EVALUATION OF DEPRESSION AND ITS CORRELATION WITH ANXIETY, QUALITY OF LIFE INDEX AND DURATION OF DISEASE IN PATIENTS WITH RHEUMATOID ARTHRITIS
Journal Title: World Science - Year 2017, Vol 3, Issue 8
Abstract
Background: Psychiatric disorders occur in a considerable proportion of patients with rheumatoid arthritis (RA), often reflecting the difficulties of these patients in coping with a chronic debilitating disorder. Aim of the study: We aimed to study Evaluation of depression and its correlation with anxiety symptoms, quality of life index and duration of disease in patients with rheumatoid arthritis. Methods: Patients were defined as having RA and depression when there was at least one documented diagnosis identified by the International Classification of Diseases-10 (ICD-10) from the medical records. The proportion of depression was compared between RA patients and controls. A logistic regression model was used to estimate the association between RA and depression, anxiety disorder, quality of life index and duration of disease in a multivariate analysis adjusted for age, gender and socioeconomic status. Results: The study included 120 patients with RA and 40 people without mental and somatic pathology. Depression in RA patients included mild depressive disorders (GA – 37.74%, GB – 4.48%), anxiety-depressive disorders (GA –28.30% GB – 41.79%), depressive-hypochondriac disorders (GA – 3.77%, GB – 20.90%). In multivariate analysis, RA was found to be independently associated with depression and anxiety. Conclusion: Our study confirms the higher proportion of depression in RA patients: especially young women with average socioeconomic status (mild depressive disorders); old women with low socioeconomic status (depressive-hypochondriac disorders). The impairment of quality of life is markedly in patient with depressive-hypochondriac disorders. Physicians should be aware of such findings and, therefore, apply proper screening strategies.
Authors and Affiliations
S. Savka
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