Is anxiety a more common disorder than depression in rheumatoid arthritis?

El-Miedany, Yasser; Rasheed, Amany Haroun El

doi:10.1016/s1297-319x(02)00368-8

Cited by 98 publications

(91 citation statements)

References 20 publications

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“…In general, patients with RA suffer from depression or anxiety more frequently than general population. The prevalence of depression and anxiety with RA was estimated to reach up to 66.2% [27][28][29] and 70%, 29 respectively. In a study of Japanese females with RA performed Physical function (HAQ-DI) by Takeda et al, 30 the authors reported that over one-third of RA patients demonstrated a high anxiety level.…”

Section: Discussionmentioning

confidence: 99%

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Sexual Function in Females With Rheumatoid Arthritis: Relationship With Physical and Psychosocial States

et al. 2016

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Objectives: This study aims to assess the frequency rates of sexual problems and associated factors in a cohort of married females with rheumatoid arthritis (RA). Patients and methods:The study included 200 female RA patients (mean age 44.2±9.1 years; range 18 to 55 years) and 100 age matched healthy control females (mean age 42.5±6.3 years; range 18 to 55 years). Mean duration of RA was 5.8±4.1 years. All participants were assessed by Health Assessment Questionnaire Disability Index, Numerical Rating Pain Scale, Sexual Disability Scale, psychiatric interview, Beck Depression Inventory, and Spielberger's State-Trait Anxiety Inventory. Results: Majority of the patients had grade II physical disability (62%), moderate pain (55%), depression (46%), and anxiety (77%). Sexual disability and loss of sexual desire and satisfaction were reported in 4% to 77.8% of patients which varied with age, duration of RA, degree of physical disability, and psychiatric comorbidities. Multiple regression analysis showed that scores of sexual disability and loss of sexual desire and satisfaction were significantly associated with scores of Health Assessment Questionnaire Disability Index (β=0.347; p=0.018; β=0.501; p=0.001) and depression (β=0.304; p=0.043; β=0.550; p=0.001). Conclusion:We may conclude that the frequencies of sexual problems in females with RA are high and closely related to physical disability and psychiatric comorbidities.

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Section: Discussionmentioning

confidence: 99%

“…Answers are scored on a scale of 1 to 4 and scores range from 20 to 80. Levels of anxiety are classified into three levels according to scores: average (27)(28)(29)(30)(31)(32)(33)(34)(35), above average (36-51), or severe (52-80). 23 …”

Section: Methodsmentioning

confidence: 99%

Sexual Function in Females With Rheumatoid Arthritis: Relationship With Physical and Psychosocial States

et al. 2016

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“…A prevalência de ansiedade entre os pacientes com AR é alarmante, apresentando-se superior a 70% em algumas amostras (El-Mieddany & El-Rasheed, 2002). Num estudo realizado no Brasil a prevalência de ansiedade e depressão foi de 33.7% dos casos, sendo que os pacientes relataram que essas alterações surgiram somente após o início da doença (Costa et al, 2008).…”

Section: Artrite Reumatóide E Saúde Mentalunclassified

Alterações psicológicas e exercício físico em pacientes com artrite reumatóide

Dario¹,

Külkamp²,

Faraco³

et al. 2010

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RESUMOEste estudo teve por objetivo realizar uma revisão da literatura, buscando elucidar quais as alterações psicológicas mais prevalentes em indivíduos acometidos por Artrite Reumatóide (AR). Pesquisou-se também a respeito do impacto do exercício físico sobre essas variáveis psicológicas, expondo quais protocolos de exercício que estão sendo empregues com a finalidade de melhorar a saúde mental desses pacientes. Apesar dos poucos estudos sobre o tema, pode-se verificar que os transtornos de ansiedade e de depressão apresentam maior prevalência nessa população. Em contraste, poucas evidências foram encontradas quanto ao maior risco de psicose, agressividade e alto nível de estresse. Paralelamente, desde que foi associado à AR pela primeira vez, na década de 50, o exercício físico vem demonstrando bons resultados no tratamento da doença, consolidando-se cada vez mais como ferramenta terapêutica para esses pacientes. Evidências emergem também em relação às alterações benéficas provocadas pelo exercício nas variáveis psicológicas, no entanto, mais estudos são necessários para o fortalecimento destes dados. Isso permitiria aos pacientes com AR tratamentos mais efetivos, com uma base científica sólida, visando a melhoria na qualidade de vida dentro de um aspecto mais amplo, onde a saúde mental desempenha um papel fundamental. Palavras-chave: artrite reumatóide, variáveis psicológicas, exercício físico ABSTRACT The purpose of this study was to provide a literature review aiming to clarify the most prevalent psychological changes present in individuals suffering from rheumatoid arthritis (RA), the impact of exercise on such changes, and the exercise protocols commonly adopted to improve these individuals' mental health. The few studies available report anxiety disorders and depression as most prevalent and physical exercise as a significant therapeutic strategy for this population. There is some evidence of the beneficial effects of exercise on those psychological variables providing RA patients with more effective treatments.

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“…The authors note that some physicians may not feel comfortable discussing depression with their patients and advocate the use of brief depression screening questionnaires before the patient's visits in order to identify problems early on. The prevalence of anxiety has been less well studied in this population (Soderlin et al, 2000;VanDyke et al, 2004), though there is some evidence that anxiety may be even more common than depression (El-Miedany et al, 2002), a conservative estimates of the prevalence of coexisting somatic disorders and phobias, according to Hansen's study was 12.9%. Psychiatric syndromes have significant implications for patients with rheumatoid arthritis: individuals with both arthritis and depression report increased functional disability (Vali et al, 1998) and increased levels of arthritis-related pain (Fifield et al, 1998), compared to individuals with arthritis alone.…”

Section: Psychiatic Morbidity In Rheumatoid Arthritismentioning

confidence: 94%

Rheumatoid Arthritis: A Historical and Biopsychosocial Perspective

Zyrianova¹

2012

Rheumatoid Arthritis - Etiology, Consequences and Co-Morbidities

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Is anxiety a more common disorder than depression in rheumatoid arthritis?

Cited by 98 publications

References 20 publications

Sexual Function in Females With Rheumatoid Arthritis: Relationship With Physical and Psychosocial States

Sexual Function in Females With Rheumatoid Arthritis: Relationship With Physical and Psychosocial States

Alterações psicológicas e exercício físico em pacientes com artrite reumatóide

Rheumatoid Arthritis: A Historical and Biopsychosocial Perspective

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