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Vol. 20. Issue 6.
Pages 297-304 (June - July 2024)
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Vol. 20. Issue 6.
Pages 297-304 (June - July 2024)
Original Article
Impact of the COVID-19 pandemic on psychosocial health in rheumatic patients: A longitudinal study
Impacto de la pandemia por COVID-19 en la salud psicosocial de los pacientes con enfermedades reumáticas: estudio longitudinal
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Laura Cano-Garcíaa,b,1, Sara Manrique-Arijaa,b,c,
Corresponding author
sarama_82@hotmail.com

Corresponding author.
, Rocío Redondo-Rodrígueza,b,1, Marta Vera-Ruizc, Jose Manuel Lisbona-Montañeza,b,c, Arkaitz Mucientes-Ruiza,b, Aimara García-Studera,b, Fernando Ortiz-Marqueza,b, Natalia Mena-Vázqueza,b,c,2, Antonio Fernández-Nebroa,b,c,2
a Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain
b UGC de Reumatología, Hospital Regional Universitario de Málaga, Málaga, Spain
c Departamento de Medicina y Dermatología, Universidad de Málaga, Spain
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Tables (5)
Table 1. Baseline clinical characteristics of 125 patients with rheumatic disease.
Table 2. Results for social questionnaires analyzed before and after the COVID-19 pandemic in patients with rheumatic disease.
Table 3. Social questionnaires analyzed before and after the COVID-19 pandemic in different types of rheumatic disease.
Table 4. Multiple linear regression analysis of the characteristics associated with participation in social activities after the COVID-19 pandemic in patients with rheumatic disease.
Table 5. Multiple linear regression analysis of the characteristics associated with ability of SLE patients to participate in social activities after the COVID-19 pandemic.
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Abstract
Aim

To describe the impact of the COVID-19 on the psychosocial health of patients with rheumatoid arthritis (RA), spondyloarthritis (SpA), and systemic lupus erythematosus (SLE).

Design

Longitudinal observational study of a series of patients with rheumatic disease.

Methods

The main outcome measure was impairment of the ability to participate in social activities, as measured using the PROMIS-APS instrument Short Form-8a. We evaluated social activities in various settings and performed a multivariate analysis to study the association between worsening of social participation during the COVID-19 pandemic and implicated factors.

Results

One hundred and twenty-five patients had completed the prospective follow-up: 40 with AR (32%), 42 with SpA (33.6%), and 43 with SLE (34.4%). Overall, poorer mean PROMIS scores were recorded after the COVID-19 pandemic for: satisfaction with social roles (p=0.029), depression (p=0.039), and ability to participate in social activities (p=0.024). The factors associated with ability to participate in social activities after the COVID-19 pandemic were older age (β=−0.215; p=0.012), diagnosis of SLE (β=−0.203; p=0.015), depression (β=−0.295; p=0.003) and satisfaction with social roles (β=0.211; p=0.037).

Conclusion

The ability to participate in social activities after the COVID-19 pandemic is affected in patients with rheumatic disease, especially in SLE.

Keywords:
Nursing
Social relationships
Mental health
PROMIS
Rheumatoid arthritis
Systemic lupus erythematosus
Spondyloarthritis
COVID-19 pandemic
Resumen
Objetivo

Describir el impacto de la COVID-19 en la salud psicosocial de los pacientes con artritis reumatoide (AR), espondiloartritis (EspA) y lupus eritematoso sistémico (LES).

Diseño

Estudio observacional longitudinal de una serie de pacientes con enfermedades reumáticas.

Métodos

La principal medida de resultado fue el deterioro de la capacidad para participar en actividades sociales, medido por el instrumento PROMIS-APS Short Form-8a. Evaluamos las actividades sociales en varios entornos y realizamos un análisis multivariado para estudiar la asociación al empeoramiento de la participación social durante la pandemia de COVID-19 y los factores involucrados.

Resultados

Ciento veinticinco pacientes completaron el seguimiento prospectivo: 40 con AR (32%), 42 con EspA (33,6%) y 43 con LES (34,4%). En general, se registraron puntuaciones medias PROMIS más bajas después de la pandemia de COVID-19 en: satisfacción con los roles sociales (p=0,029), depresión (p=0,039) y capacidad para participar en actividades sociales (p=0,024). Los factores asociados con la capacidad para participar en actividades sociales después de la pandemia de COVID-19 fueron: edad avanzada (β=−0,215; p=0,012), diagnóstico de LES (β=−0,203; p=0,015), depresión (β=−0,295; p=0,003) y satisfacción con los roles sociales (β=0,211; p=0,037).

Conclusión

La capacidad de participar en actividades sociales después de la pandemia por COVID-19 se ve afectada en los pacientes con enfermedades reumáticas, especialmente con LES.

Palabras clave:
Enfermería
Relaciones sociales
Salud mental
PROMIS
Artritis reumatoide
Lupus eritematoso sistémico
Espondiloartritis
Pandemia de COVID-19

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