Depressive disorder in rheumatoid arthritis: the more joint’s distressed, the more severely depressed
International Journal of Applied Behavioral Sciences,
Vol. 3 No. 1 (2016),
12 Dey 2017
,
Page 31-35
https://doi.org/10.22037/ijabs.v3i1.11821
Abstract
Introduction: To determine the prevalence of depressive disorder and it's related factors in the patients with rheumatoid arthritis. Methods: This cross-sectional study was conductd from April 2013 to August 2014.A total of 81 patients with Rheumatoid Arthritis (RA) were enrolled from Rheumatology Clinic, Shahid Beheshti Hospital, Kashan/ Iran. The Severety of depressive disorder was measured by Beck Depression Inventory, and the diagnosis of depressive disorder was confirmed in clinical interview by psychiatrist based on DSM-IV-TR. Results: Findings showed that more than half of the RA patients with depression 55.5 % had severe depression, the rest had Moderate and mild degree of depression, (16.7%) and (27.8%) respectively. There was no statistically significant relationship between depression and age, sex, marital status, job, economic status, and joint deformity (P > 0.05). However, the relationship between depression and the number of affected joints was statistically significant (P = 0.02), those patients with seven or more affected joints had a higher rate of depression than those with six or less. Conclusion: Due to the relatively high prevalence of depressive disorder among those patients with rheumatoid arthritis early screening and treatment of depressive disorder is greatly recommended. Declaration of interest: None- Arthritis
- Rheumatoid
- Depressive disorder
- Joints
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References
Wright, G.E., et al., Age, depressive symptoms, and rheumatoid arthritis. Arthritis Rheum, 1998. 41(2): p. 298-305.
Cadena, J., et al., The impact of disease activity on the quality of life, mental health status, and family dysfunction in colombian patients with rheumatoid arthritis. J Clin Rheumatol, 2003. 9(3): p. 142-50.
Hill, C.L., et al., Psychological factors and quality of life in arthritis: a population-based study. Clin Rheumatol, 2007. 26(7): p. 1049-54.
Pincus, T., et al., Prevalence of self-reported depression in patients with rheumatoid arthritis. Br J Rheumatol, 1996. 35(9): p. 879-83.
Ohayon, M.M. and A.F. Schatzberg, Chronic pain and major depressive disorder in the general population. J Psychiatr Res, 2010. 44(7): p. 454-61.
Williams, J.W., Jr., et al., Case-finding for depression in primary care: a randomized trial. Am J Med, 1999. 106(1): p. 36-43.
Atapoor, J., et al., The relationship between depression and disability in patients with Rheumatoid arthritis in Kerman. Journal of Kerman University of Medical Sciences, 2002. 9(2): p. 79-85.
Waheed, A., et al., The burden of anxiety and depression among patients with chronic rheumatologic disorders at a tertiary care hospital clinic in Karachi, Pakistan. J Pak Med Assoc, 2006. 56(5): p. 243-7.
Azad, N., M. Gondal, and N. Abbas, Frequency of depression and anxiety in patients attending a rheumatology clinic. J Coll Physicians Surg Pak, 2008. 18(9): p. 569-73.
Sato, E., et al., Major depressive disorder in patients with rheumatoid arthritis. Mod Rheumatol, 2013. 23(2): p. 237-44.
Frank, R.G., et al., Depression in rheumatoid arthritis. J Rheumatol, 1988. 15(6): p. 920-5.
Murphy, S., F. Creed, and M.I. Jayson, Psychiatric disorder and illness behaviour in rheumatoid arthritis. Br J Rheumatol, 1988. 27(5): p. 357-63.
Peck, J.R., et al., Disability and depression in rheumatoid arthritis. A multi-trait, multi-method investigation. Arthritis Rheum, 1989. 32(9): p. 1100-6.
Kojima, M., et al., Depression, inflammation, and pain in patients with rheumatoid arthritis. Arthritis Rheum, 2009. 61(8): p. 1018-24.
Dowlati, Y., et al., A meta-analysis of cytokines in major depression. Biol Psychiatry, 2010. 67(5): p. 446-57.
Schiepers, O.J., M.C. Wichers, and M. Maes, Cytokines and major depression. Prog Neuropsychopharmacol Biol Psychiatry, 2005. 29(2): p. 201-17.
Wolfe, F., et al., Evaluating severity and status in rheumatoid arthritis. J Rheumatol, 2001. 28(6): p. 1453-62.
Guidelines for the management of rheumatoid arthritis: 2002 Update. Arthritis Rheum, 2002. 46(2): p. 328-46.
Hewlett, S.A., Patients and clinicians have different perspectives on outcomes in arthritis. J Rheumatol, 2003. 30(4): p. 877-9.
Cohen, S. and M.S. Rodriquez, Pathways linking affective disturbances and physical disorders. Health Psychol, 1995. 14(5): p. 374-80.
Kojima, M., et al., Psychosocial factors, disease status, and quality of life in patients with rheumatoid arthritis. J Psychosom Res, 2009. 67(5): p. 425-31.
Gettings, L., Psychological well-being in rheumatoid arthritis: a review of the literature. Musculoskeletal Care, 2010. 8(2): p. 99-106.
Zahirrodin AR,Ghoreishi F S.Survey of depressive symptoms intonic clonic epileptic patients. Journal of research in medicine,2006.30(4):305-308.
Ahmadvand, A., et al., Prevalence of psychiatric disorders in the general population of Kashan, Iran. Arch Iran Med, 2012. 15(4): p. 205-9.
Ayuso-Mateos, J.L., et al., Depressive disorders in Europe: prevalence figures from the ODIN study. Br J Psychiatry, 2001. 179: p. 308-16.
Creed, F. and G. Ash, Depression in rheumatoid arthritis: Etiology and treatment. International Review of Psychiatry, 1992. 4(1): p. 23-33.
Ho, R.C., et al., Clinical and psycho social factors associated with depression and anxiety in Singaporean patients with rheumatoid arthritis. Int J Rheum Dis, 2011. 14(1): p. 37-47.
Katz, P.P. and E.H. Yelin, Activity loss and the onset of depressive symptoms: do some activities matter more than others? Arthritis Rheum, 2001. 44(5): p. 1194-202.
Melikoglu, M.A. and M. Melikoglu, The relationship between disease activity and depression in patients with Behest disease and rheumatoid arthritis. Rheumatol Int, 2010. 30(7): p. 941-6.
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