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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamental and objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Psychological impairment is frequent in patients with rheumatic diseases&#46; The aim of the study was to assess the prevalence of symptoms of anxiety and depression in patients with psoriatic arthritis attending rheumatology clinics&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Multicentre cross-sectional study conducted in rheumatology clinics&#46; Patients with psoriatic arthritis were recruited&#59; variables retrieved were sociodemographic&#44; clinical and patient centered &#40;Hospital Anxiety and Depression scale or HADs&#44; EQ-5D questionnaire&#44; etc&#46;&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Prevalence in the study population was calculated as anxiety or depression symptoms by an HADs score &#61;11 or those receiving pharmacological treatment&#46; A logistic regression model was used to know which variables were related to symptoms of anxiety or depression&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A total of 495 patients were included&#44; 42&#46;8&#37; were women and median &#40;SD&#41; age was 50&#46;4 &#40;12&#46;7&#41; years&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Prevalence of symptoms of anxiety were 29&#46;7&#37; and prevalence of symptoms of depression was 17&#46;6&#37;&#46; Patients with anxiety or depression symptoms had all EQ-5D dimensions affected &#40;P&#60;&#46;01&#41;&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Higher prevalence of anxiety was related to being a woman&#44; a mixed onset pattern with respect to peripheral joints and those treated with DMARD alone with respect to DMARD&#43;NSAID or biologic alone&#46; A higher depression prevalence was related to being a woman and a mixed onset pattern with respect to peripheral joints&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The prevalence of anxiety symptoms and the prevalence of depression symptoms are high among patients suffering psoriatic arthritis in the studied population&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento y objetivo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Las alteraciones psicol&#243;gicas son frecuentes entre pacientes con enfermedades reum&#225;ticas&#46; El objetivo del estudio fue conocer la prevalencia de los s&#237;ntomas de ansiedad y depresi&#243;n en pacientes con artritis psori&#225;sica que acuden a consultas de reumatolog&#237;a&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal multic&#233;ntrico en consultas de reumatolog&#237;a&#46; Se seleccionaron pacientes con artritis psori&#225;sica&#59; se recogieron variables sociodemogr&#225;ficas&#44; cl&#237;nicas y centradas en el paciente &#40;Escala Hospitalaria de Ansiedad y Depresi&#243;n o HADs&#44; cuestionario EQ-5D&#44; etc&#46;&#41;&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Se calcul&#243; la prevalencia de s&#237;ntomas de ansiedad y depresi&#243;n en esta poblaci&#243;n seg&#250;n una puntuaci&#243;n &#61;11 en HADs o estar recibiendo tratamiento farmacol&#243;gico&#46; Se utiliz&#243; un modelo de regresi&#243;n log&#237;stica para conocer las variables relacionadas con la presencia de s&#237;ntomas de ansiedad o depresi&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 495 pacientes&#44; 42&#44;8&#37; mujeres y edad media &#40;DE&#41; de 50&#44;4 &#40;12&#44;7&#41; a&#241;os&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">La prevalencia de s&#237;ntomas de ansiedad fue 29&#44;7&#37; y 17&#44;6&#37; de depresi&#243;n&#46; Los pacientes con s&#237;ntomas de ansiedad o depresi&#243;n presentaron mayor afectaci&#243;n en todas las dimensiones del EQ-5D &#40;p &#60; 0&#44;01&#41;&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">La mayor prevalencia en la poblaci&#243;n de estudio de ansiedad se relacion&#243; con ser mujeres&#44; patr&#243;n de debut mixto respecto al perif&#233;rico y en tratamiento con FAME en monoterapia respecto a FAME&#43;AINES o biol&#243;gico en monoterapia&#46; La mayor prevalencia de depresi&#243;n se relacion&#243; con ser mujeres y patr&#243;n de debut mixto respecto al perif&#233;rico&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">La prevalencia de s&#237;ntomas de ansiedad y de depresi&#243;n es elevada en pacientes con artritis psori&#225;sica en la poblaci&#243;n de este estudio&#46;</p>"
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Vol. 7. Issue 1.
Pages 20-26 (January - February 2011)
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Vol. 7. Issue 1.
Pages 20-26 (January - February 2011)
Original article
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Prevalence of symptoms of anxiety and depression in patients with psoriatic arthritis attending rheumatology clinics
Prevalencia de síntomas de ansiedad y de depresión en pacientes con artritis psoriásica en consultas de reumatología
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5731
Mercedes Freirea, Jesús Rodríguezb, Ingrid Möllerc, Antonio Valcárceld, Carmelo Torneroe, Gemma Díazf, Yolanda Armendárizg,
Corresponding author
armendy@wyeth.com

