Hot Topics: Depression in Individuals With Psoriasis and Psoriatic Arthritis.

IF 3.6 2区 医学 Q2 RHEUMATOLOGY Journal of Rheumatology Pub Date : 2024-10-01 DOI:10.3899/jrheum.2024-0362
Niti Goel, Elizabeth B Wallace, Christine Lindsay
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Abstract

Psoriasis and psoriatic arthritis are associated with an increased risk of mental health conditions such as depression and anxiety. People with psoriatic disease (PsD) are also more likely to die by suicide than those without. Mood disorders affect people with PsD in a multitude of ways, such as in effectiveness of care, response to treatment, remission rates, and quality of life. Although the links between PsD and mental health conditions have not been fully elucidated, this review will highlight recent studies investigating shared biologic mechanisms between depression and PsD. Since mental health disorders can be assessed and treated effectively, dermatologists and rheumatologists should be aware of the mental health burden in individuals with PsD to accomplish the following: (1) educate their patients with PsD about this association, (2) screen for mental health conditions on an ongoing basis in their clinical practice, (3) refer their patients with PsD to a mental health professional when needed, and (4) ensure selection of a safe PsD treatment in the setting of comorbid mental health disease. Finally, important treatment considerations for individuals with PsD and depression are reviewed. This topic was presented at the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) 2023 annual meeting.

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热门话题:银屑病和银屑病关节炎患者的抑郁问题。
银屑病和银屑病关节炎与抑郁和焦虑等心理健康问题的风险增加有关。银屑病(PsD)患者自杀身亡的几率也高于非银屑病患者。情绪障碍对银屑病患者的影响是多方面的,如护理效果、对治疗的反应、缓解率和生活质量。尽管 PsD 与精神健康状况之间的联系尚未完全阐明,但本综述将重点介绍最近对抑郁症和 PsD 之间共同生物机制的研究。由于精神疾病可以得到有效的评估和治疗,皮肤科医生和风湿免疫科医生应该意识到 PsD 患者的精神健康负担,从而做到以下几点:(1) 让 PsD 患者了解这种关联;(2) 在临床实践中持续筛查精神健康状况;(3) 必要时将 PsD 患者转诊给精神健康专业人士;(4) 确保在合并精神健康疾病的情况下选择安全的 PsD 治疗方法。最后,回顾了 PsD 和抑郁症患者的重要治疗注意事项。本主题已在银屑病和银屑病关节炎研究与评估小组(GRAPPA)2023 年年会上发表。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Rheumatology
Journal of Rheumatology 医学-风湿病学
CiteScore
6.50
自引率
5.10%
发文量
285
审稿时长
1 months
期刊介绍: The Journal of Rheumatology is a monthly international serial edited by Earl D. Silverman. The Journal features research articles on clinical subjects from scientists working in rheumatology and related fields, as well as proceedings of meetings as supplements to regular issues. Highlights of our 41 years serving Rheumatology include: groundbreaking and provocative editorials such as "Inverting the Pyramid," renowned Pediatric Rheumatology, proceedings of OMERACT and the Canadian Rheumatology Association, Cochrane Musculoskeletal Reviews, and supplements on emerging therapies.
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