#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Factors associated with depressive symptoms in patients with ankylosing spondylitis in Northern Taiwan


Autoři: Mei-Ling Fang aff001;  Chien-Sheng Wu aff002;  Li-Chueh Weng aff003;  Hsiu-Li Huang aff004
Působiště autorů: Department of Nursing, Far Eastern Memorial Hospital, New Taipei City, Taiwan aff001;  Division of Allergy, Immunology and Rheumatology, Far Eastern Memorial Hospital, New Taipei City, Taiwan aff002;  School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan aff003;  Department of Long-term Care, College of Health Technology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan aff004
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0224298

Souhrn

Patients with ankylosing spondylitis (AS) experience impaired physical function and reduced quality of life, which puts this group at high risk for depression. Identifying factors associated with depressive symptoms could improve outcomes for this at-risk group. However, few studies have examined the relationship between demographic and clinical variables and depressive symptoms in patients with AS. This cross-sectional correlation study recruited patients with AS by convenience sampling from the division of immunology and rheumatology of a medical center in Northern Taiwan. Participants (N = 120) included 91 males and 29 females, age ≥ 20 years. Data were collected from chart reviews, and structural questionnaires, which included demographic information regarding employment status, history of falls, impact of AS on work; clinical information relative to AS was obtained from structural questionnaires: the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and functional index (BASFI), Numerical Rating Scale (NRS), Body Image Scale (BIS), and Beck Depression Inventory-II (BDI-II). Multiple regression analysis identified predictors of depression. The mean BDI-II score was 9.50 ± 8.30; 25% had scores indicating mild to severe depressive symptoms. Mean score on the BIS was 68.17 ± 16.14; 14.2% had fallen within the previous year; and 57.5% reported AS affected their work. Variables associated with depressive symptoms were work affected by AS (β = 0.14, p = .049), occurrence of a fall within the previous year (β = 0.14, p = .032), higher scores on the BASDAI (β = 0.21, p = .032), and lower body image (β = −0.38, p < .001). Clinical professionals should regularly assess patients with AS for depressive symptoms. Health care planning should provide instruction in fall prevention and control of disease activity, and strategies to improve body image, which could improve patients’ self-management capabilities and body image as well as mitigate depressive symptoms.

Klíčová slova:

Depression – Employment – Immunology – Inflammatory diseases – Patients – Rheumatology – Taiwan – Ankylosing spondylitis


Zdroje

1. Rudwaleit M, van der Heijde D, Landewe R, Akkoc N, Brandt J, Chou CT, et al. The Assessment of SpondyloArthritis International Society classification criteria for peripheral spondyloarthritis and for spondyloarthritis in general. Ann Rheum Dis. 2011;70(1):25–31. doi: 10.1136/ard.2010.133645 21109520

2. Uckun A, Sezer I. Ankylosing spondylitis and balance. Eurasian J Med. 2017;49(3):207–210. doi: 10.5152/eurasianjmed.2017.17116 29123446

3. Dean LE, Jones GT, MacDonald AG, Downham C, Sturrock RD, Macfarlane GJ. Global prevalence of ankylosing spondylitis. Rheumatol. 2014;53(4):650–7. doi: 10.1093/rheumatology/ket387 24324212

4. Chang CT, Hsieh MY, Kuo CF. Trend of epidemiology of ankylosing spondylitis between 2006 and 2015 in Taiwan: A 10 years nationwide population study. Formosan J Rheumatol. 2017;31(2):1–9. doi: 10.6313/FJR

5. Akkoç N, Direskeneli H, Erdem H, Gül A, Kabasakal Y, Kiraz S, et al. Direct and indirect costs associated with ankylosing spondylitis and related disease activity scores in Turkey. Rheumatol Int. 2015;35(9):1473–8. doi: 10.1007/s00296-015-3236-y 25749712

6. Shen CC, Hu LY, Yang AC, Kuo BI, Chiang YY, Tsai SJ. Risk of psychiatric disorders following ankylosing spondylitis: A nationwide population-based retrospective cohort study. J Rheumatol. 2016;43(3):625–31. doi: 10.3899/jrheum.150388 26834219

7. Shen B, Zhang A, Liu J, Da Z, Xu X, Liu H, et al. Body image disturbance and quality of life in Chinese patients with ankylosing spondylitis. Psychol Psychother. 2014;87(3):324–37. doi: 10.1111/papt.12016 24123522

