Karabıçak Deniz, Doğruöz Karatekin Bilinç, İçağasıoğlu Afitap
Department of Physical Medicine and Rehabilitation, Istanbul Medeniyet University Göztepe Training and Research Hospital, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2021 Sep 1;67(3):344-350. doi: 10.5606/tftrd.2021.6415. eCollection 2021 Sep.
This study aims to determine the effect of ankylosing spondylitis (AS) on alexithymia.
In this study, a total of 55 AS patients (30 males, 25 females; mean age: 40±8 years; range, 21 to 57 years) who were under follow-up and 55 age- and sex-matched healthy volunteers (31 males, 24 females; mean age: 38.9±8.5 years; range, 21 to 53 years) were included between March 2016 and August 2016. Toronto Alexithymia Scale (TAS), and Beck Depression Inventory (BDI) were performed to assess both patient and control groups. The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), and Ankylosing Spondylitis Quality of Life (ASQoL) were performed to assess AS patients.
The mean diagnosis time in the patient group was 5.18±4.32 (range, 1 to 18) years. Compared to the control group, depression scores were higher in the patient group and the alexithymic characteristics were significantly higher in the patient group (p<0.05). There was a positive correlation between complaint duration and BASMI, BASFI, and ASQoL scores (p<0.01). In our study, alexithymia rate was significantly higher in women (p<0.05).
As in all inflammatory chronic diseases, depression and anxiety are commonly seen in AS patients. Alexithymia of these patients should be considered carefully.
本研究旨在确定强直性脊柱炎（AS）对述情障碍的影响。
本研究纳入了2016年3月至2016年8月期间接受随访的55例AS患者（30例男性，25例女性；平均年龄：40±8岁；范围21至57岁）以及55例年龄和性别匹配的健康志愿者（31例男性，24例女性；平均年龄：38.9±8.5岁；范围21至53岁）。采用多伦多述情障碍量表（TAS）和贝克抑郁量表（BDI）对患者组和对照组进行评估。采用巴斯强直性脊柱炎疾病活动指数（BASDAI）、巴斯强直性脊柱炎功能指数（BASFI）、巴斯强直性脊柱炎测量指数（BASMI）和强直性脊柱炎生活质量（ASQoL）对AS患者进行评估。
患者组的平均诊断时间为5.18±4.32（范围1至18）年。与对照组相比，患者组的抑郁得分更高，述情障碍特征在患者组中显著更高（p<0.05）。主诉持续时间与BASMI、BASFI和ASQoL得分之间存在正相关（p<0.01）。在我们的研究中，女性的述情障碍发生率显著更高（p<0.05）。
与所有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。
