RESUMEN
OBJECTIVE: To measure the effects of depression and anxiety on quality of life (QoL) in patients with rheumatoid arthritis (RA), knee osteoarthritis (OA) and fibromyalgia syndrome (FMS). METHODS: One hundred and fifty-four patients with RA, knee OA, and FMS who presented to the physical medicine and rehabilitation department were studied. For evaluation of the patients, Beck depression scale, Beck anxiety scale, and Short Form-36 were used. RESULTS: Twenty-two per cent of patients (n = 34) were diagnosed with of RA, 52.6% (n = 81) knee OA and 25.3% (n = 39) FMS. Except for the subscales, of physical and emotional role, there were statistically significant differences among diagnostic groups in the rest of the SF-36 subscales. In the physical functioning subscale, the highest score was obtained in the fibromyalgia group and the lowest in the RA group (p < 0.001). However, in the bodily pain subscale, the lowest score was recorded in the fibromyalgia group (p = 0.019). In all diagnostic groups, the scores of SF-36 subscales were significantly low in patients who scored above the threshold value of Beck depression scale (p < 0. 001). A strong negative correlation was detected between scores of Beck anxiety scale and the scores of all SF36 subscales in patients with RA and knee OA. On the other hand, in patients with FMS, anxiety scores correlated negatively with only physical and somatic function scores of SF-36. CONCLUSION: Quality of life is significantly low in patients with RA, knee OA and FMS, whose depression and/or anxiety scores are high. Therefore, these patients should be managed using a multidisciplinary approach including psychiatric support.
Asunto(s)
Ansiedad/diagnóstico , Artritis Reumatoide/psicología , Depresión/diagnóstico , Fibromialgia/psicología , Osteoartritis de la Rodilla/psicología , Calidad de Vida/psicología , Adulto , Anciano , Ansiedad/psicología , Depresión/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pruebas Psicológicas , Psicometría , Factores SocioeconómicosRESUMEN
OBJECTIVE: To measure the effects of depression and anxiety on quality of life (QoL) in patients with rheumatoid arthritis (RA), knee osteoarthritis (OA) and fibromyalgia syndrome (FMS). METHODS: One hundred and fifty-four patients with RA, knee OA, and FMS who presented to the physical medicine and rehabilitation department were studied. For evaluation of the patients, Beck depression scale, Beck anxiety scale, and Short Form-36 were used. RESULTS: Twenty-two per cent of patients (n = 34) were diagnosed with of RA, 52.6% (n = 81) knee OA and 25.3% (n = 39) FMS. Except for the subscales, of physical and emotional role, there were statistically significant differences among diagnostic groups in the rest of the SF-36 subscales. In the physical functioning subscale, the highest score was obtained in the fibromyalgia group and the lowest in the RA group (p < 0.001). However, in the bodily pain subscale, the lowest score was recorded in the fibromyalgia group (p = 0.019). In all diagnostic groups, the scores of SF-36 subscales were significantly low in patients who scored above the threshold value of Beck depression scale (p < 0. 001). A strong negative correlation was detected between scores of Beck anxiety scale and the scores of all SF36 subscales in patients with RA and knee OA. On the other hand, in patients with FMS, anxiety scores correlated negatively with only physical and somatic function scores of SF-36. CONCLUSION: Quality of life is significantly low in patients with RA, knee OA and FMS, whose depression and/or anxiety scores are high. Therefore, these patients should be managed using a multidisciplinary approach including psychiatric support.
OBJETIVO: Medir los efectos de la depresión y la ansiedad sobre la calidad de vida (CdV) en pacientes con artritis reumatoide (AR), osteoartritis de la rodilla (OA) y síndrome de fibromialgia (SFM). MÉTODOS: Se estudiaron ciento cincuenta y cuatro pacientes con RA, OA de la rodilla, y, que acudieron al departamento de medicina física y rehabilitación. Para la evaluación de los pacientes se utilizaron la escala de depresión de Beck, la escala de ansiedad de Beck, y el cuestionario de salud SF-3. RESULTADOS: Al veintidós por ciento de los pacientes (n = 34) se les diagnosticó RA, al 52.6% (n = 81) OA de la rodilla, y al 25.3% (n = 39) SFM. Excepto para las subescalas del rol físico y emocional, hubo diferencias estadísticamente significativas entre los grupos diagnósticos en el resto de las subescalas del cuestionario SF-36. En la subescala del funcionamiento físico, la puntuación más alta se obtuvo en el grupo de fibromialgia y la más baja en el de RA (p < 0.001). Sin embargo, en la subescala de dolor corporal, la puntuación más baja se registró en el grupo de fibromialgia (p = 0.019). En todos los grupos diagnósticos, las puntuaciones de las subescalas del cuestionario fueron significativamente más bajas en los pacientes que obtuvieron puntos por encima del valor umbral de la escala de depresión de Beck (p < 0.001). Una fuerte correlación negativa fue detectada entre las puntuaciones de la escala de ansiedad de Beck y las puntuaciones de todas las subescalas del cuestionario SF-36 en pacientes con RA y OA de la rodilla. Por otro lado, en pacientes con SF, las puntuaciones de ansiedad tuvieron una correlación negativa con solo puntuaciones de función física y somática de SF-36. CONCLUSIÓN: La calidad de vida es significativamente mas baja en pacientes con RAD, OA de la rodilla y SFM, cuyas puntuaciones de depresión y/o ansiedad son elevadas. Por lo tanto, estos pacientes deben de ser tratados haciendo uso de enfoques multidisciplinarios, incluyendo apoyo...