Impacto de la presencia de depresión y ansiedad en pacientes con artritis psoriásica

Virginia Carrizo Abarza; Carolina Ayelén Isnardi; Emilce Edith Schneeberger; Tatiana Barbich; Gisele Luna; Joan Manuel Dapeña; Osvaldo Cerda; Magdalena Ida Cavalieri; Gustavo Citera

doi:10.47196/rar.v33i2.650

Virginia Carrizo Abarza Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Carolina Ayelén Isnardi Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Emilce Edith Schneeberger Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Tatiana Barbich Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Gisele Luna Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Joan Manuel Dapeña Hospital General de Agudos Dr. Enrique Tornú, Ciudad Autónoma de Buenos Aires, Argentina
Osvaldo Cerda Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Magdalena Ida Cavalieri Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina
Gustavo Citera Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Argentina

DOI: https://doi.org/10.47196/rar.v33i2.650

Palabras clave: depresión, ansiedad, PHQ-9, GAD-7, artritis psoriásica

Resumen

Introducción: un tercio de los pacientes con artritis psoriásica (APs) sufre ansiedad y/o depresión, lo que podría impactar negativamente en la actividad de la enfermedad.Los objetivos de este estudio fueron: evaluar la prevalencia de depresión y ansiedad en pacientes con APs, estudiar su asociación con diferentes factores sociodemográficos y clínicos, y determinar el efecto sobre los diferentes componentes de los índices compuestos de la actividad de la APs. Materiales y métodos: se incluyeron pacientes con APs que cumplían criterios de la Classi cation criteria of psoriatic arthritis (CASPAR). La depresión se de nió según el Patient Health Questionnaire-9 (PHQ-9) y la ansiedad según el cuestionario General Anxiety Disorder-7 (GAD-7). Se realizó regresión logística múltiple para identi car variables asociadas a ansiedad y depresión. Resultados: se incluyeron 100 pacientes con APs, de los cuales el 26% y el 59% presentaron depresión mayor y ansiedad respectivamente. Los pacientes con depresión mayor tuvieron mayor actividad de la enfermedad, dolor, fatiga, ansiedad, y menor educación formal y peor calidad de vida. Aquellos con ansiedad manifestaron mayor actividad de la enfermedad, dolor y fatiga, y peor calidad de vida y capacidad funcional. La alta actividad de la enfermedad y la menor educación formal se asociaron independientemente con depresión mayor. Conclusiones: la presencia de depresión mayor y ansiedad se asoció con mayor actividad de la enfermedad en pacientes con APs.

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