在患有类风湿性关节炎的个体中,精神病发病率的模式和流行率
Ajaz Kariem Khan1, Junaid Nabi2, Ashaq Hussain Parrey2
1Centre for Rheumatic Diseases, Shifa Superspeciality Hospital, Srinagar, India.
Reumatologia
|May 27, 2024
概括
精神疾病在类风湿性关节炎 (RA) 患者中很常见,主要抑郁症影响41%的患者. 这凸显了对综合精神卫生服务的需求,以提供全面的RA护理.
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:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,导致关节炎症和疼痛.
- 由于慢性疾病,疼痛和治疗副作用,RA患者面临精神病发病的高风险.
- 了解RA中精神疾病的患病率和模式对于有效的患者管理至关重要.
研究的目的:
- 系统地调查和分析被诊断为RA的个体中精神病发病率的流行情况.
- 为了确定与RA共同存在的常见精神健康状况.
- 通过了解RA与精神疾病的相互作用,为改善整体患者护理提供见解.
主要方法:
- 一个前性,观察性,跨截面研究,持续了三年.
- 由精神病学家使用ICD-10标准和Mini-Plus评估的精神病发病率.
- 根据2010年ACR/EULAR标准证实了RA诊断;根据DAS28.28确定了疾病活性.
主要成果:
- 包括1000名RA患者;64.8%是女性,大多数年龄在41-54岁之间.
- 大型抑郁症 (41.0%) 是最常见的并发症,其次是体形疾病 (28.5%) 和通用焦虑症 (13.5%).
- 53.2%的患者有中度的RA疾病活动;17%的患者没有精神表现.
结论:
- 精神病发病率与类风湿性关节炎显著相关.
- 显然需要将精神病学服务纳入RA患者的护理.
- 解决精神健康并发症可以改善患者的整体结果和生活质量.
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