轴性脊柱关节炎患者心理健康状况不佳的相关因素:轴性脊柱关节炎国际地图(IMAS)的结果。

IF 5.1 2区 医学 Q1 RHEUMATOLOGY RMD Open Pub Date : 2024-06-12 DOI:10.1136/rmdopen-2024-004218
Marco Garrido-Cumbrera, Victoria Navarro-Compán, Denis Poddubnyy, Fernando Sommerfleck, Souzi Makri, José Correa-Fernández, Shashank Akerkar, Jo Lowe, Elie Karam, Christine Bundy
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引用次数: 0

摘要

研究背景本研究旨在评估轴性脊柱关节炎(axSpA)患者不良心理健康的患病率及其相关因素,研究对象为来自全球各地的轴性脊柱关节炎国际地图(IMAS)研究的大样本患者:IMAS是一项横断面在线调查(2017-2022年),包括全球5557名未入选的轴性脊柱关节炎患者。心理健康状况由12项一般健康问卷(GHQ-12)进行评估,心理健康状况不良的临界点设定为3。采用逻辑回归分析评估所调查因素与轴性SpA患者(n=4335)心理健康状况不良(GHQ-12≥3)之间的关系:在5351名患者中,GHQ-12的平均值为4.7,59.4%的患者心理健康状况不佳,其中南非为69.9%,拉丁美洲为63.7%,欧洲为60.8%,北美为54.3%,亚洲为51.8%。总体而言,分别有 40.5%和 37.2%的患者患有焦虑症和抑郁症。与心理健康状况不佳相关的因素包括年龄较小(OR=0.99)、女性(OR=1.16)、病假或失业(OR=1.63)、非体力活动(OR=1.22)、吸烟(OR=1.20)、巴斯强直性脊柱炎疾病活动指数[BASDAI]较高(OR=1.42)、功能受限(OR=1.02)和症状持续时间较短(OR=0.98):在全球范围内,每10名轴性SpA患者中就有6人心理健康状况不佳,其中南非的比例较高,亚洲较低。与心理健康状况不佳相关的因素包括年龄较小、女性、就业困难、有害习惯、疾病负担和症状持续时间等方面。轴性SpA的整体管理方法应包括身体健康和心理健康。
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Factors Associated with Poor Mental Health in Patients with Axial Spondyloarthritis: Results from the International Map of Axial Spondyloarthritis (IMAS).

Background: This study aims to assess the prevalence of poor mental health in axial spondyloarthritis (axSpA) and its associated factors in a large sample of patients from the International Map of Axial Spondyloarthritis (IMAS) study from around the globe.

Methods: IMAS is a cross-sectional online survey (2017-2022) that includes 5557 unselected patients with axSpA worldwide. Mental health was evaluated by the 12-item General Health Questionnaire (GHQ-12) and the cut-off point for poor mental health was set at 3. Logistic regression analysis was used to evaluate relationships between the investigated factors and poor mental health (GHQ-12≥3) in patients with axSpA (n=4335).

Results: Of 5351 patients, the mean of GHQ-12 was 4.7 and 59.4% were having poor mental health, being 69.9% in South Africa, 63.7% in Latin America, 60.8% in Europe, 54.3% in North America and 51.8% in Asia. Overall, 40.5% and 37.2% of patients experienced anxiety and depression. The factors associated with poor mental health were younger age (OR=0.99), female gender (OR=1.16), being on sick leave or unemployed (OR=1.63), non-physical activity (OR=1.22), smoking (OR=1.20), higher Bath Ankylosing Spondylitis Disease Activity Index [BASDAI] (OR=1.42), functional limitation (OR=1.02) and shorter symptoms duration (OR=0.98).

Conclusions: Globally, 6 in 10 patients with axSpA had poor mental health, with a higher proportion in South Africa and lower in Asia. The factors associated with poor mental health include domains such as younger age, female gender, employment difficulties, harmful habits, disease burden and symptom duration. A holistic management approach to axSpA should encompass both physical and mental health.

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来源期刊
RMD Open
RMD Open RHEUMATOLOGY-
CiteScore
7.30
自引率
6.50%
发文量
205
审稿时长
14 weeks
期刊介绍: RMD Open publishes high quality peer-reviewed original research covering the full spectrum of musculoskeletal disorders, rheumatism and connective tissue diseases, including osteoporosis, spine and rehabilitation. Clinical and epidemiological research, basic and translational medicine, interesting clinical cases, and smaller studies that add to the literature are all considered.
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