Nazarinasab Masoumeh, Motamedfar Azim, Moqadam Azin Eskandari
Department of Psychiatry, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Radiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Reumatologia. 2017;55(4):183-188. doi: 10.5114/reum.2017.69778. Epub 2017 Aug 31.
The reduction in the level of mental health, particularly depression is associated with outcome of treatment in patients with osteoarthritis (OA). There is no broader research into mental health or mental health care for OA patients. The purpose of the present study was to determine mental health and its relationship with some clinical and demographic factors among patients with OA.
94 patients with osteoarthritis were included in presented study. Patients were referred to hospital during the year of 2016, 30 male patients (31.9%) and 64 female (68.1%), female/male ratio was about 2 : 1. All patients were evaluated in the term of mental health through demographic questionnaire and SCL-90R questionnaire and the obtained data were analyzed using version 22 of SPSS Software.
The results showed that 58.5% of patients with osteoarthritis had mental health disorders. Among all studied patients mental health disorders were found in 55 patients (58.5%), including both isolated and complex disorders such as: psychological discomfort in the form of somatic symptoms disorder ( = 45), obsessive compulsive disorders ( = 43), interpersonal sensitivity ( = 44), depression ( = 47), anxiety ( = 41), aggression ( = 52), phobia ( = 42), paranoid psychosis ( = 32), psychosis ( = 3). In addition, the prevalence of mental health problems in patients with OA was significantly higher at the age range of 18 to 20 years old ( = 0.002). Also revealed that the greater risk of mental health disorders is in the first months of diagnosis of OA compare to the patients with longer disease duration more than six months ( = 0.01) and patients taking corticosteroids were significantly higher risk of mental health disorders development ( = 0.00).
In presented study although the prevalence of OA is higher in group of older people, but psychiatric disorders is more common in OA patients with age range below 20 years. In addition, patients in the early months of OA are at greater risk of psychiatric disorders which the disorders were observed higher in patients taking corticosteroids.
心理健康水平的降低，尤其是抑郁，与骨关节炎（OA）患者的治疗结果相关。目前尚无针对OA患者心理健康或心理保健的更广泛研究。本研究的目的是确定OA患者的心理健康状况及其与一些临床和人口统计学因素的关系。
本研究纳入了94例骨关节炎患者。患者于2016年被转诊至医院，其中男性患者30例（31.9%），女性患者64例（68.1%），男女比例约为2:1。所有患者均通过人口统计学问卷和SCL-90R问卷进行心理健康评估，并使用SPSS软件22版对所得数据进行分析。
结果显示，58.5%的骨关节炎患者存在心理健康障碍。在所有研究患者中，55例（58.5%）存在心理健康障碍，包括单独和复杂的障碍，如：以躯体症状障碍形式出现的心理不适（=45）、强迫症（=43）、人际敏感（=44）、抑郁（=47）、焦虑（=41）、攻击性（=52）、恐惧症（=42）、偏执性精神病（=32）、精神病（=3）。此外，OA患者心理健康问题的患病率在18至20岁年龄组显著更高（=0.002）。还显示，与病程超过6个月的患者相比，OA诊断后最初几个月心理健康障碍的风险更大（=0.01），且服用皮质类固醇的患者心理健康障碍发生风险显著更高（=0.00）。
在本研究中，虽然OA在老年人中患病率较高，但精神障碍在年龄低于20岁的OA患者中更为常见。此外，OA发病最初几个月的患者患精神障碍的风险更大，且服用皮质类固醇的患者中观察到的精神障碍更高。
