The occurrence of depressive symptoms in rheumatoid arthritis: a cross-sectional study

Sonja Golubović; Tatjana Ilić; Boris Golubović; Milica Gajić; Zoran Gajić

doi:10.2298/VSP211125019G

Sonja Golubović University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Tatjana Ilić University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Boris Golubović University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Milica Gajić Polyclinic “Novakov and Associates”, Novi Sad, Serbia
Zoran Gajić University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia

DOI: https://doi.org/10.2298/VSP211125019G

Ključne reči: životno doba, faktor, artritis, reumatoidni, depresija, stanovanje, bolest, indeks, težine, rad

Sažetak

Uvod/Cilj. Depresija, kao čest komorbiditet kod bolesnika sa reumatoidnim artritisom (RA), može uticati na dijagnozu bolesti i odgovor na primenjeno lečenje. Zbog toga je cilj rada bio da se ispita učestalost simptoma depresivnosti kod bolesnika sa RA i međusobna povezanost između RA i depresije. Metode. Studija preseka obuhvatila je 69 bolesnika sa RA. Simptomi depresivnosti kod bolesnika sa RA procenjivani su korišćenjem Beck-ove skale za depresiju (Beck Depression Inventory –BDI), a aktivnost RA procenjivana je Indeksom aktivnosti bolesti (Disease Activity Score-28 for RA with erythrocyte sedimentation rate - DAS28-ESR) i Kliničkim indeksom aktivnosti bolesti (Clinical Disease Activity Index – CDAI). Rezultati. Simptomi depresivnosti različitog intenziteta zapaženi su kod 42% bolesnika, od kojih je najveći broj (23,2%) imao blage simptome depresivnosti. Utvrđena je pozitivna korelacija niskog stepena između BDI i DAS28-ESR (r = 0,39 p = 0,001), kao i između BDI i CDAI (r = 0,40 p = 0,001). Takođe, pokazano je da su mesto stanovanja (t = -2,14 p = 0,03) i status zaposlenja (t = -2,81 p = 0,00), koji su povezani sa simptomima depresivnosti, bili statistički značajno različiti unutar grupa ispitanika. Osim toga, životno doba bolesnika, mesto stanovanja i status zaposlenja su bili u pozitivnoj korelaciji sa stepenom aktivnosti bolesti. Zaključak. Simptomi depresivnosti kod bolesnika sa RA bili su povezani sa aktivnošću osnovne bolesti, statusom zaposlenja i mestom stanovanja. U cilju boljeg razumevanja depresije i RA, u budućim istraživanjima, neophodna je integracija reumatoloških službi i službi za mentalno zdravlje.

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Pojava simptoma depresivnosti kod bolesnika sa reumatoidnim artritisom: studija preseka

Sažetak

Reference