尼日利亚成年骨关节炎门诊患者的疼痛和抑郁:一项横断面研究

Chijioke Chimbo, S. Oriji, Paul Ojieiriaikhi Erohubie, B. James, A. O. Lawani
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引用次数: 0

摘要

简介:关节炎是一种退行性关节疾病,有多种形式,但骨关节炎最常见的原因是关节创伤或感染或衰老。抑郁症经常得不到诊断,尤其是在骨关节炎等慢性身体疾病中。骨关节炎疼痛与抑郁症的高风险相关。本研究评估了骨关节炎患者严重抑郁的患病率及其与身体疼痛的关系。方法:这是一项横断面研究,涉及贝宁大学教学医院134名骨关节炎成年门诊患者。使用社会人口学问卷、视觉模拟疼痛量表和国际诊断访谈的抑郁模块分别获得人口统计学特征、主观疼痛强度和重度抑郁症的诊断。结果:37名(27.61%)和40名(29.85%)参与者分别患有当前和12个月的抑郁症。患病时间的单位(年)增加与患抑郁症的可能性增加68%有关(调整后的比值比[aOR]1.68,P=0.044),而共病的存在是参与者中12个月抑郁症的唯一独立相关性(aOR0.11,P=0.031)。主观疼痛严重程度与抑郁障碍没有独立相关性。结论:重度抑郁症在骨关节炎患者中普遍存在。临床医生应该对抑郁症有很高的怀疑指数,尤其是在存在医学合并症和疾病持续时间较长的情况下。
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Pain and depression among adult outpatients with osteoarthritis in Nigeria: A cross-sectional study
Introduction: Arthritis is a degenerative joint disease with many forms, but osteoarthritis is most common resulting from trauma or infection to the joint or aging. Depressive disorders often go undiagnosed especially in chronic physical illnesses like osteoarthritis. Osteoarthritic pain is associated with a high risk of depressive illness. This study evaluated the prevalence of major depression and its relationship with physical pain among patients with osteoarthritis. Methods: This was a cross-sectional study involving 134 adult outpatients, with osteoarthritis at the University of Benin Teaching Hospital. The demographic profile, subjective pain intensity, and diagnosis of major depression were obtained with a sociodemographic questionnaire, Visual Analog Pain Scale, and depressive module of Composite International Diagnostic Interview, respectively. Results: Thirty-seven (27.61%) and 40 (29.85%) participants had current and 12-month depressive disorder, respectively. A unit (year) increase in the illness duration was associated with a 68% increase in the likelihood of having depression (adjusted odds ratio [aOR] 1.68, P = 0.044), while the presence of comorbidity was the only independent correlate of 12-month depression among the participants (aOR 0.11, P = 0.031). Subjective pain severity had no independent correlation with depressive disorder. Conclusion: Major depression is prevalent among patients with osteoarthritis. Clinicians should have a high index of suspicion of depressive disorder, especially in the presence of medical comorbidities and longer duration of illness.
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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