8. Brionez TF, Assassi S, Reveille JD, Green C, Learch T, Diekman L, et al. Psychological correlates of self-reported disease activity in ankylosing spondylitis. J Rheumatol. 2010;37(4):829–34. doi: 10.3899/jrheum.090476 20156952

9. Guenther V, Locher E, Falkenbach A, Gutweniger S, Kopp M, Pfaffenberger N, et al. Body image in patients with ankylosing spondylitis. Clin Exp Rheumatol. 2010;28(3):341–7. 20460037

10. Kilic G, Kilic E, Ozgocmen S. Relationship between psychiatric status, self-reported outcome measures, and clinical parameters in axial spondyloarthritis. Medicine. 2014;93(29):e337. doi: 10.1097/MD.0000000000000337 25546683

11. Meesters JJL, Bremander A, Bergman S, Petersson IF, Turkiewicz A, Englund M. The risk for depression in patients with ankylosing spondylitis: a population-based cohort study. Arthritis Re Ther. 2014;16(5):418. doi: 10.1186/s13075-014-0418-z 25209603

12. Özkan Y. Anxiety, depression, problem solving and stress management in patients with ankylosing spondylitis. Meandros Med Dent J. 2018;19:57–63. doi: 10.4274/meandros.98704

13. Xu X, Shen B, Zhang A, Liu J, Da Z, Liu H, et al. Anxiety and depression correlate with disease and quality-of-life parameters in Chinese patients with ankylosing spondylitis. Patient Prefer Adherence. 2016;10:879–85. doi: 10.2147/PPA.S86612 27284241

14. Zhao S, Thong D, Miller N, Duffield SJ, Hughes DM, Chadwick L, et al. The prevalence of depression in axial spondyloarthritis and its association with disease activity: a systematic review and meta-analysis. Arthritis Res Ther. 2018;20(1):140. doi: 10.1186/s13075-018-1644-6 29996916

15. Zou Q, Jiang Y, Mu F, Shi Y, & Fang Y. Correlation of axial spondyloarthritis witha nxiety and depression. Med Sci Monit. 2016;22(9): 3202–8. PMC5021017.

16. Hopkins C, Moulton C. The prevalence of depression and its correlates in ankylosing spondylitis: A systematic review and meta-analysis. European Psychiatry. 2016;33:S166. https://doi.org/10.1016/j.eurpsy.2016.01.264.

17. Hider SL, Tanveer W, Brownfield A, Mattey DL, Packham JC. Depression in RA patients treated with anti-TNF is common and under-recognized in the rheumatology clinic. Rheumatol. 2009;48(9):1152–4. doi: 10.1093/rheumatology/kep170 19608723

18. Macsween A, Brydson G, Fox KR. Physical self perceptions of women with rheumatoid arthritis. Arthritis Rheum. 2004;51(6):958–63. doi: 10.1002/art.20830 15593103

19. Baysal O, Durmus B, Ersoy Y, Altay Z, Senel K, Nas K, et al. Relationship between psychological status and disease activity and quality of life in ankylosing spondylitis. Rheumatol Int. 2011;31(6):795–800. doi: 10.1007/s00296-010-1381-x 20221605

20. Boonen A, Chorus A, Miedema H, van der Heijde D, Landewe R, Schouten H, et al. Withdrawal from labour force due to work disability in patients with ankylosing spondylitis. Ann Rheum Dis. 2001;60(11):1033–9. doi: 10.1136/ard.60.11.1033 11602474

21. Ulus Y, Akyol Y, Bilgici A, Kuru O. Association of work instability with fatigue and emotional status in patients with ankylosing spondylitis: comparison with healthy controls. Clin Rheumatol. 2019;38(4): 1017–24. doi: 10.1007/s10067-018-4366-x 30448934

22. Ramonda R, Marchesoni A, Carletto A, Bianchi G, Cutolo M, Ferraccioli G, et al. Patient-reported impact of spondyloarthritis on work disability and working life: the ATLANTIS survey. Arthritis Res Ther. 2016;18:78. doi: 10.1186/s13075-016-0977-2 27037139

