Objectives
It has been suggested that patients with rheumatoid arthritis (RA) are more likely to suffer from depression. Therefore, this study identified the factors associated with depressive states in female RA patients to inform future patient care.
Methods
A self-assessment questionnaire was administered to 150 female RA patients aged 20 years and older regarding their satisfaction with disease activity, pain (measured using the Visual Analogue Scale), self-rated depression scale (SDS), stress content (illness, work, family, difficulty in daily life, appearance, treatment, other), confidence in stress management, and satisfaction (treatment effect, health status, relationships with healthcare professionals). The factors related to depression and the presence of depressive tendencies were investigated.
Results
Data from 145 patients were analyzed. Eighteen patients (12.4%) showed depressive tendencies according to their SDS scores. Among these patients, SDS scores were positively correlated with disease activity, and with scores on the modified Health Assessment Questionnaire, Visual Analogue Scale for pain, and stress content. SDS was also negatively correlated with patients’ confidence in stress management and health status satisfaction.
Conclusion
Female RA patients had family problems and various stressors in their daily lives. Nurses need to conduct regular mental health assessments to monitor their self-management status and support them to improve their confidence and satisfaction in coping. To achieve this, it is important for health care teams, involving various healthcare professionals, to collaborate and cooperate.