Comorbid depression in rheumatoid arthritis: Pathophysiology and clinical implications

被引:107
作者
Bruce T.O. [1 ]
机构
[1] Department of Neuropsychiatry and Behavioral Sciences, University of South Carolina School of Medicine, Columbia, SC 29203
关键词
Rheumatoid Arthritis; Depressive Symptom; Suicidal Ideation; Rheumatol; Illness Perception;
D O I
10.1007/s11920-008-0042-1
中图分类号
学科分类号
摘要
Rheumatoid arthritis (RA) is a chronic inflammatory illness that primarily affects the joints. It is associated with symptoms of fatigue, pain, and sleep disturbances that can overlap with or mimic symptoms of depression. Depressive symptoms are highly comorbid, with RA and may occur with at least mild severity in up to 42% of RA patients. RA and depression contribute to mortality, decreased quality of life, increased health care costs, and disability. Inflammatory pathways may hold the key to a link between depression and RA, and cytokines have been a major target of research in this area. This arficie reviews some of the most recent research and commentary on this complex relationship. Copyright © 2008 by Current Medicine Group LLC.
引用
收藏
页码:258 / 264
页数:6
相关论文
共 50 条
[1]  
Covic T., Tyson G., Spencer D., Howe G., Depression in rheumatoid arthritis patients: Demographic, clinical, and psychological predictors, J Psychosom Res, 60, pp. 469-476, (2006)
[2]  
Isik A., Koca S.S., Ozturk A., Mermi O., Anxiety and depression in patients with rheumatoid arthritis, Clin Rheumatol, 26, pp. 872-878, (2007)
[3]  
Nakajima A., Kamitsuji S., Saito A., Et al., Disability and patient's appraisal of general health contribute to depressed mood in rheumatoid arthritis in a large clinical study in Japan, Mod Rheumatol, 16, pp. 151-157, (2006)
[4]  
Sheehy C., Murphy E., Barry M., Depression in rheumatoid arthritis - underscoring the problem, Rheumatology (Oxford), 45, pp. 1325-1327, (2006)
[5]  
Rifkin A., Depression in physically ill patients: Don't dismiss it as 'understandable., Postgrad Med, 92, pp. 147-151, (1992)
[6]  
Ang D.C., Choi H., Kroenke K., Wolfe F., Comorbid depression is an independent risk factor for mortality in patients with rheumatoid arthritis, J Rheumatol, 32, pp. 1013-1019, (2005)
[7]  
Kinder L.S., Bradley K.A., Karon W.J., Et al., Depression, posttraumatic stress disorder, and mortality, Psychosom Med, 70, pp. 20-26, (2008)
[8]  
Gallo J.J., Bogner H.R., Morales K.H., Et al., The effect of a primary care practice-based depression intervention on mortality in older adults, Ann Intern Med, 14, pp. 689-698, (2007)
[9]  
Spring T.R., Yanni L.M., Levenson J.L., A shot in the dark: Failing to recognize the link between physical and mental illness, J Gen Intern Med, 22, pp. 677-680, (2006)
[10]  
Timonen M., Viilo K., Sarkioia T., Et al., Suicides in persons suffering from rheumatoid arthritis, Rheumatology (Oxford), 42, pp. 287-291, (2003)