dc.creator | Garrido Cumbrera, Marco | es |
dc.creator | Gálvez Ruiz, David | es |
dc.creator | Delgado-Domínguez, Carlos Jesús | es |
dc.creator | Poddubnyy, Denis | es |
dc.creator | Navarro-Compán, Victoria | es |
dc.creator | Christen, Laura | es |
dc.creator | Mahapatra, Raj | es |
dc.creator | Makri, Souzi | es |
dc.creator | Bundy, Christine | es |
dc.date.accessioned | 2022-10-19T11:08:06Z | |
dc.date.available | 2022-10-19T11:08:06Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Garrido Cumbrera, M., Gálvez Ruiz, D., Delgado-Domínguez, C.J., Poddubnyy, D., Navarro-Compán, V., Christen, L.,...,Bundy, C. (2021). Impact of axial spondyloarthritis on mental health in Europe: results from the EMAS study. Rheumatic & Musculoskeletal Diseases, 7, 3-1-3-7. https://doi.org/10.1136/rmdopen-2021-001769. | |
dc.identifier.issn | 2056-5933 | es |
dc.identifier.uri | https://hdl.handle.net/11441/138106 | |
dc.description.abstract | Objective To determine the presence of mental disorder
risk and associated factors in European patients with axial
spondyloarthritis (axSpA).
Methods Data from 2,166 patients with axSpA in 12
European countries were collected from 2017 to 2018
through the European Map of Axial Spondyloarthritis
online survey. Risk of mental disorders was assessed
using the 12-item General Health Questionnaire. Possible
predictors included age, gender, relationship status,
patient organisation membership, job status, educational
level, Bath Ankylosing Spondylitis Disease Activity Index
(BASDAI), functional limitation (0–54) and self-reported
depression or anxiety. Bivariate analyses were conducted
to determine predictors of risk of mental disorders (MannWhitney and χ2
) and multivariable analysis identified
factors associated with risk of mental disorders.
Results 60.7% of patients reported risk of mental
disorders: they were younger (41.7 vs 46.0 years), more
likely female (68.2% vs 57.9%), unemployed (7.5% vs
2.7%), on temporary (15.9% vs 5.4%) or permanent
sick leave (13.2% vs 8.0%), reported depression (45.2%
vs 14.2%) or anxiety (41.3% vs 12.5%), higher disease
activity (BASDAI ≥4; 87.6% vs 62.3%) and functional
limitation (16.5 vs 10.8). The factors most associated with
risk of mental disorders were disease activity (OR=2.80),
reported depression (OR=2.42), anxiety (OR=2.39),
being unemployed or on sick leave (OR=1.98), functional
limitation (OR=1.02) and younger age (OR=0.97).
Conclusions Compared with the general population,
patients with axSpA show disproportionately worse
mental health associated mainly with disease activity and
employment status. Healthcare professionals should pay
close attention to patients with high disease activity and
address internally or refer to specialist services, where
appropriate to ensure optimal patient outcomes. | es |
dc.format | application/pdf | es |
dc.format.extent | 7 p. | es |
dc.language.iso | eng | es |
dc.publisher | EULAR | es |
dc.relation.ispartof | Rheumatic & Musculoskeletal Diseases, 7, 3-1-3-7. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.title | Impact of axial spondyloarthritis on mental health in Europe: results from the EMAS study | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Estadística e Investigación Operativa | es |
dc.relation.publisherversion | 10.1136/rmdopen-2021-001769 | es |
dc.identifier.doi | 10.1136/rmdopen-2021-001769 | es |
dc.journaltitle | Rheumatic & Musculoskeletal Diseases | es |
dc.publication.volumen | 7 | es |
dc.publication.initialPage | 3-1 | es |
dc.publication.endPage | 3-7 | es |