강직성 척추염 환자의 질병활성도와 불확실성이 불안과 우울에 미치는 영향
The Influence of Disease Activity and Uncertainty on Anxiety and Depression in Patients with Ankylosing Spondylitis
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Purpose: The purpose of this study was to understand how disease activity and uncertainty influence anxiety and depression in patients with ankylosing spondylitis Method: Participants were 125 patients with ankylosing spondylitis who had attended the rheumatology division of a university hospital. A structured questionnaire was used to assess disease activity, uncertainty, anxiety, and depression. The data gathered were analyzed using t-tests, ANOVAs, Pearson correlation coefficients, and a multiple regression. Results: Differences were observed in anxiety based on job status, and in depression based on age, marriage, and job status. Uncertainty and disease activity predicted patients’ anxiety and explained 40% of the variance in this measure, and the relative influence of uncertainty (β= .38, p<.001) was larger than that of disease activity (β= .30, p<.001). Furthermore, uncertainty and disease activity predicted depression and explained 36% of the variance therein, and the relative influence of uncertainty (β= .27, p=.002) and disease activity (β= .27, p=.003) was similar. Conclusion: This study confirmed that disease activity and uncertainty influenced anxiety and depression in patients with ankylosing spondylitis. Therefore, efforts to decrease anxiety and depression in patients with this condition must take into consideration disease activity when implementing nursing interventions and should include strategies to lower uncertainty.
Abstract
Purpose: The purpose of this study was to understand how disease activity and uncertainty influence anxiety and depression in patients with ankylosing spondylitis Method: Participants were 125 patients with ankylosing spondylitis who had attended the rheumatology division of a university hospital. A structured questionnaire was used to assess disease activity, uncertainty, anxiety, and depression. The data gathered were analyzed using t-tests, ANOVAs, Pearson correlation coefficients, and a multiple regression. Results: Differences were observed in anxiety based on job status, and in depression based on age, marriage, and job status. Uncertainty and disease activity predicted patients’ anxiety and explained 40% of the variance in this measure, and the relative influence of uncertainty (β= .38, p<.001) was larger than that of disease activity (β= .30, p<.001). Furthermore, uncertainty and disease activity predicted depression and explained 36% of the variance therein, and the relative influence of uncertainty (β= .27, p=.002) and disease activity (β= .27, p=.003) was similar. Conclusion: This study confirmed that disease activity and uncertainty influenced anxiety and depression in patients with ankylosing spondylitis. Therefore, efforts to decrease anxiety and depression in patients with this condition must take into consideration disease activity when implementing nursing interventions and should include strategies to lower uncertainty.
참고문헌 (30)
- Aissaoui, N., "Fatigue in patients with ankylosing spondylitis : prevalence and relationships with disease-specific variables, psychological status, and sleep disturbance", Rheumatology International, 32(7), pp.2117~2124 (2012)
- Batmaz, I., "Sleep quality and associated factors in ankylosing spondylitis : relationship with disease parameters, psychological status and quality of life", Rheumatology International, 33(4), pp.1039~1045 (2013)
- Brionez, T. F., "Psychological correlates of self-reported disease activity in ankylosing spondylitis", The Journal of Rheumatology, 37(4), pp.829~834 (2010)
- Caglayan, M., "Assessment of quality of life, psychological and functional status and disease activity in patients with ankylosing spondylitis and fibromyalgia", Journal of Clinical and Experimental Investigations, 7(1), pp.41~46 (2016)
