Department of Psychology, San Diego State University, 5500 Campanile Dr, San Diego, CA 92182, USA.
Department of Psychology, University of California San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA.
Int J Environ Res Public Health. 2022 Mar 14;19(6):3413. doi: 10.3390/ijerph19063413.
Depression is common in people with fibromyalgia (FM) and osteoarthritis (OA) and has been linked to adverse health outcomes in these conditions. The purpose of this study was to examine differences in predictors of depression among individuals with FM and OA using a range of health, demographic, and psychological variables. Of the total 963 participants, 600 were diagnosed with FM, and 363 with OA. The Quality of Well-Being Scale (QWB) was used to assess health status. The Fibromyalgia Impact Questionnaire (FIQ) and the Arthritis Impact Measurement Scale (AIMS) were used to measure disease-specific impact. Additionally, participants completed self-efficacy and helplessness assessments. Depression was measured using the Center for Epidemiological Studies Scale (CES-D). The results of a moderated linear regression showed that higher depression scores were associated with lower health status and a greater condition impact, especially in the FM group. Self-efficacy and helplessness predicted depression in both groups, but more strongly in FM. White participants with OA were more depressed than their non-White counterparts, while the opposite was true for FM. These findings indicate that improving health status and psychological well-being might alleviate depression in both FM and OA.
抑郁在纤维肌痛（FM）和骨关节炎（OA）患者中很常见，并且与这些疾病的不良健康结果有关。本研究的目的是使用一系列健康、人口统计学和心理变量，研究 FM 和 OA 患者中抑郁的预测因素的差异。在总共 963 名参与者中，600 人被诊断患有 FM，363 人患有 OA。使用健康状况良好的衡量标准（QWB）评估健康状况。使用纤维肌痛影响问卷（FIQ）和关节炎影响衡量量表（AIMS）衡量特定疾病的影响。此外，参与者还完成了自我效能和无助感评估。使用流行病学研究中心抑郁量表（CES-D）测量抑郁。调节线性回归的结果表明，较高的抑郁评分与较低的健康状况和更大的疾病影响相关，尤其是在 FM 组中。自我效能感和无助感预测了两组的抑郁，但在 FM 组中更为明显。OA 的白人参与者比非白人参与者抑郁程度更高，而在 FM 中则相反。这些发现表明，改善健康状况和心理健康可能会减轻 FM 和 OA 患者的抑郁。
