Kang Weixi
Department of Brain Sciences, Imperial College, London W12 0BZ, UK.
Healthcare (Basel). 2023 Jan 9;11(2):195. doi: 10.3390/healthcare11020195.
Arthritis is one of the main clusters of long-lasting musculoskeletal and joint disorders. Recently, there has been increasing interest in the impact of arthritis patients' mental health, which has mainly focused on depression and anxiety in clinical samples. However, much less is known about how domains of mental health based on the widely used 12-item version of the general health survey (GHQ-12) are affected by arthritis. The current research answered this question using confirmatory factor analysis, general linear models, and one-sample t-tests on a nationally representative sample from the United Kingdom with 5588 arthritis patients and 8794 participants indicating that they were not clinically diagnosed with arthritis. The current study found that (1) a total of three factors of GHQ-12 that are labeled GHQ-12A (social dysfunction and anhedonia; six items), GHQ-12B (depression and anxiety; four items), and GHQ-12C (loss of confidence; two items), and (2) both the global mental health and dimensions of mental health are negatively affected by arthritis. Clinicians could use the results from the present study to make better treatment decisions for patients with arthritis.
关节炎是长期存在的肌肉骨骼和关节疾病的主要类型之一。最近，人们对关节炎患者心理健康的影响越来越感兴趣，这主要集中在临床样本中的抑郁和焦虑方面。然而，对于基于广泛使用的12项一般健康调查问卷（GHQ - 12）的心理健康领域如何受到关节炎影响，我们所知甚少。当前的研究通过对来自英国的具有全国代表性的样本进行验证性因素分析、一般线性模型和单样本t检验，回答了这个问题，该样本中有5588名关节炎患者和8794名表示未被临床诊断为关节炎的参与者。当前的研究发现：（1）GHQ - 12共有三个因素，分别标记为GHQ - 12A（社交功能障碍和快感缺乏；六项）、GHQ - 12B（抑郁和焦虑；四项）和GHQ - 12C（信心丧失；两项）；（2）整体心理健康和心理健康维度均受到关节炎的负面影响。临床医生可以利用本研究的结果为关节炎患者做出更好的治疗决策。
