在症状膝关节骨关节炎中抑郁症的高患病率:关于风险因素和治疗影响的横截面研究
Mahamadou Sagara1, Abderrahim Majjad2, Laila Taoubane2
1Department of Rheumatology, Mohammed V Military Teaching Hospital, Rabat, Morocco. mohamadousag@gmail.com.
BMC musculoskeletal disorders
|December 30, 2025
概括
近三分之一的患有症状膝关节骨关节炎 (KOA) 的患者患有抑郁症,尤其是女性. 诸如较高的BMI,疼痛和不活动等因素与抑郁症有关,而不是放射性严重性.
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.
- 公共卫生 公共卫生
背景情况:
- 膝关节关节炎 (KOA) 是摩洛哥的一个重大健康问题.
- 北非KOA患者中抑郁症的患病率和相关因素尚未得到充分研究.
研究的目的:
- 调查症状的KOA患者中抑郁症的流行率.
- 在这个人群中确定与抑郁症相关的因素.
主要方法:
- 通过ACR标准诊断的410名KOA患者的横截面研究.
- 评估包括WOMAC,HADS和凯尔格伦-劳伦斯 (KL) 分级.
- 多变量逻辑回归分析了与抑郁症相关的因素 (HADS-D ≥11).
主要成果:
- 抑郁症 (HADS-D ≥11) 在31.7%的患者中存在,主要是女性 (72.3%).
- 相关因素包括女性性别,更高的BMI,增加疼痛和功能限制 (WOMAC),并发症和身体不活动.
- 凯尔格伦-劳伦斯 (KL) 评级显示与抑郁症没有显著的关联.
结论:
- 近三分之一的症状KOA患者表现出临床显著的抑郁症状.
- 抑郁症与可改变的因素 (BMI,疼痛,不活动) 和不可改变的因素 (性别) 有关.
- 建议采用全方位的管理方法,重点关注疼痛,活动和心理健康,无论放射性严重程度如何.
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