Mehmet UÇAR, Ali İrfan GÜL, Ümit SARP

Romatoid artrit ve depresyon arasındaki ilişki

Amaç: Romatoid artrit (RA), en sık görülen kronik, inflamatuvar artrittir. Sebebi halen tam olarak bilinmemektedir. Bu çalışmanın amacı romatoid artrit hastalarında depresyon düzeyinin belirlenmesidir. Yöntemler: Çalışmaya 80 romatoid artrit hastası ve 63 sağlıklı kontrol grubu alındı. Her iki gruba Beck depresyon envanteri (BDE) ve Belirti tarama listesi-90 (SCL-90R) sorgulama formu dolduruldu.. BDEden ve SCL-90R global semptom indeksi (GSI) ve depresyon alt ölçeklerinden elde edilen sonuçlar istatistiksel olarak karşılaştırıldı. Bulgular: BDE puanları, RA hastalarında (17.35±8.54) kontrol grubuna (5.86±3.12) göre yüksek bulundu. RA hastalarında SCL-90R GSI altölçek puanı (1.40±1.86) ve depresyon altölçek puanı da (1.16±0.68) kontrol grubuna göre (0.59±0.83 ve 0.57±0.83) yüksek bulundu. Sonuç: Bu bulgulara göre RA hastalarında depresyon düzeyi sağlıklı insanlara göre yüksektir. Bu nedenle RA hastalarına psikiyatrik tedaviyi de içeren mutidisipliner yaklaşım gerekmektedir

The relationship between rheumatoid arthritis and depression

Objective: Rheumatoid arthritis (RA) is the most common chronic, inflammatory arthritis. The reason is still unknown. The purpose of this study is to determine the level of depression in patients with rheumatoid arthritis. Methods: 80 rheumatoid arthritis patients and 63 healthy control subjects were included in the study. Both groups were filled in the Beck depression inventory (BDI) and the Symptom Checklist-90 (SCL-90R). The results obtained from BDI and SCL-90 global symptom index (GSI) and the depression subscales were statistically compared. Results: BDI scores were higher in RA patients (17:35 ± 8:54) than the control group (5.86 ± 3.12). In patients with RA SCL-90 GSI subscale score (1.40 ± 1.86) and depression subscale scores also (1.16 ± 0.68) was higher than the control group (0.59 ± 0.83 and 0.57 ± 0.83). Conclusion: Depression levels in RA patients are significantly higher compared to healthy people according to these findings. Therefore RA patients must approach mutidisipliner including psychiatric treatment.

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