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Health‐related quality of life and depression in a sample of Latin American adults with rheumatoid arthritis
Author(s) -
Senra Hugo,
Rogers Heather,
Leibach Gillian,
Altamar Marvín L. P.,
Plaza Silvia L. O.,
Perrin Paul,
Durán Maria A. S.
Publication year - 2017
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.12412
Subject(s) - medicine , quality of life (healthcare) , depression (economics) , rheumatoid arthritis , vitality , marital status , depressive symptoms , patient health questionnaire , clinical psychology , psychiatry , anxiety , population , philosophy , nursing , theology , environmental health , economics , macroeconomics
Objective To compare the health related quality of life ( HRQ oL) and depression of individuals with rheumatoid arthritis ( RA ) to healthy controls in Colombia, as well as to examine the connections between these two variables in individuals with RA . Method One hundred and three individuals with RA were recruited from ambulatory centers in Colombia. Seventy‐three control participants were recruited from the local community. Both groups differed with respect to age, gender and marital status ( P < 0.001), while education and socio‐economic levels were similar. HRQ oL was assessed using the Short Form‐36 ( SF ‐36) and depressive symptoms were assessed using the Patient Health Questionnaire‐9 ( PHQ ‐9). Results A multivariate analysis of covariance found that RA patients reported substantially higher depressive symptoms and lower HRQ oL than healthy controls ( P < 0.01 and P < 0.05, respectively). The effect sizes of the differences between patients and controls in HRQ oL and depressive symptoms were all large. All SF ‐36 HRQ oL variables were significantly correlated with depressive symptoms in patients and controls ( P < 0.05). Social functioning and vitality were uniquely associated with depressive symptoms in the RA group ( P < 0.01 and P < 0.05, respectively), whereas education and social functioning were uniquely associated with depressive symptoms in controls ( P < 0.05 and P < 0.005, respectively). Conclusions Research indicates that individuals with RA have deteriorated HRQ oL, and this study extends these findings to a Colombian sample and highlights the importance of the independent relationship between depressive symptoms and vitality in this group of Colombians with RA .