Socioeconomic and therapy factor influence on self-reported fatigue, anxiety and depression in rheumatoid arthritis patients
| Autor: | Vesna Mioljević, Snežana Marjanović, Branislav Gvozdenovic, Mirjana Lapcevic, Mira Vukovic |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Population Anxiety Therapy Fatigue Arthritis Rheumatoid Biological Factors 03 medical and health sciences 0302 clinical medicine Adrenal Cortex Hormones Internal medicine Humans Medicine In patient 030212 general & internal medicine Rheumatoid arthritis education Socioeconomic status Fatigue Depression (differential diagnoses) Aged General Environmental Science 030203 arthritis & rheumatology education.field_of_study business.industry Depression Anti-Inflammatory Agents Non-Steroidal Middle Aged medicine.disease Cross-Sectional Studies Generalized anxiety Socioeconomic Factors Antirheumatic Agents Quality of Life Physical therapy General Earth and Planetary Sciences Female Self Report lcsh:RC925-935 medicine.symptom business Antirheumatic drugs |
| Zdroj: | Revista Brasileira de Reumatologia v.57 n.6 2017 Revista Brasileira de Reumatologia Sociedade Brasileira de Reumatologia (SBR) instacron:SBR Revista Brasileira de Reumatologia, Vol 57, Iss 6, Pp 545-556 |
| ISSN: | 2255-5021 |
| DOI: | 10.1016/j.rbre.2017.02.004 |
| Popis: | Introduction Fatigue, anxiety and depression are very frequent symptoms in patients with rheumatoid arthritis (RA). Goals In this study we evaluated the influence of socioeconomic characteristics, therapy and comorbidities on the self-reported high fatigue, anxiety and depression in patients with RA. Method Multicenter cross-sectional study was performed in 22 health institutions in Serbia during the period from April–August 2014 in population of older RA patients. Self-reported patients health status was measured by: Fatigue Assessment Scale, Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7. Treatment modalities were defined as: (1) non-steroidal anti-inflammatory drugs (NSAIDs) and/or analgesics and/or corticosteroids; (2) synthetic disease-modifying antirheumatic drugs (DMARDs) alone or in combination with corticosteroids and/or NSAIDs and (3) any RA treatment which includes biologic DMARDs. Results There were significant predictors of high depression: synthetic DMARDs therapy in combination with corticosteroids and/or NSAIDs, physiotherapist self-payment, frequent taxi use, alternative treatment and employment status. The need for another person's assistance, supplemental calcium therapy and professional qualifications were the predictors of a high fatigue, whereas the age above 65 years had the protective effect on it. Anxiety was an independent high fatigue predictor. The predictors of a high anxiety were: gastroprotection with proton-pump inhibitors and patient occupation. Conclusion Socioeconomic predictors of self-reported high depression, anxiety or fatigue are different for each of the mentioned outcomes, while accompanied with the basic RA treatment they exclusively explain a high depression. The anxiety, jointed with the socioeconomic variables and supplemental therapy, is a significant fatigue predictor in RA patients. |
| Databáze: | OpenAIRE |
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