Corresponding author.
, Silvia Paredesh
a Hospital Juan Canalejo, A Coruña, Spain
b Hospital Universitari de Bellvitge, Barcelona, Spain
c Instituto POAL, Barc elona, Spain
d Hospital Nuestra Señora del Rossell, Cartagena, Murcia, Spain
e Hospital Morales Meseguer, Murcia, Spain
f Fundación Jiménez Díaz, Madrid, Spain
g Departamento médico Wyeth, Madrid, Spain
h Hospital Sant Joan de Reus, Tarragona, Spain
Related content
Mercedes Freire, Jesús Rodríguez, Ingrid Möller, Antonio Valcárcel, Carmelo Tornero, Gemma Díaz, Yolanda Armendáriz, Silvia Paredes
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Abstract
Fundamental and objective

Psychological impairment is frequent in patients with rheumatic diseases. The aim of the study was to assess the prevalence of symptoms of anxiety and depression in patients with psoriatic arthritis attending rheumatology clinics.

Patients and method

Multicentre cross-sectional study conducted in rheumatology clinics. Patients with psoriatic arthritis were recruited; variables retrieved were sociodemographic, clinical and patient centered (Hospital Anxiety and Depression scale or HADs, EQ-5D questionnaire, etc.).

Prevalence in the study population was calculated as anxiety or depression symptoms by an HADs score =11 or those receiving pharmacological treatment. A logistic regression model was used to know which variables were related to symptoms of anxiety or depression.

Results

A total of 495 patients were included, 42.8% were women and median (SD) age was 50.4 (12.7) years.

Prevalence of symptoms of anxiety were 29.7% and prevalence of symptoms of depression was 17.6%. Patients with anxiety or depression symptoms had all EQ-5D dimensions affected (P<.01).

Higher prevalence of anxiety was related to being a woman, a mixed onset pattern with respect to peripheral joints and those treated with DMARD alone with respect to DMARD+NSAID or biologic alone. A higher depression prevalence was related to being a woman and a mixed onset pattern with respect to peripheral joints.

Conclusion

The prevalence of anxiety symptoms and the prevalence of depression symptoms are high among patients suffering psoriatic arthritis in the studied population.

Keywords:
Psoriatic artritis
Anxiety
Depression
Prevalence
Resumen
Fundamento y objetivo

Las alteraciones psicológicas son frecuentes entre pacientes con enfermedades reumáticas. El objetivo del estudio fue conocer la prevalencia de los síntomas de ansiedad y depresión en pacientes con artritis psoriásica que acuden a consultas de reumatología.

Pacientes y método

Estudio transversal multicéntrico en consultas de reumatología. Se seleccionaron pacientes con artritis psoriásica; se recogieron variables sociodemográficas, clínicas y centradas en el paciente (Escala Hospitalaria de Ansiedad y Depresión o HADs, cuestionario EQ-5D, etc.).

Se calculó la prevalencia de síntomas de ansiedad y depresión en esta población según una puntuación =11 en HADs o estar recibiendo tratamiento farmacológico. Se utilizó un modelo de regresión logística para conocer las variables relacionadas con la presencia de síntomas de ansiedad o depresión.

Resultados

Se incluyeron 495 pacientes, 42,8% mujeres y edad media (DE) de 50,4 (12,7) años.

La prevalencia de síntomas de ansiedad fue 29,7% y 17,6% de depresión. Los pacientes con síntomas de ansiedad o depresión presentaron mayor afectación en todas las dimensiones del EQ-5D (p < 0,01).

La mayor prevalencia en la población de estudio de ansiedad se relacionó con ser mujeres, patrón de debut mixto respecto al periférico y en tratamiento con FAME en monoterapia respecto a FAME+AINES o biológico en monoterapia. La mayor prevalencia de depresión se relacionó con ser mujeres y patrón de debut mixto respecto al periférico.

Conclusión

La prevalencia de síntomas de ansiedad y de depresión es elevada en pacientes con artritis psoriásica en la población de este estudio.

Palabras clave:
Artritis psoriásica
Ansiedad
Depresión
Prevalencia
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Copyright © 2011. Sociedad Española de Reumatología and Colegio Mexicano de Reumatología
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