to the psychological consequences and effects on the ability to work. These diseases are associated in particular with an increased prevalence of depression and anxiety disorders, which may worsen the course of the disease, influence pain management but can also impair the ability to work and lead to presenteeism, absenteeism and early retirement, among other things. In addition, inflammatory processes can favor a bidirectional connection between rheumatic and mental illnesses. Despite modern treatment strategies, the professional integration of people with rheumatic diseases remains difficult. The basic prerequisite for this goal is a sufficient control of the immunologically induced inflammation with the appropriate medication. Thus, occupational health-related workplace adjustments could also contribute to maintaining the ability to work for longer; however, an interdisciplinary, holistic approach that takes both physical and psychological aspects into account is essential for the optimal care of those affected. In order to better understand the long-term effects on the ability to work, further longitudinal studies are required from a scientific perspective and from a practical perspective, close collaboration between the specialist disciplines of rheumatology, psychology and occupational medicine in order to help those affected to maintain their ability to work in the long term and simultaneously to improve the quality of life.