23. Sag S, Nas K, Sag MS, Tekeoglu I, Kamanli A. Relationship of work disability between the disease activity, depression and quality of life in patients with ankylosing spondylitis. J Back Musculoskelet Rehabil. 2018;31(3):499–505. doi: 10.3233/BMR-169657 29504521

24. Kurt E, ÖZdİLlİ K, Yorulmaz H. Body Image and self-esteem in patients with rheumatoid arthritis. Nöro Psikiyatr Arş. 2013;50(3):202–8. doi: 10.4274/npa.y6195 28360544

25. Crowe M, Jordan J, Gillon D, McCall C, Frampton C, Jamieson H. The prevalence of pain and its relationship to falls, fatigue, and depression in a cohort of older people living in the community. J Adv Nurs. 2017;73(11):2642–51. doi: 10.1111/jan.13328 28475222

26. Law & Regulation Database of the Republic of China. Human Subjects Research Act. Law & Regulation Database of the Republic of China. 2011. Available from: https://law.moj.gov.tw/Eng/LawClass/LawAll.aspx

27. van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27:361–8. doi: 10.1002/art.1780270401 6231933

28. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91. 17695343.

29. Grove S, Burns N, Gray J. The practice of nursing research: Appraisal, synthesis, & generation of evidence (7th ed., p.358). Philadelphia, PA: W. B. Saunders., 2013.

30. Huang YL. Effects of executive function, body image and coping strategies on depression in women with rheumatoid arthritis. Thesis, National Cheng Kung University Medical College Institute of Behavioral Medicine. 2013. Available from: etds.lib.ncku.edu.tw/etdservice/view_metadata?etdun=U0026-0607201615343500

31. van Tubergen A, Weber U. Diagnosis and classification in spondyloarthritis: identifying a chameleon. Nat Rev Rheumtol. 2012;8(5):253–61. doi: 10.1038/nrrheum.2012.33 22450552

32. Wang CW, Yang RS. Diagnosis, treatment and complications of ankylosing spondylitis. Formosan J Med. 2013;17(6):687–94.

33. Ministry of Education. Education in Taiwan 2013/2014. Ministry of Education. 2013. Available from: https://law.moj.gov.tw/Eng/LawClass/LawAll.aspx

34. Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol. 1994;21(12):2286–2291. 7699630

35. Wei JC, Wong RH, Huang JH, Yu CT, Chou CT, Jan MS, et al. Evaluation of internal consistency and re-test reliability of Bath ankylosing spondylitis indices in a large cohort of adult and juvenile spondylitis patients in Taiwan. Clin Rheumatol. 2007;26(10):1685–91. doi: 10.1007/s10067-007-0573-6 17286214

36. Calin A, Garrett S, Whitelock H, Kennedy LG, O'Hea J, Mallorie P, et al. A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol. 1994;21(12):2281–5. 7699629.

37. Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978;37(4):378–81. doi: 10.1136/ard.37.4.378 686873.

38. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–71. doi: 10.1001/archpsyc.1961.01710120031004 13688369.

39. Yeung A, Howarth S, Chan R, Sonawalla S, Nierenberg AA, Fava M. Use of the Chinese version of the Beck Depression Inventory for screening depression in primary care. J Nerv Ment Dis. 2002;190(2):94–9. doi: 10.1097/00005053-200202000-00005 11889362.

40. World Health Organization. Depression and other common mental disorders: global health estimates. World Health Organization. 2017. Available from:http://wwwwhoint/iris/handle/10665/254610.

41. Berk M, Williams LJ, Jacka FN, O’Neil A, Pasco JA, Moylan S, et al. So depression is an inflammatory disease, but where does the inflammation come from? BMC Medicine. 2013; 11(1):200. doi: 10.1186/1741-7015-11-200 24228900

42. Ertenli I, Ozer S, Kiraz S, Apras SB, Akdogan A, Karadag O, et al. Infliximab, a TNF-alpha antagonist treatment in patients with ankylosing spondylitis: the impact on depression, anxiety and quality of life level. Rheumatol Int. 2012;32(2):323–30. doi: 10.1007/s00296-010-1616-x 21079965

43. Reveille J.D., Recent studies on the genetic basis of ankylosing spondylitis. Curr Rheumatol Rep. 2009;11(5):340–8. https://doi.org/10.1007/s11926-009-0049-6. 19772829

