Impulsivity and ankylosing spondylitis: Is there a relationship?

Yurdakul, Fatma Gül; Çimen, Yeşim Garip; Ulucaköy, Rezan Koçak; Almaz, Şahide Eda; Uçkun, Aslı Çalişkan; Bodur, Hatice

doi:10.5606/tftrd.2019.2580

Cited by 4 publications

(10 citation statements)

References 26 publications

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“…However, Peluso et al 45 reported that patients with major depression had higher nonplanning impulsivity scores during the depressive episode than when they were in remission. Our study also demonstrated a correlation between the severity of depressive symptoms and scores on the nonplanning subscale of the BIS, as previously shown, 46,47 suggesting that, as depression symptoms increase, patients tend to rate themselves as more impulsive in self-reports. Thus, higher BIS nonplanning scores may not indicate increased impulsivity related to depression but rather they may be associated with the depressive mood itself.…”

Section: Self-reported Nonplanning Impulsivity Correlated With Depres...supporting

confidence: 88%

Impulsivity in Depression: Its Relation to Suicidality

Öğüt

Başar

Karahan

2023

Journal of Psychiatric Practice

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Objective: Impulsivity is an important risk for suicidality, which is common in patients with major depressive disorder (MDD). The goal of this study was to examine multiple facets of impulsivity in depressed patients compared with healthy controls and to assess their relationship to suicidality. Method: Outpatients diagnosed with MDD using the Structured Clinical Interview for DSM-IV were recruited. Two groups were constituted as “MDD in remission” (n=32) and “MDD” (n=71). The “healthy control” group (n=30) consisted of individuals who had never been diagnosed with any psychiatric disorder. Impulsivity was assessed with the Barratt Impulsivity Scale (BIS), a self-rating measure, and with the following behavioral tasks: Go/No-go Task, Iowa Gambling Task, and Balloon Analogue Risk Task. The scores of the 3 groups (n=133) were compared to evaluate the effect of MDD. The scores were also analyzed and compared in the patients in the 2 MDD groups (n=103) with respect to their current and lifetime suicidality. Results: There was no difference in the 3 groups in task scores, but nonplanning BIS was correlated with the severity of depressive symptoms. Patients with suicidal ideation (SI) had higher BIS total and attention impulsivity scores and more commission errors on the Go/No-go Task, reflecting failure in response inhibition, compared with the patients without SI. Conclusions: Failure to show differences in impulsivity-related tasks suggests that there might be no relationship between the state of depression and impulsivity. However, these findings confirm that there is an association between SI and response inhibition and the attention facet of impulsivity in depression.

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Section: Self-reported Nonplanning Impulsivity Correlated With Depres...supporting

confidence: 88%

Impulsivity in Depression: Its Relation to Suicidality

Öğüt

Başar

Karahan

2023

Journal of Psychiatric Practice

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“…In addition, old age, low education level, male gender, and low socioeconomic conditions are reported as being associated with an increase in alexithymia 15 . Importantly, alexithymia and other psychological problems, such as depression, anxiety, and impulsivity, are remarkably widespread in axSpA patients and may negatively influence their quality of life and lower compliance with treatment 11,16–18 . Coexisting pain, alexithymia, depression, and inflammation were investigated in patients with chronic pain conditions, including temporomandibular joint disorders, chronic migraine, complex regional pain syndrome, and low back pain, as well as rheumatic diseases 19,20 …”

Section: Introductionmentioning

confidence: 99%

“…Alexithymia was initially observed in individuals with somatic disorders 13 and has been reported to accompany some rheumatic diseases, such as AS, 17,18 inflammatory bowel disease, 21 fibromyalgia, 22 rheumatoid arthritis, and psoriatic arthritis 20,23,24 . In addition, one concern is that alexithymia, which is a deficiency in the proper regulation of emotions, may lead patients to mistakenly evaluate their emotions as a symptom of illness, which could lead to more hospital admissions and unnecessary treatment 19 …”

Section: Introductionmentioning

confidence: 99%

The influence of alexithymia on disease activity and quality of life in patients with axial spondyloarthritis: A cross‐sectional study

et al. 2023

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Objective: To evaluate the prevalence of alexithymia and its influence on disease activity, quality of life, and clinical outcomes in axial spondyloarthritis (axSpA) patients. Patients and Methods:This cross-sectional study included 110 (59 men and 51 women) consecutive axSpA patients who agreed to participate at our rheumatology outpatient clinic. Patient demographics, pain, disease activity measures, functionality, quality of life, alexithymia, psychological status, neuropathic pain, and fibromyalgia were evaluated. Patients were divided into 2 groups (without vs with alexithymia) and compared. The risk factors for alexithymia were evaluated. Results:The prevalence of alexithymia in axSpA patients was 31.8% according to a Toronto Alexithymia Scale-20 cutoff of ≥61. The mean age and body mass index of patients were 41.25 ± 9.64 years and 27.73 ± 4.51 kg/m 2 , respectively. Most patients with alexithymia were women. Patients with alexithymia had significantly high scores for depression, anxiety, fibromyalgia, disease activity, enthesitis, worse quality of life, and poor functionality (all P < 0.05). Female gender (odds ratio [OR] = 22.359), patient global assessment (OR = 7.873), Bath Ankylosing Spondylitis Functional Index (OR = 1.864), and fibromyalgia symptom severity (OR = 1.303) were found to be independent risk factors for alexithymia. Conclusion:The present study results showed that about one-third of axSpA patients had alexithymia, and the patients with alexithymia had higher disease activity, worse quality of life, and worse functional status than those without alexithymia. Female gender, patient global assessment, functional status, and fibromyalgia symptom severity were found to be important contributing factors to alexithymia.

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“…[ 10 - 12 ] However, to the best of our knowledge, there are only few studies investigating alexithymia in AS patients. [ 13 , 14 ]…”

Section: Introductionmentioning

confidence: 99%

Alexithymia in ankylosing spondylitis

Karabıçak¹,

Karatekin²,

İçağasıoğlu³

2021

Turk J Phys Med Rehab

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Objectives: This study aims to determine the effect of ankylosing spondylitis (AS) on alexithymia. Patients and methods: In this study, a total of 55 AS patients (30 males, 25 females; mean age: 40±8 years; range, 21 to 57 years) who were under follow-up and 55 age- and sex-matched healthy volunteers (31 males, 24 females; mean age: 38.9±8.5 years; range, 21 to 53 years) were included between March 2016 and August 2016. Toronto Alexithymia Scale (TAS), and Beck Depression Inventory (BDI) were performed to assess both patient and control groups. The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), and Ankylosing Spondylitis Quality of Life (ASQoL) were performed to assess AS patients. Results: The mean diagnosis time in the patient group was 5.18±4.32 (range, 1 to 18) years. Compared to the control group, depression scores were higher in the patient group and the alexithymic characteristics were significantly higher in the patient group (p<0.05). There was a positive correlation between complaint duration and BASMI, BASFI, and ASQoL scores (p<0.01). In our study, alexithymia rate was significantly higher in women (p<0.05). Conclusion: As in all inflammatory chronic diseases, depression and anxiety are commonly seen in AS patients. Alexithymia of these patients should be considered carefully.

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Impulsivity and ankylosing spondylitis: Is there a relationship?

Cited by 4 publications

References 26 publications

Impulsivity in Depression: Its Relation to Suicidality

Impulsivity in Depression: Its Relation to Suicidality

The influence of alexithymia on disease activity and quality of life in patients with axial spondyloarthritis: A cross‐sectional study

Alexithymia in ankylosing spondylitis

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