Prevalence of depressive symptoms in patients with rheumatoid arthritis at a regional hospital in KwaZulu-Natal, South Africa
South African Journal of Psychiatry
| Field | Value | |
| Title | Prevalence of depressive symptoms in patients with rheumatoid arthritis at a regional hospital in KwaZulu-Natal, South Africa | |
| Creator | Mabusela, Mfundo Tomita, Andrew Paruk, Saeeda Paruk, Farhanah | |
| Description | Background: Depression affects 14.8% – 38.8% of patients with rheumatoid arthritis (RA) in developed countries. The prevalence and risk factors for depression in patients with RA in sub-Saharan Africa is not well established.Aim: To determine the prevalence of depressive symptoms in patients with RA.Setting: Public sector regional hospital in South Africa.Methods: A cross-sectional descriptive study was undertaken with 110 adult RA patients. A structured socio-demographic and clinical questionnaire, the modified health assessment questionnaire (mHAQ), the simplified disease activity index (SDAI) for RA, the patient health questionnaire (PHQ-9), and the Household Food Insecurity Access scale (HFIAS) for nutritional status, were used. Correlates of depressive symptomatology in participants with RA were identified using t-tests and regression analyses.Results: Most of the participants were women (90.9%), 67% had moderate to severe RA disease on the SDAI score, 92.7% reported functional disability (HAQ score of ≥ 1), and 87.2% reported mild to severe depressive symptoms. Unemployment (p 0.01), severe food insecurity (p 0.01) and functional disability (p = 0.02), were significantly associated with the depressive symptoms, but not with disease activity (p = 0.8) or inflammatory markers (p = 0.63). Unemployment (adjusted β = −5.07, p 0.01) and severe food insecurity (adjusted β = −4.47, p 0.01) were significantly associated with depressive symptoms, based on the adjusted regression model.Conclusion: As RA effects functional status, with the impact of the resulting unemployment and food insecurity being associated with depression, affected people should be screened for depression and managed using a multidisciplinary approach, especially considering the role of social determinants in RA patients with depression. | |
| Publisher | AOSIS | |
| Date | 2022-02-22 | |
| Identifier | 10.4102/sajpsychiatry.v28i0.1702 | |
| Source | South African Journal of Psychiatry; Vol 28 (2022); 7 pages 2078-6786 1608-9685 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/1702/2501
https://sajp.org.za/index.php/sajp/article/view/1702/2502
https://sajp.org.za/index.php/sajp/article/view/1702/2503
https://sajp.org.za/index.php/sajp/article/view/1702/2504
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