Cavalieri F, Salaffi F, Ferraccioli G F
Rheumatic Disease Unit (RDU), University Hospital of Parma, Italy.
Clin Exp Rheumatol. 1991 Jan-Feb;9(1):47-50.
Forty-two consecutive female rheumatoid patients were given the AIMS questionnaire in order to determine their disability. Twenty-one had a second assessment one year later. Factorial analysis showed that the Italian version fully respects the construct of the original test. In fact four main factors (the physical, psychological, social and pain dimensions) arose, explaining 44.8%, 13.6%, 11.4% and 9% of the total variance, respectively. A close relationship was demonstrated between psychological variables, namely depression, and physical impairment, as shown by the correlation coefficient matrix. In order to determine whether depression might influence the ultimate outcome twenty-one patients were separated into two subsets according to their initial depression (greater than 5, less than 5). After one year, dexterity and pain were significantly worse in those with the highest depression score. This study shows that the psychological variables, in addition to physical impairment and pain, are of utmost importance in the outcome of rheumatoid patients.
为了确定42名连续的女性类风湿性关节炎患者的残疾程度，对她们进行了关节炎影响测量尺度（AIMS）问卷调查。一年后，其中21名患者接受了第二次评估。因子分析表明，意大利语版本完全符合原始测试的结构。事实上，出现了四个主要因素（身体、心理、社会和疼痛维度），分别解释了总方差的44.8%、13.6%、11.4%和9%。相关系数矩阵显示，心理变量（即抑郁）与身体损伤之间存在密切关系。为了确定抑郁是否可能影响最终结果，根据患者最初的抑郁程度（大于5分、小于5分）将21名患者分为两个亚组。一年后，抑郁得分最高的患者的灵活性和疼痛情况明显更差。这项研究表明，除了身体损伤和疼痛外，心理变量在类风湿性关节炎患者的病情转归中也至关重要。