44. Frauendorf R, Medeiros Pinheiro M, Mesquita Ciconelli R. Variables related to work productivity loss in patients with ankylosing spondylitis. Revista Brasileira de Reumatologia (English Edition). 2013;53(3):303–309. https://doi.org/10.1016/S2255-5021(13)70037-3

45. Fang ML, Wu CS, Weng LC, Huang HL. Factors associated with body image in patients with ankylosing spondylitis. Chang Gung Nur. 2019;30(2):147–159. doi: 10.6386/cgn.201906_30(2).0002

46. Hider S, Wong M, Ortiz M, Dulku A, Mulherin D. Does a regular exercise program for ankylosing spondylitis influence body image? Scand J Rheumatol. 2002;31(3):168–71. 12195632

47. Lopez-Medina C, Garrido-Castro JL, Castro-Jimenez J, Gonzalez-Navas C, Calvo-Gutierrez J, Castro-Villegas MC, et al. Evaluation of quality of life in patients with axial spondyloarthritis and its association with disease activity, functionality, mobility, and structural damage. Clin Rheumatol. 2018;37(6):1581–8. doi: 10.1007/s10067-018-4112-4 29691772

48. Hamilton-West KE, Quine L. Living with Ankylosing Spondylitis: the patient's perspective. J Health Psychol. 2009;14(6):820–30. doi: 10.1177/1359105309341394 19687119

49. Martindale J, Smith J, Sutton CJ, Grennan D, Goodacre L, Goodacre JA. Disease and psychological status in ankylosing spondylitis. Rheumatol. 2006;45(10):1288–93. https://doi.org/10.1093/rheumatology/kel115.

50. Spencer S, Martindale JH, MacPhie E, Montgomery P. Self management programme for ankylosing spondylitis. Cochrane Database of Systematic Reviews. 2015(12).

51. Brophy S, Cooksey R, Davies H, Dennis MS, Zhou S-M, Siebert S. The effect of physical activity and motivation on function in ankylosing spondylitis: A cohort study. Semin Arthritis Rheum. 2013;42(6):619–26. doi: 10.1016/j.semarthrit.2012.09.007 23351615

52. Pécourneau V, Degboé Y, Barnetche T, Cantagrel A, Constantin A, Ruyssen-Witrand A. Effectiveness of exercise programs in ankylosing spondylitis: A meta-analysis of randomized controlled trials. Arch Phys Med Rehabil. 2018;99(2):383–9.e1. doi: 10.1016/j.apmr.2017.07.015 28860095

53. Dursun N, Sarkaya S, Ozdolap S, Dursun E, Zateri C, Altan L, et al. Risk of falls in patients with ankylosing spondylitis. J Clin Rheumatol. 2015;21(2):76–80. doi: 10.1097/RHU.0000000000000216 25710858

54. Hinze AM, Louie GH. Osteoporosis management in Ankylosing Spondylitis. Curr Treatm Opt Rheumatol. 2016;2(4):271–282. doi: 10.1007/s40674-016-0055-6 28620575

55. Klingberg E, Lorentzon M, Mellström D, Geijer M, Göthlin J, Hilme E, et al. Osteoporosis in ankylosing spondylitis—prevalence, risk factors and methods of assessment. Arthritis ResThe. 2012;14(3):R108–R108. doi: 10.1186/ar3833 22569245

56. Healey E, Haywood K, Jordan K, Garratt A, Packham J, Healey EL, et al. Impact of ankylosing spondylitis on work in patients across the UK. Scand J Rheumatol. 2011;40(1):34–40. doi: 10.3109/03009742.2010.487838 20726684

57. Marengo MF, Schneeberger EE, Citera G, Cocco JA. Work status among patients with ankylosing spondylitis in Argentina. J Clin Rheumatol. 2008;14(5):273–7. doi: 10.1097/RHU.0b013e31817d1089 18679137


Článek vyšel v časopise

PLOS One


2019 Číslo 10
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

plice
INSIGHTS from European Respiratory Congress
nový kurz

Současné pohledy na riziko v parodontologii
Autoři: MUDr. Ladislav Korábek, CSc., MBA

Svět praktické medicíny 3/2024 (znalostní test z časopisu)

Kardiologické projevy hypereozinofilií
Autoři: prof. MUDr. Petr Němec, Ph.D.

Střevní příprava před kolonoskopií
Autoři: MUDr. Klára Kmochová, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#