Role of psychological intervention in pain management and quality of life of elderly patients with ankylosing spondylitis

doi:10.5498/wjp.121390

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Psychiatry. Nov 19, 2026; 16(11): 121390
Published online Nov 19, 2026. doi: 10.5498/wjp.121390

Table 1 Baseline data of two groups of elderly ankylosing spondylitis patients, n (%)/mean ± SD

Variable	Control group (n = 52)	Research group (n = 63)	χ²/t	P value
Sex			0.034	0.855
Male	28 (53.85)	35 (55.56)
Female	24 (46.15)	28 (44.44)
Age (years)	69.52 ± 4.91	68.51 ± 4.96	1.092	0.277
Disease course (years)	6.02 ± 2.95	6.63 ± 3.03	1.087	0.279
Disease type			0.668	0.414
Axial	32 (61.54)	34 (53.97)
Peripheral	20 (38.46)	29 (46.03)
Diseased segment			0.960	0.619
L_3-4	19 (36.54)	20 (31.75)
L_4-5	20 (38.46)	22 (34.92)
L₄-S₁	13 (25.00)	21 (33.33)
BASDAI (points)	5.69 ± 1.73	5.54 ± 1.68	0.470	0.639
CRP (mg/L)	30.85 ± 6.44	30.51 ± 6.86	0.272	0.786
ESR (mm/h)	59.62 ± 10.42	60.87 ± 10.17	0.649	0.518
Medication
NSAIDs	42 (80.77)	49 (77.78)	0.154	0.694
csDMARDs	15 (28.85)	21 (33.33)	0.267	0.606
bDMARDs	13 (25.00)	18 (28.57)	0.185	0.668
Glucocorticoids	10 (19.23)	10 (15.87)	0.224	0.636

BASDAI: Bath Ankylosing Spondylitis Disease Activity Index; CRP: C-reactive protein; ESR: Erythrocyte sedimentation rate; NSAIDs: Non-steroidal anti-inflammatory drugs; csDMARDs: Conventional synthetic disease-modifying antirheumatic drugs; bDMARDs: Biological disease-modifying antirheumatic drugs.

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Table 2 Functional exercise compliance in two groups of elderly ankylosing spondylitis patients, n (%)

Variable	Control group (n = 52)	Research group (n = 63)	χ²	P value
Excellent	22 (42.31)	33 (52.38)
Good	17 (32.69)	24 (38.10)
Poor	13 (25.00)	6 (9.52)
Excellent and good	39 (75.00)	57 (90.48)	4.947	0.026

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Table 3 Joint function and pain in two groups of elderly ankylosing spondylitis patients, mean ± SD/median (interquartile range)

Variable	Control group (n = 52)	Research group (n = 63)	t/Z	P value
BASFI (points)
Before	39.38 ± 5.83	39.71 ± 6.54	0.283	0.778
After	23.54 ± 5.98	15.27 ± 4.12	8.749	< 0.001
VAS (points)
Before	6.00 (5.00, 8.00)	6.00 (5.00, 8.00)	-0.392	0.695
After	4.00 (3.00, 6.00)	3.00 (2.00, 4.00)	-4.961	< 0.001

BASFI: Bath Ankylosing Spondylitis Functional Index; VAS: Visual Analogue Scale.

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Citation: Guo W, Guo HJ. Role of psychological intervention in pain management and quality of life of elderly patients with ankylosing spondylitis. World J Psychiatry 2026; 16(11): 121390
URL: https://www.wjgnet.com/2220-3206/full/v16/i11/121390.htm
DOI: https://dx.doi.org/10.5498/wjp.121390

Guo W, Guo HJ. Role of psychological intervention in pain management and quality of life of elderly patients with ankylosing spondylitis. World J Psychiatry 2026; 16(11): 121390 [DOI: 10.5498/wjp.121390]

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