a Clinic of Early Arthritis , National Institute of Geriatrics, Rheumatology and Rehabilitation , Warsaw , Poland.
b Department of Gerontology, Public Health and Didactics , National Institute of Geriatrics, Rheumatology and Rehabilitation , Warsaw , Poland.
Psychol Health Med. 2019 Mar;24(3):333-343. doi: 10.1080/13548506.2018.1529325. Epub 2018 Oct 4.
The objective of the study was to assess the prevalence of symptoms of depression and insomnia among patients with rheumatoid arthritis and osteoarthritis in comparison with individuals without chronic diseases. The study was carried out at National Institute of Geriatrics, Rheumatology and Rehabilitation, included 229 persons. The participants were divided into the following groups: group I - 120 patients with rheumatoid arthritis, group II - 58 patients with osteoarthritis, group III - 51 healthy individuals no confirmed depression (control group). Symptoms of depression were confirmed by a multiple-choice self-reported Beck Depression Inventory questionnaire. Symptoms of depression confirmed with depression inventory≥ 10 occurred as follows: patients with rheumatoid arthritis - 75.83%, patients with osteoarthritis - 50%, control group - 23.53% (p<0.0001), with the prevalence of insomnia (AIS≥6) at: 71%, 32% and 33%, respectively (p<0.001). In group I mean values of FIRST and AIS were 23.06 and 8.36 respectively, with group II: 21.71 and 7.84, respectively. In all subjects with AIS≥6, the depression inventory was statistically significantly (p<0.005) higher than in the subjects with AIS<6 (respectively: 17.02 vs 12.13; 15.6 vs 8.05; 5.45 vs 1.81). Patients with rheumatoid arthritis find it difficult to cope with stress. Insomnia as a reaction to stress occurs more often in this group.
本研究旨在评估类风湿关节炎和骨关节炎患者与无慢性病个体相比，抑郁和失眠症状的患病率。该研究在国立老年病学、风湿病学和康复研究所进行，共纳入 229 人。参与者分为以下三组：I 组 - 120 例类风湿关节炎患者，II 组 - 58 例骨关节炎患者，III 组 - 51 例无抑郁确诊的健康个体（对照组）。抑郁症状通过多项选择自我报告贝克抑郁量表问卷确认。抑郁量表评分≥10 分的抑郁症状确诊如下：类风湿关节炎患者 - 75.83%，骨关节炎患者 - 50%，对照组 - 23.53%（p<0.0001），失眠（AIS≥6）的患病率分别为：71%、32%和 33%（p<0.001）。I 组的 FIRST 和 AIS 平均值分别为 23.06 和 8.36，II 组分别为 21.71 和 7.84。在所有 AIS≥6 的患者中，抑郁量表评分明显高于 AIS<6 的患者（分别为：17.02 vs 12.13；15.6 vs 8.05；5.45 vs 1.81）。类风湿关节炎患者发现难以应对压力。失眠作为对压力的反应，在这组患者中更为常见。
