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Presse Med. 2011 Feb;40(2):e111-9. doi: 10.1016/j.lpm.2010.09.019. Epub 2010 Nov 4.

Mood and anxiety disorders in systemic sclerosis patients.

Author information

1
Université de Paris 13, Assistance publique-Hôpitaux de Paris (AP-HP), hôpital Avicenne, service de psychopathologie, EA 3413, 93009 Bobigny cedex, France.

Abstract

OBJECTIVE:

To assess the prevalence of mood and anxiety disorders in systemic sclerosis (SSc) patients and the association of these disorders with clinical features.

METHODS:

Between May 2002 and May 2004, 100 SSc patients fulfilling the American Rheumatism Association and/or Leroy & Medsger criteria were recruited: 51 were from a SSc patient association meeting, and 49 were hospitalized in an internal medicine department and recruited consecutively. Mood and anxiety disorders were assessed by use of a structured clinical interview [the Mini International Neuropsychiatric Interview (MINI)] performed by a psychiatrist and a self-reporting questionnaire [the Hospital Anxiety and Depression Scale (HADS)]. On the same day, psychiatric treatment and clinical features were recorded by a physician.

RESULTS:

As assessed by the MINI, 19% [95% confidence interval 12-28%] of all SSc patients were currently experiencing a major depressive episode (MDE), 56% [46-65%] had a lifetime history of MDE and 14% [8-22%] had current dysthymia. Current MDE was more prevalent among hospitalized patients than among other patients (28% versus 10%, p=0.02). Specific anxiety disorders were diagnosed in 37 [28-47] patients. Less than 50% of the patients with mood disorders received psychiatric treatment. Patients with or without current depression did not differ in clinical symptoms of SSc, except for digestive symptoms.

CONCLUSION:

The current and lifetime prevalence of major depression and anxiety disorders is high in SSc patients, especially during hospitalization. However, only half of such patients receive adequate psychiatric treatment. Therefore, a better assessment of psychiatric disorders in SSc patients is needed.

PMID:
21055901
DOI:
10.1016/j.lpm.2010.09.019
[Indexed for MEDLINE]

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