类风湿关节炎患者的抑郁状况及寻求专业帮助的障碍：一项观察性研究。
Depression among rheumatoid arthritis patients and barriers to seeking professional help: An observational study.
作者信息
Panjrattan Carol, Chauhan V S, Nath Shubhranshu, Singh Kartikeya R, Banyal Navdeep, Bajwa Manpreet K
机构信息
Department of Psychiatry, Command Hospital Eastern Command, Kolkata, West Bengal, India.
出版信息
Ind Psychiatry J. 2023 Nov;32(Suppl 1):S136-S140. doi: 10.4103/ipj.ipj_222_23. Epub 2023 Nov 30.
BACKGROUND
A few studies have reported the association of rheumatoid arthritis (RA) with emotional changes including anxiety and depression. There is a paucity of Indian studies in this area.
AIM
To assess depression and its correlates in diagnosed cases of RA.
MATERIALS AND METHODS
This was a cross-sectional and hospital-based study. A total of 70 patients with RA fulfilled the inclusion and exclusion criteria. Their demographic characteristics were recorded. They were individually assessed with the Clinical Disease Activity Index, Numerical Pain Rating Scale, Barriers to Access Care Evaluation, and Beck Depression Inventory. Statistical analysis was undertaken with SPSS.
RESULTS
In the patients with RA the prevalence of depression was 44.2%. Analysis revealed that there was a significant positive correlation between depression with the severity of RA. Barriers to help-seeking were mainly attitudinal rather than stigma-related or instrumental barriers.
CONCLUSION
In the RA patients, the prevalence of depression was 44.2%. Clinical disease activity and the pain index were higher in patients with depression.
背景
一些研究报告了类风湿关节炎（RA）与包括焦虑和抑郁在内的情绪变化之间的关联。该领域的印度研究较少。
目的
评估确诊的类风湿关节炎病例中的抑郁情况及其相关因素。
材料与方法
这是一项基于医院的横断面研究。共有70例类风湿关节炎患者符合纳入和排除标准。记录了他们的人口统计学特征。使用临床疾病活动指数、数字疼痛评分量表、获得医疗服务障碍评估量表和贝克抑郁量表对他们进行了个体评估。使用SPSS进行统计分析。
结果
类风湿关节炎患者中抑郁症的患病率为44.2%。分析显示，抑郁与类风湿关节炎的严重程度之间存在显著正相关。寻求帮助的障碍主要是态度方面的，而非与耻辱感相关或工具性障碍。
结论
类风湿关节炎患者中抑郁症的患病率为44.2%。抑郁症患者的临床疾病活动度和疼痛指数较高。
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