The impacts of state and trait anxiety as moderated by perceived social support among Nigerian patients with rheumatoid arthritis.

Autor: Akintayo RO; Division of Rheumatology, Department of Medicine, University of Ilorin Teaching Hospital, Nigeria., Odunlami GJ; Department of Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria., Bamidele OF; Division of Rheumatology, Department of Medicine, University of Ilorin Teaching Hospital, Nigeria., Fabiyi EP; Department of Behavioral Science, University of Ilorin Teaching Hospital, Nigeria., Akintayo FC; Department of Family Medicine, Ladoke Akintola University Teaching Hospital, Ogbomoso, Nigeria., Bamidele OV; Department of Behavioral Science, University of Ilorin Teaching Hospital, Nigeria., Dedeke IA; Department of Medicine, University College Hospital, Ibadan, Nigeria., Osagie TT; Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Nigeria., Ibisola AA; Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Nigeria.
Jazyk: angličtina
Zdroj: Reumatologia [Reumatologia] 2018; Vol. 56 (3), pp. 155-163. Date of Electronic Publication: 2018 Jun 30.
DOI: 10.5114/reum.2018.76903
Abstrakt: Objectives: To assess the levels of state and trait anxiety and determine their relationships with perceived social support among Nigerian patients with rheumatoid arthritis (RA).
Material and Methods: A cross-sectional study of 50 patients satisfying the 2010 American College of Rheumatology/European League against Rheumatism Classification Criteria for RA was conducted. Anxiety was assessed using the Spielberger State-Trait Anxiety Inventory (STAI), perceived social support by the Interpersonal Support Evaluation List (ISEL), health-related quality of life (HRQoL) by the Medical Outcome Study 36-Item Short Form Health Survey (SF-36) and disability by the Health Assessment Questionnaire-Disability Index (HAQ-DI).
Results: The mean state anxiety (STAI-S), trait anxiety (STAI-T) and ISEL scores among the patients were 35.2 ±10.2, 36.7 ±8.8 and 87.2 ±21.2 respectively. Pathological degrees of state and trait anxiety were found among 7 (14%) and 5 (10.4%) patients respectively. There was a negative correlation between the STAI-T score and the ISEL score ( r = -0.362, p = 0.011). However, the correlation between STAI-S and ISEL was not statistically significant ( r = -0.193, p = 0.179). A moderate-to-high correlation was found between each of STAI-S and STAI-T and all subscales and component summaries of the SF-36. ISEL score correlated significantly with role emotional ( r = 0.377, p = 0.008), mental health ( r = 0.482, p ≤ 0.001) and bodily pain ( r = 0.320, p = 0.025) domains and the mental component summary ( r = 0.380, p = 0.007) of SF-36. HAQ-DI correlated strongly with both STAI-S ( r = 0.735, p ≤ 0.001) and STAI-T ( r = 0.575, p ≤ 0.001) but not with ISEL.
Conclusions: State and trait anxiety correlate negatively with all aspects of HRQoL and disability, and there is a notable relationship between perceived social support and trait anxiety as well as the mental aspect of HRQoL.
Competing Interests: The authors declare no conflict of interest.
Databáze: MEDLINE