AB0319 Mood disorders and chronic rheumatologic diseases: about 200 cases. (12th June 2018)

• Record Type: Journal Article
• Authors: Hamdi, W.; Boudokhane, M.; Cherif, I.; Maatallah, K.; Kaffel, D.; Kchir, M.
• Is Part Of: Annals of the rheumatic diseases. Volume 77(2018)Supplement 2
• Page Start: 1335
• Page End: 1335
• Publication Date: 2018-06-12
• Subjects: Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/annrheumdis-2018-eular.5776
• Languages: English
• ISSNs: 0003-4967

Abstract

Abstract : Background: Mood disorders are frequently associated to chronic diseases. They are reported in inflammatory diseases as well as in mechanical rheumatologic disorders but they are not systematically recognised and assessed by clinicians. It is necessary to identify the frequency of moods disorders in order to reduce their impact on patient's compliance to treatment. Objectives: The aim of this study was to assess the impact of chronicrheumatologic diseases on the mood of patients by comparing inflammatory and mechanical diseases and to identify factors correlated with anxiety and depression. Methods: We conducted a cross-sectional study during 1 year including Tunisian patients with chronic inflammatory rheumatism (rheumatoid arthritis: RA according to the criteria ACR 1987 and axial spondyloarthritis: AS according to modified NEW YORK criteria)and patients with mechanical disorders (chronic low back pain and primitive knee osteoarthritis). Anxiety and depression were assessed by the BAI (Beck anxiety index) and the BDI (Beck depression index), respectively. Results: We included 120 patients with chronic inflammatory rheumatism (group 1) and 80 patients with mechanical disease (group2). Group 1 was composed of 70 patients with RA and 50 patients with AS including 65 women and 55 men. Their average age was 46.95 [18.75]. Group 2 was composed of 40patients with chronic low back pain and 40 patients with knee osteoarthritis including 48 women and 32 men. Their average age was 51.95 [18.82]. Anxiety was significantly more frequent in group 1 than group 2: 15.52% vs 9.37% (p=0.000). Depression was significantly more noted in group 1 than group 2:16.29%vs 7.16% (p=0.009). The risk factors for anxiety and depression were respectively in the rheumatoid arthritis:tender and swollen joint count, DAS 28, the HAQ and the sharp erosion score. In AS, factors associated to mood disorders were the visual scale of pain, BASFI, BASDAI, ASDASESR and CRP. In the chronic low back pain mood disorders are associated to functional impairment assessed by the Eiffel questionnaire and the reduced mobility of the lumbar spine assessed by the distance finger-soil. Finally knee in osteoarthritis moods disorders were associated to Lequesne index and the reduction of knee extension. Conclusions: Patients with chronic rheumatologic diseases suffer very often from anxiety and depression which was related in majority of cases to functional impairment, hence the need for multidisciplinary management. Disclosure of Interest: None declared