Frequency of Depression and Anxiety Symptoms in Mexican Patients with Rheumatic Diseases Determined by Self-Administered Questionnaires Adapted to the Spanish Language
Título del documento: Frequency of Depression and Anxiety Symptoms in Mexican Patients with Rheumatic Diseases Determined by Self-Administered Questionnaires Adapted to the Spanish Language
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000454204
ISSN: 0034-8376
Autores: 1
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Instituciones: 1Instituto Nacional de Cardiología Ignacio Chávez, Departamento de Reumatología, Ciudad de México. México
2Instituto Nacional de Cardiología Ignacio Chávez, Departamento de Inmunología, Ciudad de México. México
Año:
Periodo: Mar-Abr
Volumen: 71
Número: 2
Paginación: 91-97
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Aplicado, descriptivo
Resumen en inglés Background The frequency of depression and anxiety symptoms in Spanish-speaking patients suffering from rheumatic conditions is unknown when using self-administered detection tools. Methods A single-center, cross-sectional survey including 413 patients (341 women) with well-defined rheumatic diseases was conducted. The patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder (GAD)-7 questionnaires were used to detect depression and anxiety symptoms, respectively. Results A total of 193 patients (46.7%) reported depression symptoms, and increased PHQ-9 scores were more frequently observed in women than in men (23% vs. 13%; p = 0.038), particularly in association with osteoarthritis, fibromyalgia, Sjögren’s syndrome, and osteoporosis. From 88 patients (21.3%) with PHQ-9 scores ≥ 10 points (moderate-to-severe depression symptoms), 27 (30.6%) were previously diagnosed to have depression and only four were under antidepressant treatment. Anxiety symptoms were observed in 168 patients (40.6%) and classified as moderate-to-severe by elevated GAD-7 scores in 68 subjects (16.4%). Of them, 12 (17.6%) were previously diagnosed with GAD, but only 4 (5.8%) were under therapy. Conclusions An unexpected and unusually high frequency of undiagnosed depression and anxiety symptoms was found in rheumatic patients. Self-administered screening tools adapted to the Spanish language are useful and may help clinicians to suspect these conditions
Disciplinas: Medicina,
Psicología
Palabras clave: Reumatología,
Psicología clínica,
Enfermedades reumáticas,
Salud mental,
Cuestionarios,
Depresión,
Ansiedad
Keyword: Rheumatology,
Clinical psychology,
Mental health,
Depression,
Anxiety,
Questionnaires,
Rheumatic diseases
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