Söderlin M K, Hakala M, Nieminen P
Department of Internal Medicine, Växjö Central Hospital, Sweden.
Scand J Rheumatol. 2000;29(3):177-83. doi: 10.1080/030097400750002067.
To assess anxiety and depression and their explanatory factors in rheumatoid arthritis (RA) in a community-based population.
The subscales of the Arthritis Impact Measurement Scales (AIMS) for anxiety and depression were used, and the Health Assessment Questionnaire (HAQ) was used for the assessment of disability. Cross-tabulation and multivariate logistic regression analysis were used to evaluate which variables best describe the patients with either high or low depression and anxiety scores.
Nearly 20% of our patients had probable depression (AIMS depression subscale score > or =4), a figure comparable to earlier hospital-based series. Most of the AIMS anxiety subscale variability was explained by poor physical function and the male sex, while the AIMS depression subscale variability was mostly explained by poor physical function, comorbidities, and social inactivity.
In our cross-sectional, community-based RA series, depression was equal to the figures previously reported from hospital-based series. Poor physical function was a powerful explanatory factor of both depression and anxiety.
评估社区人群中类风湿关节炎（RA）患者的焦虑和抑郁状况及其解释因素。
采用关节炎影响测量量表（AIMS）中的焦虑和抑郁分量表，并使用健康评估问卷（HAQ）评估残疾情况。采用交叉表分析和多因素逻辑回归分析来评估哪些变量最能描述抑郁和焦虑得分高或低的患者。
近20%的患者可能患有抑郁症（AIMS抑郁分量表得分≥4），这一数字与早期基于医院的研究系列相当。AIMS焦虑分量表的大部分变异性可由身体功能差和男性性别来解释，而AIMS抑郁分量表的变异性大多由身体功能差、合并症和社交活动少来解释。
在我们基于社区的RA横断面研究系列中，抑郁症的情况与先前基于医院的研究系列报告的数字相当。身体功能差是抑郁和焦虑的一个重要解释因素。
