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抑郁症对类风湿关节炎患者注意力网络系统的影响——一项横断面研究。

Effect of depression on attentional network system among rheumatoid arthritis patients-A cross-sectional study.

作者信息

Chaurasia Neha, Singh Indramani L, Singh Tara, Tiwari Trayambak, Singh Anup

机构信息

Cognitive Science Laboratory, Department of Psychology, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Department of Geriatric Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2020 Apr 30;9(4):1974-1980. doi: 10.4103/jfmpc.jfmpc_1161_19. eCollection 2020 Apr.

DOI:10.4103/jfmpc.jfmpc_1161_19
PMID:32670950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7346935/
Abstract

Rheumatoid arthritis (RA) is a chronic, painful and debilitating musculoskeletal condition with depression being its common co-morbidity. It is associated with symptoms of fatigue, pain, and sleep disturbances that can overlap with or mimic symptoms of depression. It may occur with at least mild severity is up to 42% of RA patients. Basically, depression refers to a constellation of experience including not only mood but also physical, mental and behavioral experiences. The fact that rates of depression are higher in samples of patients with RA than in the normal population is well documented. The present study was conducted in order to examine the effect of depression on attentional functioning with diagnosed RA patients. Twenty RA patients out of which 10 patients with depression and 10 patients without depression participated in the study. The Beck Depression Inventory was administered for the assessment of depression and the attentional network task was used to measure the attentional performance of the RA patients. Results revealed that there was a significant difference in depressive symptoms among RA patients on accuracy and reaction time ( < 0.01) and orienting effect ( < 0.05). The findings would also imply intervention and rehabilitation of depression among RA patients.

摘要

类风湿性关节炎(RA)是一种慢性、疼痛且使人衰弱的肌肉骨骼疾病,抑郁症是其常见的合并症。它与疲劳、疼痛和睡眠障碍症状相关,这些症状可能与抑郁症症状重叠或相似。在高达42%的类风湿性关节炎患者中可能至少会出现轻度症状。基本上,抑郁症指的是一系列体验,不仅包括情绪,还包括身体、心理和行为体验。类风湿性关节炎患者样本中的抑郁症发病率高于正常人群,这一事实有充分的文献记载。本研究旨在探讨抑郁症对已确诊类风湿性关节炎患者注意力功能的影响。20名类风湿性关节炎患者参与了研究,其中10名患有抑郁症,10名没有抑郁症。使用贝克抑郁量表评估抑郁症,并使用注意力网络任务来测量类风湿性关节炎患者的注意力表现。结果显示,类风湿性关节炎患者在准确性、反应时间(<0.01)和定向效应(<0.05)方面的抑郁症状存在显著差异。这些发现也意味着对类风湿性关节炎患者抑郁症的干预和康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/f413452cf742/JFMPC-9-1974-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/1d949c98eb15/JFMPC-9-1974-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/fa2723a6adc8/JFMPC-9-1974-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/49936c1958ba/JFMPC-9-1974-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/f413452cf742/JFMPC-9-1974-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/1d949c98eb15/JFMPC-9-1974-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/fa2723a6adc8/JFMPC-9-1974-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/49936c1958ba/JFMPC-9-1974-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a95/7346935/f413452cf742/JFMPC-9-1974-g004.jpg

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本文引用的文献

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The dynamic relationship between pain, depression and cognitive function in a sample of newly diagnosed arthritic adults: a cross-lagged panel model.新诊断关节炎成年人群体中疼痛、抑郁和认知功能之间的动态关系:交叉滞后面板模型。
Psychol Med. 2020 Jul;50(10):1663-1671. doi: 10.1017/S0033291719001673. Epub 2019 Aug 7.
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Cognitive Impairment in Rheumatoid Arthritis: A Systematic Review.类风湿关节炎认知障碍:系统评价。
Arthritis Care Res (Hoboken). 2018 Jan;70(1):39-52. doi: 10.1002/acr.23243.
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The relationship between depression and cognitive deficits.
抑郁与认知缺陷的关系。
Psychiatr Danub. 2012 Sep;24 Suppl 1:S179-82.
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Executive and attentional functions in chronic pain: does performance decrease with increasing task load?慢性疼痛中的执行和注意功能:随着任务负荷的增加,表现是否会下降?
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Depression and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the hospital, Anxiety and Depression Scale (HADS).类风湿关节炎患者的抑郁和焦虑:基于抑郁、焦虑和压力量表 (DASS) 和医院焦虑和抑郁量表 (HADS) 比较的患病率。
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Anti-tumor necrosis factor-alpha therapy is associated with less frequent mood and anxiety disorders in patients with rheumatoid arthritis.抗肿瘤坏死因子-α治疗与类风湿性关节炎患者较少出现情绪和焦虑障碍相关。
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