Anxiety and depression among US adults with arthritis: Prevalence and correlates
Anxiety and depression among US adults with arthritis: Prevalence and correlates
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DOI：
10.1002/acr.21685
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发表时间：
2012-07-01
影响因子：
4.7
通讯作者：
Chapman, Daniel P.
中科院分区：
文献类型：
--
作者：
Murphy, Louise B.;Sacks, Jeffrey J.;Chapman, Daniel P.
目的在美国普通人群中，对关节炎患者的焦虑和抑郁负担，尤其是前者的描述有限。本研究的目的是评估美国成年医生诊断为关节炎的患者中焦虑和抑郁的患病率及其相关性。方法研究样本包括来自关节炎状况健康影响调查（一项横断面、基于人群的随机数字拨号电话访谈调查）的年龄≥ 45岁的美国成年人（n = 1，793）。使用关节炎影响测量量表的单独和验证的子量表测量焦虑和抑郁。估计样本总体的患病率，并按亚组分层。相关因素和每种疾病之间的关联使用logistic回归模型估计患病率和95%置信区间。结果焦虑比抑郁更常见（分别为31%和18%）;总体而言，三分之一的受访者至少报告了两种情况中的一种。大多数（84%）抑郁症患者也有焦虑症。多变量logistic回归模型未能确定一个独特的配置文件的特征，焦虑和/或抑郁症。只有一半的焦虑和/或抑郁的受访者在过去一年中寻求过心理健康方面的帮助。结论：尽管临床上关注关节炎患者的抑郁，但焦虑几乎是抑郁的两倍。鉴于其高患病率，对生活质量的深远影响，以及有效治疗的范围，我们鼓励医疗保健提供者对所有关节炎患者进行焦虑和抑郁的筛查。
Objective There has been limited characterization of the burden of anxiety and depression, especially the former, among US adults with arthritis in the general population. The study objective was to estimate the prevalence and correlates of anxiety and depression among US adults with doctor-diagnosed arthritis. Methods The study sample comprised US adults ages =45 years with doctor-diagnosed arthritis (n = 1,793) from the Arthritis Conditions Health Effects Survey (a cross-sectional, population-based, random-digitdialed telephone interview survey). Anxiety and depression were measured using separate and validated subscales of the Arthritis Impact Measurement Scales. Prevalence was estimated for the sample overall and stratified by subgroups. Associations between correlates and each condition were estimated with prevalence ratios and 95% confidence intervals using logistic regression models. Results Anxiety was more common than depression (31% and 18%, respectively); overall, one-third of respondents reported at least 1 of the 2 conditions. Most (84%) of those with depression also had anxiety. Multivariable logistic regression modeling failed to identify a distinct profile of characteristics of those with anxiety and/or depression. Only half of the respondents with anxiety and/or depression had sought help for their mental health condition in the past year. Conclusion Despite the clinical focus on depression among people with arthritis, anxiety was almost twice as common as depression. Given their high prevalence, their profound impact on quality of life, and the range of effective treatments available, we encourage health care providers to screen all people with arthritis for both anxiety and depression.