Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
J Psychosom Res. 2021 Dec;151:110662. doi: 10.1016/j.jpsychores.2021.110662. Epub 2021 Oct 30.
Arthritis can negatively affect physical and mental health, especially among middle-aged and older people. This study investigated the longitudinal association between changes in arthritis status and depressive symptoms among Korean adults aged ≥45 years.
We analyzed data from the Korean Longitudinal Study of Aging 2008-2018, using a generalized estimating equation model to investigate associations between arthritis status change and depressive symptoms, which were assessed using five categories according to measurements based on the Center for Epidemiological Studies Depression Scale (CES-D-10).
Both men and women whose arthritis status changed to "worse" or remained "same" scored higher for depressive symptoms than those who reported "no symptoms of arthritis" (men, worse = β: 1.07, P ≤ .001, same = β: 0.25 P = .031; women, worse = β: 0.99, P ≤ .001, same = β: 0.13, P = .049). Conversely, men with a "better" arthritis status (β: -0.71, P ≤ .001) and women with a "recovered" arthritis status (β: -0.56, P = .031) scored lower for depressive symptoms than those who reported "no symptoms of arthritis."
Arthritis status changes are associated with depressive symptoms in middle-aged and older Koreans. Therefore, mental health evaluation and management interventions are recommended for patients with arthritis and changes in disease status.
关节炎会对身心健康产生负面影响，尤其是在中老年人中。本研究调查了韩国≥45 岁成年人中关节炎状况变化与抑郁症状之间的纵向关联。
我们分析了 2008-2018 年韩国老龄化纵向研究的数据，使用广义估计方程模型来研究关节炎状况变化与抑郁症状之间的关联，抑郁症状根据基于流行病学研究中心抑郁量表（CES-D-10）测量的五个类别进行评估。
与报告“无关节炎症状”的人相比，关节炎状况变为“更糟”或“保持不变”的男性和女性的抑郁症状评分更高（男性，更糟：β=1.07，P≤.001，相同：β=0.25，P=.031；女性，更糟：β=0.99，P≤.001，相同：β=0.13，P=.049）。相反，关节炎状况“更好”的男性（β=-0.71，P≤.001）和关节炎状况“康复”的女性（β=-0.56，P=.031）的抑郁症状评分低于报告“无关节炎症状”的人。
关节炎状况的变化与中年及以上韩国人的抑郁症状相关。因此，建议对关节炎患者和疾病状况变化进行心理健康评估和管理干预。
