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BackgroundDepression can easily go unnoticed in routine clinical care. The delay in the diagnosis may increase the risk of chronicity, the number of visits, health care costs and deteriorates the quality of life.1–3ObjectivesEstimate the prevalence of depressive symptoms in patients consulting for the first time and determine if patients with depression had different reasons for consultation and highest score in the visual analog scale (VAS) of pain than patients without depression.MethodsA observational, prospective study was performed. We included patients who consulted for the first time in Rheumatology Service, excluding these with psychiatric treatments and rheumatic diseases. The PHQ-9 (Patient Health Questionnaire) evaluated the presence of depressive symptoms in the last two weeks. According to the score, they were classified in 4 categories: (1) major depressive syndrome, (2) other depressive disorders, (3) positive depressive symptoms and (4) negative depressive symptoms. To perform the analysis the patients were divided into those with a depressive disorder (1 and 2) and those who did not have it (3 and 4). T-test or Mann Whitney test was used as sample size distribution for continuous variables. Chi square or Fisher exact test was used as expected frequency distribution table for categorical variables. Multivariate logistic regression analysis taking depression as the dependent variable was performed.Results121 patients were included in the study. 86% were women, mean age of 49±15 years. The most frequent reasons for consultations were polyarthralgia (35.5%) and back pain (13%). According PHQ-9, 37% of patients were classified in major depressive syndrome and 19% in other depressive disorders. No statistically significant differences between patients with and without a depressive disorder in terms of different reasons were found. However, patients with depressive disorders were more VAS pain (7, IQR 5–8) than patients without depression (5, IQR 4–6) and more days with pain in the week (7, IQR 5–7 vs 5, IQR 3–7), both with p<0.01. Increased frequency of self-medication (61% vs 39%) and sleep disorders (63% vs 37%) among patients with depressive disorders was observed, although these differences were not statistically significant. In the multivariate analysis, the only variable that was found associated with depression was independently VAS pain (OR 1.33, CI 1.13–1.56).ConclusionsHigh percentage of patients had a depressive disorder with higher frequency and pain perception. So rheumatologists should be aware of this problem in order to make a proper diagnosis, optimize the application of complementary studies, and perform a multidisciplinary approach to the patient.ReferencesSylvia Arias, Victoria Fonsalía, Nicolás Asteggiante, Verόnica Bartesaghi. Enfermedades autoinmunitarias sistémicas y trastornos depresivos. Reumatología Clínica, Volume 7, Issue 6, Pages 389–391.Artiles-Péreza R, Lόpez-Chamόnb S. Síntomas somáticos de la depresiόn. SEMERGEN. 2009;35 supl 1:39–42.Lόpez Chamόn S. Manifestaciones clín...

Objetivo: El objetivo de nuestro estudio fue adaptar y validar el Indice Duruöz (ID) en una población argentina con esclerodermia.Métodos: Para la validación, reumatólogos tradujeron al español la versión original en francés. Para evaluar la validez constructiva se utilizó la escala global visual análoga del paciente (EVA), EVA para cada una de las preguntas de la misma actividad, el cuestionario de evaluación de salud (HAQ) y el Score modificado de Rodnan para evaluar la piel.Resultados: Se incluyeron 45 pacientes con diagnóstico de esclerodermia. La correlación entre la puntuación total de ID y el EVA global del paciente fue de 0,58, con el HAQ fue 0,63 y con el Rodnan fue 0,08. El coeficiente de correlación entre el EVA y cada grupo de preguntas para la misma actividad en el ID, indicó buena correlación para las preguntas que se refieren a las actividades de cocina, así como para vestirse, de higiene, y para las preguntas de oficina. Se encontró excelente nivel de correlación con los ítems relacionados con las actividades de motricidad fina. La reproducibilidad fue de 0,88 y la confiabilidad de 0,98.