超出预期:牛皮关节炎的疾病持续时间和心理负担
Gamze Kılıç1, Erkan Kılıç2, İbrahim Tekeoğlu3
1Division of Rheumatology, Department of PMR, Karadeniz Technical University School of Medicine, Trabzon, Turkey. gkilic.md@hotmail.com.
Rheumatology international
|July 7, 2023
概括
牛皮关节炎 (PsA) 的心理负担在疾病持续时间中是一致的. 女性性别,疾病活动和生活质量会影响PsA患者的心理健康.
科学领域:
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 牛皮关节炎 (PsA) 显著影响患者的生活质量.
- 了解与PsA相关的心理负担对于全面的患者护理至关重要.
研究的目的:
- 研究PsA患者的疾病持续时间和心理负担之间的关系.
- 确定导致PsA患者心理痛苦的风险因素.
主要方法:
- 1113名PsA患者被分为早期 (<5年),中期 (5-10年) 和晚期 (≥10年) 疾病持续时间组.
- 使用标准化协议进行临床和实验室评估.
- 多变量分析评估了心理变量与临床参数之间的关联.
主要成果:
- 超过50%的PsA患者患有抑郁症的高风险,超过23%的焦虑症.
- 心理负担在所有疾病持续时间组中保持一致.
- 较高的抑郁和焦虑风险与增加的疾病活动,较差的生活质量和身体残疾相关.
结论:
- 在整个疾病过程中,PsA患者经历了类似的心理负担.
- 社会人口因素 (如女性性别,失业) 和与疾病相关的因素 (如疾病活动,生活质量,肠炎) 与PsA的心理健康问题有关.
- 评估心理痛苦可以为个性化干预提供信息,以改善幸福感并减少PsA的整体负担.
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