抑郁症是轴性脊柱关节炎患者疲劳的可能决定因素
Riccardo Bixio1, Chiara Bonetto2, Elena Fracassi3
1Rheumatology Section, Department of Medicine, University of Verona, Italy. riccardo.bixio@univr.it.
Clinical and experimental rheumatology
|January 31, 2024
概括
在轴性脊柱关节炎 (axSpA) 中,疲劳是常见的. 抑郁症,而不是疾病活动,在 axSpA 患者中显著预测疲劳,即使是缓解期患者. 这突显了抑郁症是影响疲劳的关键因素.
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.
- 临床研究 临床研究
背景情况:
- 疲劳是轴性脊椎关节炎 (axSpA) 的普遍伴随性疾病,无论疾病活动或缓解状态如何,都会影响患者.
- 了解疲劳的决定因素对于改善axSpA患者的生活质量至关重要.
研究的目的:
- 为了确定 axSpA 患者疲劳的患病率.
- 调查与疾病无关的因素,特别是抑郁症,作为 axSpA.疲劳的决定因素.
主要方法:
- 通过查尔德疲劳问卷 (CFQ) 和医院焦虑和抑郁量表 (HADS-D) 评估了119名axSpA患者.
- 使用ASDAS,BASFI和HAQ测量疾病活动和残疾.
- 采用单变量和多变量线性回归来确定疲劳预测因素.
主要成果:
- 44.5%的axSpA患者报告说他们感到疲劳.
- 较高的疲劳分数与抑郁症 (HADS-D),疾病活动 (ASDAS) 和残疾 (BASFI,HAQ) 的增加相关.
- 在所有分析中,抑郁症 (HADS-D) 是疲劳 (CFQ) 的重要预测因素,独立于疾病活动.
结论:
- 在axSpA中,疲劳与抑郁症有显著的关联.
- 抑郁症似乎是axSpA中疲劳的主要决定因素,无论临床疾病活动如何.
- 针对抑郁症可能是管理axSpA患者疲劳的关键.
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