Prévalence et facteurs prédictifs de la dépression au cours de la polyarthrite rhumatoïde

Tekaya, R.; Saadi, F.; Mahmoud, I.; Saidane, O.; Abdelmoula, L.; Chaabouni, L.; Zouari, R.

doi:10.1016/j.lpm.2011.10.029

Cited by 7 publications

(2 citation statements)

References 34 publications

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“…L'incidence de l'é tat dé pressif parmi les patients atteints de PR apparaît importante [8,11,35] et son intensité serait é galement lié e à l'insomnie et la somnolence diurne [13,24,27]. Enfin, un fort sentiment d'inquié -tude et d'impuissance serait lié à un haut niveau de fatigue, de dé pression et d'anxié té [19,20].…”

Section: Dé Pression Anxié Té Et Straté Gies D'ajustementunclassified

Facteurs psychologiques et intensité de la fatigue perçue auprès de patients souffrant d’une polyarthrite rhumatoïde : une recherche préliminaire

Michel¹,

Banovic²,

Gilibert³

et al. 2016

Annales Médico-psychologiques, revue psychiatrique

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Section: Dé Pression Anxié Té Et Straté Gies D'ajustementunclassified

Facteurs psychologiques et intensité de la fatigue perçue auprès de patients souffrant d’une polyarthrite rhumatoïde : une recherche préliminaire

Michel¹,

Banovic²,

Gilibert³

et al. 2016

Annales Médico-psychologiques, revue psychiatrique

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“…Apart from high RA disease activity, which was identified in a Pakistani study, 15 a small Tunisian study found that the main predictors associated with depression in RA patients were: female gender, absence of professional activity or social support, poor quality of life, and underlying structural joint damage. 16 An Egyptian study showed that RA patients had significantly higher depression scores, were more likely to be clinically depressed compared to osteoarthritis patients, and were identified as being single and having a higher functional disability, when assessed by the health assessment questionnaire (HAQ), as significant predictors of clinical depression. 17 A more recent observational cross-sectional study from Egypt involving 200 RA patients found that 42% had moderate to severe depression on the patient health questionnaire (PHQ-9) score, which correlated with age, disease duration, joint deformities, and inflammatory markers: C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR).…”

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confidence: 99%

Prevalence of depressive symptoms in patients with rheumatoid arthritis at a regional hospital in KwaZulu-Natal, South Africa

et al. 2022

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Background: Depression affects 14.8% – 38.8% of patients with rheumatoid arthritis (RA) in developed countries. The prevalence and risk factors for depression in patients with RA in sub-Saharan Africa is not well established.Aim: To determine the prevalence of depressive symptoms in patients with RA.Setting: Public sector regional hospital in South Africa.Methods: A cross-sectional descriptive study was undertaken with 110 adult RA patients. A structured socio-demographic and clinical questionnaire, the modified health assessment questionnaire (mHAQ), the simplified disease activity index (SDAI) for RA, the patient health questionnaire (PHQ-9), and the Household Food Insecurity Access scale (HFIAS) for nutritional status, were used. Correlates of depressive symptomatology in participants with RA were identified using t-tests and regression analyses.Results: Most of the participants were women (90.9%), 67% had moderate to severe RA disease on the SDAI score, 92.7% reported functional disability (HAQ score of ≥ 1), and 87.2% reported mild to severe depressive symptoms. Unemployment (p 0.01), severe food insecurity (p 0.01) and functional disability (p = 0.02), were significantly associated with the depressive symptoms, but not with disease activity (p = 0.8) or inflammatory markers (p = 0.63). Unemployment (adjusted β = −5.07, p 0.01) and severe food insecurity (adjusted β = −4.47, p 0.01) were significantly associated with depressive symptoms, based on the adjusted regression model.Conclusion: As RA effects functional status, with the impact of the resulting unemployment and food insecurity being associated with depression, affected people should be screened for depression and managed using a multidisciplinary approach, especially considering the role of social determinants in RA patients with depression.

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Depression als Systemeffekt bei rheumatoider Arthritis

Englbrecht

Wendler²,

Alten

2012

Z. Rheumatol.

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The social recognition of depression in general and as a comorbidity in illnesses such as rheumatoid arthritis (RA) has essentially changed in recent years. Previous studies have shown that the occurrence of depression in RA patients is closely related to the individual ways of coping with disease and the corresponding impact of disease on daily life. Patients who are experiencing feelings of helplessness while facing the illness are prone to depressive disorders, especially if effective strategies for managing the impact of disease are lacking. Tools for early recognition of depression include instruments such as patient questionnaires or interview protocols which should be interpreted with caution due to the overlap of symptoms arising from RA and depression. A supplemental cognitive behavioral intervention in addition to medication with antidepressive drugs provides an opportunity to identify the underlying cause of depression and learn about effective coping strategies to at least partially maintain self-control of RA.

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Prévalence et facteurs prédictifs de la dépression au cours de la polyarthrite rhumatoïde

Cited by 7 publications

References 34 publications

Facteurs psychologiques et intensité de la fatigue perçue auprès de patients souffrant d’une polyarthrite rhumatoïde : une recherche préliminaire

Facteurs psychologiques et intensité de la fatigue perçue auprès de patients souffrant d’une polyarthrite rhumatoïde : une recherche préliminaire

Prevalence of depressive symptoms in patients with rheumatoid arthritis at a regional hospital in KwaZulu-Natal, South Africa

Depression als Systemeffekt bei rheumatoider Arthritis

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