期刊
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY
卷 26, 期 3, 页码 305-319出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.berh.2012.05.004
关键词
Anxiety; Cognitive-behavioural therapy; Depression; Distress; Musculoskeletal conditions; Rheumatic diseases
类别
资金
- Dutch Arthritis Association
The prevalence of clinical anxiety and clinical depression in rheumatic diseases is about twice the prevalence seen in the general population. At a milder level, the occurrence of psychological distress that does not fulfil diagnostic criteria of anxiety and depression is even higher. Evidence indicates that this high prevalence is multifactorial. Correlational studies suggest that possible factors for anxiety and depression include the suffering accompanying somatic symptoms, functional limitations, pro-inflammatory cytokines, helplessness due to the uncontrollable, unpredictable and progressive nature of the disease, and other factors associated with having a chronic disease. This article reviews the prevalence and diagnosis of anxiety and depression in rheumatic diseases and it examines the contents and the impact of psychological interventions to address these difficulties for patients. (c) 2012 Elsevier Ltd. All rights reserved.
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