Depressive and anxiety symptoms and social support are independently associated with disease-specific quality of life in Colombian patients with rheumatoid arthritis

Abstract

Please cite this article in press as: Rogers HL, et al. Depressive and anxiety symptoms and social support are independently associated with disease-specific quality of life in Colombian patients with Rheumatoid Arthritis. Rev Bras Reumatol. 2015. http://dx. No. of Pages 8 r e v b r a s r e u m a t o l . 2 0 1 5;x x x(x x):xxx-xxx w w w . r e u m a t o l o g i a . c o m . b r Available online xxx Keywords: Rheumatoid Arthritis Quality of life Depression Anxiety Social support a b s t r a c t Objective: To examine the relationship between disease-specific quality of life (QOL) and socio-demographic, medical, and psychosocial factors in Colombian patients with Rheumatoid Arthritis (RA).Methods: One hundred and three RA patients recruited from ambulatory centers in Neiva, Colombia were administered the Disease Activity Scale 28 (DAS-28), QOL-RA, Zung Self-Rating Depression Scale, State-Trait Anxiety Inventory (STAI), Interpersonal Support Evaluation List-12 (ISEL-12), and Symptom Checklist-90 Revised (SCL-90R).Results: Lower QOL-RA was associated with lower socio-economic status (r = 0.26, p < 0.01), higher likelihood of using opioids (t = −2.51, p < 0.05), higher likelihood of comorbid pulmonary disease (t = −2.22, p < 0.05), and lower ISEL-12 sub-scales (r's = 0.41-0.31, p's < 0.001).Lower QOL-RA was associated with higher DAS-28 (r = −0.28, p < 0.01), Visual Analog Scale (VAS; r = −0.35, p < 0.001), Zung Depression (r = −0.72, p < 0.001), STAI-State (r = −0.66, p < 0.001), STAI-Trait (r = −0.70, p < 0.001), SCL-90R Global Severity Index (r = −0.50, p < 0.001), SCL-90R Positive Symptom Total (r = −0.57, p < 0.001), and all SCL-90R sub-scales (r's = −0.54 to −0.21, p's < 0.01). A multivariate linear regression model indicated that SES (B = 2.77, p < 0.05), Zung Depression (B = −0.53, p < 0.001), STAI-State (B = −0.26, p < 0.05), and ISEL-12 Belonging (B = 1.15, p < 0.01) were independently associated with QOL-RA, controlling for significant associations.Conclusions: More depressive and anxiety symptoms were independently associated with lower disease-specific QOL, while higher perceptions of having people to do activities with (belonging social support) and higher SES were independently associated with higher Please cite this article in press as: Rogers HL, et al. Depressive and anxiety symptoms and social support are independently associated with disease-specific quality of life in Colombian patients with Rheumatoid Arthritis. Rev Bras Reumatol. 2015. http://dx.

Pain in Hidradenitis Suppurativa: A Pilot Study

“…depression and obesity (6), may further increase the perception of pain and may even be controbute risk factors for chronic pain (10)(11)(12). Although we did not detect any correlation between depression and Hurley stage, the majority of patients (74%) were classified as either a borderline or abnormal cases according to HAD-A and HAD-D (Table SII 1 ).…”

Pain appraisal and quality of life in 108 outpatients with rheumatoid arthritis

“…Finally, social support was positively correlated with HRQoL, confirming the results of previous studies in both RA (Lok et al ., ; Rogers et al ., ; Sturgeon et al ., ; Xu et al ., ) and CP (Dysvik, Natvig, Eikeland & Lindstrøm, ) patients, even though it did not directly predict the patients’ HRQoL.…”

“…The objectives of the present study were to examine the pain intensity, emotional functioning, pain appraisal, and social support experienced by 108 patients with RA, and to explore their relationship with the physical and mental components of HRQoL. Indeed, RA can have a significant impact on the quality of life of the patients because they have to deal with a potentially uncontrollable long-term condition that may affect almost all aspects of their physical, psychological, and social functioning (Hyphantis et al, 2006;Rogers, Brotherton, Plaza, Dur an & Altamar, 2015).…”

Rheumatoid Arthritis: Are psychological factors effective in disease flare?

“…These disorders can increase pain perception via several biological pathways (23). Hypothalamic pituitary adrenal (HPA) axis dysregulation accompanied with corticotropin-releasing hormone respon- siveness, resulting with depression and fatigue, may be one of such mechanisms (24).…”