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Pol. Merkur. Lek (Pol. Med. J.), 2016, XLI/244: 184-187 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2016, XLI/244: 184-187

Title: Anxiety and depression levels in rheumatoid arthritis patients before and after joint replacement procedure

Author: Pietrzak J, Kwarta P, Karbownik M, Mokros Ł, Zdanowicz P, Miśkowiec D, Witusik A, Antczak A, Pietras T. 

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN ENGLISH.

Anxiety and depression levels in rheumatoid arthritis patients before and after joint replacement procedure


Pietrzak J1, Kwarta P2, Karbownik M3, Mokros Ł4, Zdanowicz P4, Miśkowiec D5, Witusik A6, Antczak A7, Pietras T4.

Copernicus Memorial Hospital in Lodz, Łódź, Poland: 1Rheumatology Department; 2Department of Pediatrics and Allergy; Medical University of Lodz, Łódź, Poland: 3Department of Pharmacology and Toxicology; 4Department of Clinical Pharmacology; 5Department of Cardiology; 6Department of Psychology, Faculty of Social Sciences, Jan Kochanowski Memorial University of Humanities and Sciences in Kielce, Piotrków Trybunalski Division, Poland; 7Medical University of Lodz, Łódź, Poland, Department of General Pulmonology and Oncology

The progression of the inflammatory process in the course of rheumatoid arthiritis (RA) may cause a permanent destruction of joints, which in case of bigger ones (i.e. hip or knee) may be particularly a psychological burden for a patient.
The aim of the study
was to verify whether implantation of hip or knee endoprosthesis affect anxiety and depressive symptoms among patients with RA.
Material and methods
. The study enrolled a group of 128 rheumatoid arthritis patients, including 64 patients before and 64 patients after the joint replacement procedure. Anxiety was assessed using State- Trait Anxiety Inventory and depression – Beck Depression Inventory.
Results
. Patients before the endoprosthesis implantation scored statistically significantly higher on the state anxiety scale than patients after the procedure (43.17±10.69 vs 36.95±10.63, p<0.01). There was no statistically significant difference in trait anxiety scores between patients before and after alloplasty (p=0.28). Patients before the procedure scored statistically significantly higher on BDI than patients after the joint replacement (15.28±8.99 vs 11.48±8.45, p<0.05).
Conclusions
. Patients with RA after knee or hip alloplasty had lower levels of anxiety and depressive symptoms than patient before the procedure. Endoprosthesis implantation as a treatment option for severe joint destruction in RA might also improve depressive symptoms and anxiety among patients with RA.

Key words: anxiety, depression, rheumatoid arthritis, hip joint endoprosthesis, knee joint endoprosthesis

Pol Med J, 2016; XLI (244); 184–187