- Cleanthous, S., "What constitutes uncertainty in systemic lupus erythematosus and rheumatoid arthritis?", Psychology & Health, 28(2), pp.171~188 (2013)
- Covic, T., "and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the Hospital, Anxiety and Depression Scale (HADS)", BMC Psychiatry, 12(1), pp.6~ (2012)
- Dean, L. E., "Global prevalence of ankylosing spondylitis", Rheumatology, 53(4), pp.650~657 (2014)
- Durmus, D., "Psychiatric symptoms in ankylosing spondylitis : their relationship with disease activity, functional capacity, pain and fatigue", Comprehensive Psychiatry, 62, pp.170~177 (2015)
- Faul, F., "G*Power 3 : a flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behavior Research Methods, 39(2), pp.175~191 (2007)
- Garrett, S., "A new approach to defining disease status in ankylosing spondylitis : the Bath Ankylosing Spondylitis Disease Activity Index", The Journal of Rheumatology, 21(12), pp.2286~2291 (1994)
- Hakkou, J., "Sleep disturbance in Moroccan patients with ankylosing spondylitis : prevalence and relationships with disease-specific variables, psychological status and quality of life", Rheumatology International, 33(2), pp.285~290 (2013)
- 한진이, "루푸스 환자의 질병에 대한 불확실성 우울 및 삶의 질", 석사, 간호학, pp.2008
- Hyphantis, T., "The relationship between depressive symptoms, illness perceptions and quality of life in ankylosing spondylitis in comparison to rheumatoid arthritis", Clinical Rheumatology, 32(5), pp.635~644 (2013)
- 전명희, "허리 척추수술환자의 수술 후 불확실성에 미치는 영향요인", 근관절건강학회지, 19(3), pp.294~307 (2012), 대한근관절건강학회[DOI]
- 정재훈, "뇌졸중 환자의 우울 및 불안 특성과 환측 상지기능과의 관련성", 재활복지, 16(4), pp.317~340 (2012), 한국장애인재활협회 부설 재활연구소
- 이나래, "전립선비대증 환자의 증상, 불안 및 우울이 수면의 질에 미치는 영향", 한국콘텐츠학회 논문지, 15(1), pp.338~349 (2015), 한국콘텐츠학회[DOI]
- Martindale, J., "Disease and psychological status in ankylosing spondylitis", Rheumatology, 45(10), pp.1288~1293 (2006)
- Min, K. J., "A Comparison of normal, depressed and anxious groups : a study on the standardization of the hospital anxiety and depressed scale for koreans", Korean Neuropsychiatric Association, 38(2), pp.289~296 (1999)
- Mishel, M. H., "The measurement of uncertainty in illness", Nursing Research, 30(5), pp.258~263 (1981)
- Naegeli, A. N., "The patient experience with fatigue and content validity of a measure to assess fatigue severity : qualitative research in patients with ankylosing spondylitis(AS)", Health and Quality of Life Outcomes, 11(1), pp.192~ (2013)
- Oh, H. S., "Health promoting behaviors and quality of life of korean women with arthritis", Journal of Korean Academy of Nursing, 23(4), pp.617~630 (1993)
- Paik, S. I., "The effect of self-Management course on pain, flexibility of lumbar spine, uncertainty and self-efficacy in patients with ankylosing spondylitis", Journal of Muscle and Joint Health, 10(2), pp.156~166 (2003)
- Park, J. Y., "Related factors of uncertainty, anxiety, and depression in patients with age-related macular degeneration", master, pp.2015
- Park, S. H., "Factors influencing on self-care ability of women with rheumatoid arthritis", master, pp.2015
- Song, B. E., "A Study of anxiety, depression and disease activity index in patients with systemic lupus erythemtosus", Journal of Muscle and Joint Health, 7(2), pp.258~268 (2000)
- Wood, B., "Prevalence and concurrence of anxiety, depression and fatigue over time in multiple sclerosis", Multiple Sclerosis Journal, 19(2), pp.217~224 (2012)
- Wright, L. J., "The illness uncertainty concept : a review", Current Pain and Headache Reports, 13(2), pp.133~138 (2009)
- 유경희, "류마티스 관절염 환자의 불확실성에 대한 극복력과 일상생활정도의 상관성 조사", 재활간호학회지, 7(2), pp.207~212 (2004), 한국재활간호학회
- 유경희, "성별에 따른 류마티스 관절염 환자의 우울과 일상활동정도", 근관절건강학회지, 20(2), pp.131~140 (2013), 대한근관절건강학회[DOI]
- Zigmond, A. S., "The hospital anxiety and depression scale", Acta Psychiatrica Scandinavica, 67(6), pp.361~370 (1983)