Frequency of Depression and Anxiety Symptoms in Mexican Patients with Rheumatic Diseases Determined by Self-Administered Questionnaires Adapted to the Spanish Language
| Autor: | Mariana Moreno-Ramírez, Luis M Amezcua-Guerra, Javier Loaiza-Félix, Luis H. Silveira, Luis F Pérez-García, Vijaya Rivera |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Generalized anxiety disorder Spanish language Osteoporosis Osteoarthritis Anxiety Severity of Illness Index 03 medical and health sciences Sex Factors 0302 clinical medicine Rheumatic Diseases Surveys and Questionnaires Internal medicine Fibromyalgia medicine Humans Mass Screening 030212 general & internal medicine Mexico Depression (differential diagnoses) Aged Language 030203 arthritis & rheumatology Depression business.industry General Medicine Middle Aged medicine.disease Cross-Sectional Studies Antidepressant Female medicine.symptom business |
| Zdroj: | Revista de investigaci�n Cl�nica. 71 |
| ISSN: | 0034-8376 |
| Popis: | Background The frequency of depression and anxiety symptoms in Spanish-speaking patients suffering from rheumatic conditions is unknown when using self-administered detection tools. Methods A single-center, cross-sectional survey including 413 patients (341 women) with well-defined rheumatic diseases was conducted. The patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder (GAD)-7 questionnaires were used to detect depression and anxiety symptoms, respectively. Results A total of 193 patients (46.7%) reported depression symptoms, and increased PHQ-9 scores were more frequently observed in women than in men (23% vs. 13%; p = 0.038), particularly in association with osteoarthritis, fibromyalgia, Sjogren's syndrome, and osteoporosis. From 88 patients (21.3%) with PHQ-9 scores ≥ 10 points (moderate-to-severe depression symptoms), 27 (30.6%) were previously diagnosed to have depression and only four were under antidepressant treatment. Anxiety symptoms were observed in 168 patients (40.6%) and classified as moderate-to-severe by elevated GAD-7 scores in 68 subjects (16.4%). Of them, 12 (17.6%) were previously diagnosed with GAD, but only 4 (5.8%) were under therapy. Conclusions An unexpected and unusually high frequency of undiagnosed depression and anxiety symptoms was found in rheumatic patients. Self-administered screening tools adapted to the Spanish language are useful and may help clinicians to suspect these conditions. |
| Databáze: | OpenAIRE |
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