Solmaz Mustafa, Binbay Zerrin, Cidem Muharrem, Sağir Selim, Karacan İlhan
Clinic of Psychiatry, Bağcılar Training and Research Hospital, İstanbul, Turkey.
Clinic of Physical Therapy and Rehabilitation, Bağcılar Training and Research Hospital, İstanbul, Turkey.
Noro Psikiyatr Ars. 2014 Dec;51(4):350-354. doi: 10.5152/npa.2014.6977. Epub 2014 Dec 1.
Ankylosing spondylitis (AS), which has an unknown etiology, inflammatory disorder, characterized by inflammation of the spinal joints and adjacent structures. It has a negatif effect on all aspects of a patients's life: Physcally, psychologically and socially. The purpose of this study was to determine the effect of AS on self-esteem and alexithymia.
In this study, 50 patients from the department of physical therapy and rehabilitation with the diaognosis of AS who were under traetment and follow-up and 50 healty volunteers who matched for age and gender were taken. Toronto Alexithymia Scale (TAS), Beck Depression Inventory (BDI), Rosenberg Self-Esteem Scale (RSES), Beck Anxiety Inventory (BAI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) were performed to both patients and control group.
Compared to the control group, the anxiety and depression scores were higher in the patient group and the alexithymic characteristics were significantly higher, self-esteem scores were significantly lower in the patient group (p<.05).
Like all the other inflammatory chronic diseases, depression and anxiety are commonly seen in AS patients. Alexithymai and self-esteem of these patients should be considered carefully. More studies are needed on this regard.
强直性脊柱炎（AS）病因不明，是一种炎症性疾病，其特征为脊柱关节及相邻结构的炎症。它对患者生活的各个方面都有负面影响：身体、心理和社会层面。本研究的目的是确定AS对自尊和述情障碍的影响。
在本研究中，选取了50名在物理治疗与康复科接受治疗和随访且诊断为AS的患者，以及50名年龄和性别相匹配的健康志愿者。对患者组和对照组均进行了多伦多述情障碍量表（TAS）、贝克抑郁量表（BDI）、罗森伯格自尊量表（RSES）、贝克焦虑量表（BAI）、巴斯强直性脊柱炎疾病活动指数（BASDAI）评估。
与对照组相比，患者组的焦虑和抑郁评分更高，述情障碍特征显著更高，患者组的自尊评分显著更低（p<0.05）。
与所有其他炎症性慢性疾病一样，AS患者中常见抑郁和焦虑。应仔细考虑这些患者的述情障碍和自尊问题。在这方面需要更多的研究。
