Patterns and prevalence of psychiatric morbidity among individuals with rheumatoid arthritis.

IF 1.4 Q3 RHEUMATOLOGY
Reumatologia Pub Date : 2024-01-01 Epub Date: 2024-04-30 DOI:10.5114/reum/186975
Ajaz Kariem Khan, Junaid Nabi, Ashaq Hussain Parrey, Prasan Deep Rath, Sanan Lone
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引用次数: 0

Abstract

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune disorder that affects the joints, causing inflammation, pain, and potential joint damage. Patients with RA are at high risk of developing psychiatric morbidity; it is important to recognize these psychiatric manifestations. The relationship between psychiatric symptoms and RA is complex and can involve various factors, including the impact of chronic pain, inflammation, medications, and the overall burden of managing a chronic illness.Aim of the study was to systematically investigate and analyze the patterns and prevalence of psychiatric morbidity among individuals diagnosed with RA, with the aim of identifying common mental health conditions, understanding the interplay between RA and psychiatric disorders, and providing valuable insights for improved holistic patient care.

Material and methods: This was a prospective, observational cross-sectional study conducted over a period of three years in patients with RA. Psychiatric morbidity was assessed using International Classification of Diseases-10 criteria and Mini-Plus by dedicated psychiatrists. The diagnosis of RA was confirmed using the 2010 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) diagnostic criteria for RA and the disease activity was calculated by Disease Activity Score with 28-joint count (DAS28) using the calculator from the RheumaHelper application. The data were analyzed using SPSS, version 23.0.

Results: A total of 1,000 patients with RA were included in this study. Nearly two-thirds of the patients were female (64.8%). The majority of patients belonged to the age group of 41 to 54 years. Total 47.5% of the patients were unemployed, 27.0% were salaried, 19.0% were businessman, while 6.5% of the patients were students. More than half of the patients (53.2%) had moderate disease activity. Major depressive disorder was the most commonly observed comorbidity (41.0%), followed by somatoform disorder (28.5%), and generalized anxiety disorder was found in 13.5%. No psychiatric manifestations were found in 17% of studied individuals.

Conclusions: Psychiatric morbidity is associated with RA and there is a need for psychiatric services to be made available to these patients.

类风湿性关节炎患者的精神病发病模式和发病率。
简介类风湿性关节炎(RA)是一种影响关节的慢性自身免疫性疾病,会引起炎症、疼痛和潜在的关节损伤。类风湿关节炎患者是精神疾病的高危人群,因此识别这些精神症状表现非常重要。精神症状与RA之间的关系很复杂,可能涉及多种因素,包括慢性疼痛、炎症、药物和慢性病管理总体负担的影响。该研究旨在系统调查和分析被诊断为RA患者的精神疾病发病模式和患病率,以确定常见的精神健康状况,了解RA与精神疾病之间的相互作用,并为改善患者的整体护理提供有价值的见解:这是一项为期三年的前瞻性横断面观察研究,研究对象为RA患者。精神疾病发病率由专职精神科医生根据《国际疾病分类-10》标准和 Mini-Plus 进行评估。RA诊断采用2010年美国风湿病学会/欧洲风湿病学协会联盟(ACR/EULAR)的RA诊断标准进行确诊,疾病活动度采用RheumaHelper应用程序中的计算器,以28个关节计数的疾病活动度评分(DAS28)进行计算。数据使用 SPSS 23.0 版进行分析:本研究共纳入了 1,000 名 RA 患者。近三分之二的患者为女性(64.8%)。大多数患者的年龄在 41 至 54 岁之间。47.5%的患者为失业者,27.0%为受薪者,19.0%为商人,6.5%为学生。超过一半的患者(53.2%)有中度疾病活动。重度抑郁症是最常见的合并症(41.0%),其次是躯体形式障碍(28.5%),13.5%的患者患有广泛性焦虑症。17%的受试者未发现任何精神症状:结论:精神疾病的发病率与 RA 有关,有必要为这些患者提供精神科服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Reumatologia
Reumatologia Medicine-Rheumatology
CiteScore
2.70
自引率
0.00%
发文量
44
审稿时长
10 weeks
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