Somatic symptoms, drinking, and mental distress among Russian female patients with rheumatoid arthritis: A pilot study - 08/07/17
Résumé |
Introduction |
Drinking has been shown to be a protective factor against the risk of rheumatoid arthritis (RA). On the other hand, high prevalence of depressive symptoms has been observed among RA patients.
Objective |
To evaluate the association between depressive symptoms and somatic factors as well as drinking habits in RA patients.
Methods |
Drinking habits and physical symptoms in 182 female RA outpatients in Ivanovo, Russia (average [standard deviation] of age, 62.0 [11.7] years), were investigated. Drinking status was classified as current drinkers (alcohol consumption within the previous 12months) and others. Depressive symptoms were evaluated with MINI, HADS and CES-D questionnaires. Outcomes were (a) presence or history of major depressive disorder, presence of melancholic major depressive disorder, presence of dysthymia, or 1 point or greater of suicidal risk score in MINI, (b) 8 points or greater in HADS-depression, (c) 8 points or greater in HADS-anxiety, and (d) 16 points or greater in CES-D. Stepwise logistic regression was used to evaluate somatic factors associated with depressive symptoms, with age and drinking status included.
Results |
Drinking was rather protective against depression, but did not reach statistical significance. Symptomatic parts in the extremities associated with the outcomes were shoulders for MINI, elbows and knees for HADS-depression, shoulders for HADS-anxiety, and hands, elbows and shoulders for CES-D. In the stepwise selection, some symptoms in the extremities were positively associated with the outcomes.
Conclusion |
Symptoms chiefly in large joints contributed to depressive symptoms.
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Vol 41 - N° S
P. S510 - avril 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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