La depresión es un determinante mayor de la capacidad funcional en pacientes con artritis reumatoidea, independientemente de la actividad de la enfermedad

Carolina Ayelen Isnardi; Dafne Capelusnik; Emilce Edith Schneeberger; Marcela Bazzarelli; Laura Barloco; Eliana Blanco; Cristian Alejandro Benítez; Federico Luján Benavídez; Santiago Scarafia; María Alicia Lázaro; Rodolfo Pérez Alamino; Francisco Colombres; María Paula Kohan; Julia Sosa; Luciana González Lucero; Ana Lucía Barbaglia; Hernán Maldonado Ficco; Gustavo Citera

doi:10.47196/rar.v30i2.453

Carolina Ayelen Isnardi Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Dafne Capelusnik Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Emilce Edith Schneeberger Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Marcela Bazzarelli Hospital Interzonal General de Agudos Petrona V. de Cordero, Buenos Aires, Argentina
Laura Barloco Hospital Interzonal General de Agudos Petrona V. de Cordero, Buenos Aires, Argentina
Eliana Blanco Hospital General de Agudos Dr. Cosme Argerich, Ciudad Autónoma de Buenos Aires, Argentina
Cristian Alejandro Benítez Hospital General de Agudos Dr. Cosme Argerich, Ciudad Autónoma de Buenos Aires, Argentina
Federico Luján Benavídez Hospital General de Agudos Dr. Cosme Argerich, Ciudad Autónoma de Buenos Aires, Argentina
Santiago Scarafia Instituto de Asistencia Reumatológica Integral, Buenos Aires, Argentina
María Alicia Lázaro Instituto de Asistencia Reumatológica Integral, Buenos Aires, Argentina
Rodolfo Pérez Alamino Hospital de Clínicas Nicolás Avellaneda, Tucumán
Francisco Colombres Hospital de Clínicas Nicolás Avellaneda, Tucumán
María Paula Kohan Hospital General de Agudos Dr. Enrique Tornú, Ciudad Autónoma de Buenos Aires, Argentina
Julia Sosa Hospital General de Agudos Dr. Enrique Tornú, Ciudad Autónoma de Buenos Aires, Argentina
Luciana González Lucero Hospital Ángel C. Padilla, Tucumán, Argentina
Ana Lucía Barbaglia Hospital Ángel C. Padilla, Tucumán, Argentina
Hernán Maldonado Ficco Hospital San Antonio de Padua, Córdoba, Argentina
Gustavo Citera Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina

DOI: https://doi.org/10.47196/rar.v30i2.453

Palabras clave: depresión, PHQ-9, Artritis Reumatoidea

Resumen

La depresión es una de las comorbilidades más frecuentemente reportadas en pacientes con Artritis Reumatoidea (AR). Su presencia se asocia a mayores costos de salud, mayor mortalidad y reduce las probabilidades de alcanzar una buena respuesta al tratamiento. Objetivo: evaluar la prevalencia de depresión en pacientes argentinos con AR y establecer su relación con diferentes factores sociodemográficos y clínicos. Material y métodos: se incluyeron pacientes ≥18 años de edad, con diagnóstico de AR según criterios ACR-EULAR 2010. Se consignaron datos sociodemográficos, comorbilidades, características clínicas, actividad de la enfermedad y tratamiento actual. Se administraron los cuestionarios EQ-5D-3L, QOL-RA, HAQ-A y PHQ-9. Los valores de PHQ-9 de 5-9, 10-14, 15-19 y ≥20 determinan la presencia de depresión leve, moderada, moderada/severa y severa, respectivamente y un valor de corte ≥10, depresión mayor. Análisis estadístico: Test T de Student, ANOVA y Chi2. Regresión lineal múltiple.

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