The psychiatric symptoms and sleep disorders in patients with chronic rheumatic pain: The comparative evaluation of patients with rheumatoid arthritis, ankylosing spondylitis, fibromyalgia and degenerative osteoarthritis Kroni̇k romati̇zmal aǧrili hastalarda psi̇ki̇ yatri̇k semptomlar ve uyku bozukluklari: Romatoi̇d artri̇tli̇, anki̇lozan spondi̇li̇tli̇, fi̇bromyalji̇li̇ ve dejenerati̇f osteoartri̇tli̇ olgularin karşilaştirmali i̇ncelenmesi̇
Journal of Rheumatology and Medical Rehabilitation, cilt.11, sa.4, ss.273-277, 2000 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 11 Sayı: 4
- Basım Tarihi: 2000
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.273-277
- Anahtar Kelimeler: Ankylosing spondylitis, Fibromyalgia, Osteoarthritis, Psychiatric symptoms, Rheumatoid arthritis, Sleep disturbance
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
We aimed to assess psychiatric symptoms and sleep disturbance in patients with rheumatic pain. 24 fibromyalgia (FM), 21 rheumatoid arthritis (RA), 28 degenerative osteoarthritis (OA) and 28 ankylosing spondylitis (AS) with a total of 101 subjects were included. The clinical and laboratory assessments were conducted and the subjects completed the symptom check list (SCL-90R) and sleep questionnaire. There was no statistical significant difference between the SCL total scores of the 4 groups with regard to obsessive-compulsive disorder, depression, anxiety, personal affairs and fobic anxiety. The somatization disorder was more common in FM than in AS (p<0.05). The scores of difficulties in falling asleep and early morning awakening were similar in all groups, whereas the scores of restless sleep and non-restorative sleep were statistically higher in FM group. Patients with active RA were more depressive than in patients with mild disease activity. Restless sleep and non-restorative sleep scores were also higher in patients with active RA. In conclusion, although they have the least objective clinical findings, symptoms like restless sleep and non-restorative sleep are more common in patients with FM. This indicates the significance of psychologic and somatiform etiologies. Unlike the patients with FM, the sleep disturbance, seen in patients with RA are related with disease activity.