CLINICAL FEATURE OF DEPRESSION IN RHEUMATOID ARTHRITIS PATIENTS DEPRESSION AND SOME RELATED FATORS IN RHEUMATOID ARTHRITIS PATIENTS IN RHEUMATOLOGY DEPARTMENT – BACH MAI HOSPITAL

Lê Thị Thu Hà1,2,, Ngô Tuấn Khiêm2, Trần Thị Thu Hà1,2, Nguyễn Văn Tuấn1,2
1 Hanoi Medical University
2 National Mental Health Institute, Bach Mai Hospital

Main Article Content

Abstract

Depressive disorder is a common comorbid disease in the rheumatoid arthritis disease (RA), which will adversely make the RA symptoms worse, complications increased, mortality and suicide rates increased which is a heavy burden for the patient, their family and society. there has been a lot of research about depression disorder in rheumatoid arthritis patient in the world but it is still lack of report in Viet Nam. Therefore, we carry out research named “Depression and some related fators in rheumatoid arthritis patients in rheumatology department – Bach Mai hospital”. Subjects and research methods: Descriptive cross-sectional study of 79 rheumatoid arthritis inpatients at the Department of Rheumatology in Bach Mai Hospital from June 2019 to June 2020. Results: studying subjects are mainly female (83.5%), the average age is 60.9 ± 9.3, where urban is equivalent to rural, 40.5% is secondary education. There are 51.9% of patients who are depressive according to the Hamilton Depression Scale (HAM - D). Significantly different is the number of joint pain and swollen joints, CRP index, disease activity index in 28 joint following CRP (DAS 28- CRP) in depressed patient and non-depressed patient. The patients who are unable to work, do activities of daily living or make money have a higher depression rate than the others who still remain their workability and activities of daily living with p<0.05.

Article Details

References

1. Woolf A.D. and Pfleger B. (2003). Burden of major musculoskeletal conditions. Bull World Health Organ, 81(9), 646–656.
2. Ngô Quý Châu (2012), Bệnh học nội khoa, Nhà xuất bản y học, Hà Nội.
3. Soósová M.S., Macejová Ž., Zamboriová M., et al. (2017). Anxiety and depression in Slovak patients with rheumatoid arthritis. J Ment Health, 26(1), 21–27.
4. Fu X., Li Z.-J., Yang C.-J., et al. (2017). The prevalence of depression in rheumatoid arthritis in China: A systematic review. Oncotarget, 8(32), 53623–53630.
5. Phạm Thanh Tùng (2014). Nghiên cứu áp dụng chỉ số CDAI và SDAI trong xác định mức độ hoạt động bệnh viêm khớp dạng thấp. Trường đại học Y Hà Nội. Hà Nội.
6. Englbrecht M., Alten R., Aringer M., et al. (2019). New insights into the prevalence of depressive symptoms and depression in rheumatoid arthritis - Implications from the prospective multicenter VADERA II study. PloS One, 14(5), e0217412.
7. ElSherbiny D.A. and ElSayed Saad W. (2020). Depression in rheumatoid arthritis patients: Screening for a frequent yet underestimated comorbidity. Egypt Rheumatol, 42(2), 89–93.
8. Bagnato G., De Andres I., Sorbara S., et al. (2015). Pain threshold and intensity in rheumatic patients: correlations with the Hamilton Depression Rating scale. Clin Rheumatol, 34(3), 555–561.