Self-Reported Symptoms of Depression, Anxiety, and Stress Among Patients with Rheumatic Diseases Reported at Rheumatology Centres: A Study of Prevalence and Correlation
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Abstract
Background: The intersection of rheumatic diseases with psychological factors such as stress, resilience, and social support plays a crucial role in shaping the quality of life for patients. Understanding these dynamics is essential for developing holistic care strategies that address both the physical and psychological aspects of arthritis.
Objective: This study aims to explore the prevalence of stress, resilience, and social support among patients with arthritis and examine their correlation with life satisfaction.
Methods: A total of 58 male and female arthritis patients aged 18 to 90 were selected from three hospitals in Faisalabad, Punjab, Pakistan, using a stratified random sampling technique. Descriptive statistics were used to analyse socio-demographic variables. The Perceived Stress Scale (PSS), Life Satisfaction Scale (LSS), Resilience Scale (RS), and the Multidimensional Scale of Perceived Social Support (MSPSS) assessed psychological factors. Pearson correlation, t-tests, and regression analyses were conducted using SPSS version 25 to explore relationships among variables and the mediation effect of resilience between stress, social support, and life satisfaction.
Results: The mean scores for perceived stress (M = 23.31, SD = 5.67), life satisfaction (M = 43.60, SD = 8.28), resilience (M = 74.15, SD = 11.42), and social support (M = 46.32, SD = 18.69) were calculated. Gender differences were non-significant for stress and resilience. Correlation analysis revealed a significant negative relationship between perceived stress and life satisfaction (r = -.339, p < .01), while resilience showed a strong positive correlation with social support (r = .621, p < .01). Regression analysis highlighted that resilience did not significantly mediate the relationship between perceived stress and life satisfaction (ΔR² = .02), nor between social support and life satisfaction (ΔR² = .006).
Conclusion: The study underscores the profound impact of psychological factors on the quality of life in arthritis patients. While stress negatively affects life satisfaction, resilience and social support emerge as crucial for enhancing well-being. These findings advocate for integrated psychological interventions in arthritis management to improve patient outcomes.
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References
Herrmann M, Schölmerich J, Straub RH. Stress and rheumatic diseases. Rheumatic Disease Clinics of North America. 2000;26(4):737-63.
Freire M, Rodríguez J, Möller I, Valcárcel A, Tornero C, Díaz G, et al. Prevalence of symptoms of anxiety and depression in patients with psoriatic arthritis attending rheumatology clinics. Reumatología Clínica (English Edition). 2011;7(1):20-6.
Geenen R, Newman S, Bossema ER, Vriezekolk JE, Boelen PA. Psychological interventions for patients with rheumatic diseases and anxiety or depression. Best practice & research Clinical rheumatology. 2012;26(3):305-19.
Polyakova JV, Seewordova LE, Papichev E, Akhverdyan YR, Kvlividze TZ, Zavodovsky В. Association of Serum Levels of Nesfatin-1 With Rheumatoid Arthritis Activity and Anxiety-Depressive Disorders. Annals of the Rheumatic Diseases. 2022.
Ovcharov P, Lisitsyna T, Veltishchev DY, Burenchev D, Ishchenko D, Seravina O, et al. Cognitive disorders in Behçet's disease. Zhurnal Nevrologii i Psikhiatrii Imeni SS Korsakova. 2019;119(2):11-7.
Singh G, Mahajan N, Abrol S, Raina A. Anxiety and depression are common in rheumatoid arthritis and correlate with poor quality of life in Indian patients. Reumatologia. 2021;59:386 - 93.
Foti R, Amato G, Dal Bosco Y, Gagliano C, Longo A, Falsaperla R, et al. Incidence of Psychiatric Disorders and Fibromyalgia in Patients with Rheumatoid Arthritis and Psoriatic Arthritis During Covid 19 Pandemic: The Role of Telemedicine. Annals of the Rheumatic Diseases. 2022.
Freier D, Englbrecht M, Höhne-Zimmer V, Detert J, Burmester GR. Höhere Prävalenz von depressiven und ängstlichen Symptomen bei Früharthritispatienten im Vergleich zur Normalbevölkerung. Zeitschrift für Rheumatologie. 2018:1-9.
Evers AW, Zautra A, Thieme K. Stress and resilience in rheumatic diseases: a review and glimpse into the future. Nature Reviews Rheumatology. 2011;7(7):409-15.
Sheehy C, Murphy E, Barry M. Depression in rheumatoid arthritis—underscoring the problem. Oxford University Press; 2006. p. 1325-7.
Sokka T. Assessment of pain in patients with rheumatic diseases. Best Practice & Research Clinical Rheumatology. 2003;17(3):427-49.
VanDyke MM, Parker JC, Smarr KL, Hewett JE, Johnson GE, Slaughter JR, et al. Anxiety in rheumatoid arthritis. Arthritis Care & Research. 2004;51(3):408-12.
Bennett JA. Mediator and moderator variables in nursing research: Conceptual and statistical differences. Research in nursing & health. 2000;23(5):415-20.
Preacher KJ, Hayes AF. Assessing mediation in communication research: The Sage sourcebook of advanced data analysis methods for communication …; 2008.
Hawker K, Barnabe C, Barber CE. A scoping Review of tools used to assess patient Complexity in rheumatic disease. Health Expectations. 2021;24(2):556-65.
Maranini B, Bortoluzzi A, Silvagni E, Govoni M. Focus on sex and gender: what we need to know in the management of rheumatoid arthritis. Journal of personalized medicine. 2022;12(3):499.
Kim ES, Delaney SW, Tay L, Chen Y, Diener E, Vanderweele TJ. Life satisfaction and subsequent physical, behavioral, and psychosocial health in older adults. The Milbank Quarterly. 2021;99(1):209-39.
Duggleby W, Lee H, Nekolaichuk C, Fitzpatrick‐Lewis D. Systematic review of factors associated with hope in family carers of persons living with chronic illness. Journal of Advanced Nursing. 2021;77(8):3343-60.
Kong L-N, Zhang N, Yuan C, Yu Z-Y, Yuan W, Zhang G-L. Relationship of social support and health-related quality of life among migrant older adults: The mediating role of psychological resilience. Geriatric Nursing. 2021;42(1):1-7.
Yoon S, Goh H, Chan A, Malhotra R, Visaria A, Matchar D, et al. Spillover effects of COVID-19 on essential chronic care and ways to foster health system resilience to support vulnerable non-COVID patients: a multistakeholder study. Journal of the American Medical Directors Association. 2022;23(1):7-14.
Alum EU, Obeagu EI, Ugwu OP, Samson AO, Adepoju AO, Amusa MO. Inclusion of nutritional counseling and mental health services in HIV/AIDS management: A paradigm shift. Medicine. 2023;102(41):e35673.
Banerjee D, D'Cruz MM, Rao TS. Coronavirus disease 2019 and the elderly: Focus on psychosocial well-being, agism, and abuse prevention–An advocacy review. Journal of geriatric mental health. 2020;7(1):4-10.