depressive disorder in rheumatoid arthritis: the more joint’s distressed, the more severely depressed

نویسندگان

fatemeh ghoreishi department of psychiatry, assistant professor of kashan university of medical sciences, kashan, iran

batool zamani department of rheumatology, associate professor of kashan university of medical sciences, kashan, iran.

mohammadreza razaghof medical student of tehran university of medical sciences, tehran, iran

چکیده

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

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Sex differences in rheumatoid arthritis: more than meets the eye...

Sex differences in the prevalence of autoimmune diseases such as rheumatoid arthritis (RA) are well described, but the literature is not as clear about sex differences in RA disease course and prognosis. A recent study from a very large cross-sectional international cohort demonstrated slightly worse levels of disease activity and function in female patients with RA, compared with men. These fi...

متن کامل

Three Groups in the 28 Joints for Rheumatoid Arthritis Synovitis – Analysis Using More than 17,000 Assessments in the KURAMA Database

Rheumatoid arthritis (RA) is a joint-destructive autoimmune disease. Three composite indices evaluating the same 28 joints are commonly used for the evaluation of RA activity. However, the relationship between, and the frequency of, the joint involvements are still not fully understood. Here, we obtained and analyzed 17,311 assessments for 28 joints in 1,314 patients with RA from 2005 to 2011 f...

متن کامل

Rheumatoid arthritis of the temporomandibular joints.

Although temporomandibular-joint involvement by rheumatoid arthritis is well recognized, its incidence is unknown. Russel and Bayles (1941) estimated that the temporomandibular joints became involved in 50 per cent. of patients, Ragan (1949) 4 7 per cent., Markowitz and Gerry (1950) 8 *7 per cent., and Einaudi and Viara (1964) 29 3 per cent in 260 rheumatoid arthritics. These variations may be ...

متن کامل

Why does rheumatoid arthritis involve the joints?

A long-standing question in rheumatology is why inflammatory arthritides such as rheumatoid arthritis involve the joints. Many studies have addressed this question; a recent article by Lee et al.1 provides a new answer that is both obvious and intriguing. Rheumatoid arthritis affects the joints because of the essential role of the synovium in regulating inflammation. The normal synovial membran...

متن کامل

Combined infliximab and methotrexate treatment improves the depressive state in rheumatoid arthritis patients more effectively than methotrexate alone.

OBJECTIVE Rheumatoid arthritis (RA) patients have a greater depressive tendency than normal subjects, and infliximab is known to provide quick therapeutic effects and to have high bioavailability for RA. We therefore investigated whether the depressive state of RA patients would be improved by infliximab. MATERIAL AND METHODS The Self-Rating Depression Scale (SDS) was used to evaluate 34 RA p...

متن کامل

Atherosclerosis and Rheumatoid Arthritis: More Than a Simple Association

In the last decades a large amount of evidence linked rheumatoid arthritis (RA) to atherosclerosis. In fact, RA patients have an increased risk of cardiovascular events that is not fully explained by other classic cardiovascular risk factors. RA and atherosclerosis may share several common pathomechanisms and inflammation undoubtedly plays a primary role. The proinflammatory cytokines such as t...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
international journal of applied behavioral sciences

جلد ۳، شماره ۲، صفحات ۳۱-۳۵

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023