Prevalence and determinants of psychiatric disorders in patients with rheumatoid arthritis.

摘要: Background Rheumatoid arthritis (RA) is the most common chronic rheumatological disorder among southern Chinese patients in Hong Kong, with an estimated prevalence of 0.33%–0.35%. The resulting pain, disability, social stress, and isolation contribute to development psychiatric symptoms. Objective authors identify determining factors disorders RA. Method Consecutive RA (N = 200) were recruited from a rheumatology outpatient clinic. Psychiatric diagnosed by psychiatrist using Chinese-bilingual Structured Clinical Interview for DSM–IV Axis I disorders, Patient Research Version. Sociodemographic clinical data subjective health status perceived support also collected. Factors associated occurrence studied multivariate analysis. Results A total 47 current (depressive 14.5%; anxiety 13.0%; schizophrenia, 0.5%). Major depressive generalized commonest mood respectively. Independent predictors poverty poor support. Limited interaction, support, high pain intensity, family history independently disorder, whereas disorder. Conclusion Depression are Patients who lack or rely on economic assistance more prone disorders.