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Table of Contents
Vol. 77, No. 5, 2008
Issue release date: August 2008
Section title: Regular Article
Psychother Psychosom 2008;77:298–305
(DOI:10.1159/000142522)

Identifying Target Areas of Treatment for Depressed Early Inflammatory Arthritis Patients

Dobkin P.L.a · Filipski M.d · Looper K.b · Schieir O.c · Baron M.c
aDepartment of Medicine, McGill University, Departments of bPsychiatry and cRheumatology, Jewish General Hospital, Montreal, Que., Canada; dUniversity of California, Berkeley, Calif., USA

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Article / Publication Details

First-Page Preview
Abstract of Regular Article

Published online: July 04, 2008
Issue release date: August 2008

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 4

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS

Abstract

Background: The goal of this study was to identify target areas for psychosocial intervention for depressed patients with earlyinflammatory arthritis. Methods:One hundred and sixty-five patients with early inflammatory arthritis (≧1 joint with synovitis for ≧6 weeks and <1 year with a diagnosis of either rheumatoid or undifferentiated inflammatory arthritis) were referred to the McGill Early Arthritis Registry (McEAR) by their rheumatologist. McEAR patients agree to periodic physical exams and to completing questionnaires. Demographic, disease and psychosocial factors were compared between patients screening positive and negative for depression using independent samples t tests and Pearson’s χ2 test and then were entered into a logistic regression model examining the likelihood of screening positive for depression. Results: Thirty-eight (23%) patients screened positive for depressive symptoms. Patients with symptoms of depression had significantly worse disease severity, disability, and pain, engaged in more emotional preoccupation coping, had less self-efficacy for pain and other arthritis-related symptoms, smaller social networks and were less satisfied with social support than the nondepressed group. In logistic regression analyses, pain and emotional preoccupation coping were positively related to the likelihood of screening positive for depression, while satisfaction with social support was negatively related to the likelihood of screening positive for depression Conclusion: Higher pain levels, emotional preoccupation coping and dissatisfaction with social support were related to depressive symptoms in this study. This suggests that the optimal care of depressed patients with inflammatory arthritis would include a psychosocial approach that addresses these specific target areas.

© 2008 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Regular Article

Published online: July 04, 2008
Issue release date: August 2008

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 4

ISSN: 0033-3190 (Print)
eISSN: 1423-0348 (Online)

For additional information: http://www.karger.com/PPS


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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