Author/Editor		Petek, Davorina; Kores-Plesničar, Blanka
Title		Depresivne in anksiozne motnje pri bolnikih s kronično somatsko boleznijo v družinski medicini
Translated title		Depression and anxiety in patients with chronic somatic disease in family practice
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 39, št. 1
Publication year		2000
Volume		str. 24-7
Language		slo
Abstract		Background. Clinical practice suggests that many primary care patients who suffer from chronic somatic disease show symptoms of depression and anxiety. Both psychiatric disorders can be presented as separate entities, in mixed clinical picture of symptoms, or coexist in the sense of comorbidity. Two groups of patients with chronic somatic disease were studied to estimate the degree of depression and anxiety. Comorbidity and cosymptomatology of depression and anxiety were studied in each group of patients. Methods. 40 patients with musculosceletal disorder and 39 diabetic patients participated in the study. To get the scores of depression and anxiety, Hamilton depression rating questionnaire and Hamilton anxiety rating questionare were used. Quality of life was tested with WHO Ten Well Being Questionnaire. Results. Statistically significantly higher depression and anxiety scores were found in the group with musculoskeletal disorder compared to diabetic group. Patients with musculoskeletal disorder showed also more impaired quality of life. Both psychiatric disorders were presented together in 55% in the group with musculoskeletal disorder. Conclusions. Musculoskeletal disorder increases the risk of depression and anxiety due to pain and socio-economic impact on patients life. Diabetic patients showed much less depressive and anxiety symptoms. The study showed that both psychiatric disorders are frequently presented together in the picture of comorbidity or cosymptomatology.
Summary		Izhodišča. Praktične izkušnje kažejo, da so pri številnih kronično somatsko bolnih obiskovalcih zdravnika družinske medicine prisotni znaki depresije in/ali anksioznosti. Psihični motnji sta lahko prisotni ločeno vsaka zase, v mešani klinični sliki simptomov, ali pa hkrati v smislu komorbidnosti. V predstavljeni študiji je prikazana pogostost in stopnja depresije ter anksioznosti pri dveh skupinah kroničnih bolnikov. Prikazano je tudi sopojavljanje obeh psihičnih motenj v obliki komorbidnosti in kosimptomatologije. Metode. V raziskavo je bila vključena skupina 40 bolnikov s kronično ortopedsko boleznijo in skupina 39 sladkornih bolnikov, ki so obiskali izbranega zdravnika zaradi obravnave v zvezi s svojo kronično boleznijo. Za oceno stopnje depresije in anksioznosti sta bili uporabljeni Hamiltonova lestvica za oceno depresije in Hamiltonova lestvica za oceno anksioznosti. Ocenjena je bila tudi kvaliteta življenja z vprašalnikom WHO Ten Well Being. Rezultati. Ortopedski bolniki so imeli statistično značilno višjo stopnjo anksioznosti in depresije kot sladkorni bolniki. V ortopedski skupini je bilo tudi večje nezadovoljstvo s kakovostjo življenja. Zelo pogosto je bilo hkratno pojavljanje obeh psihičnih motenj v skupini ortopedskih bolnikov. Zaključki. Kronična ortopedska bolezen je primer kronične somatske bolezni, ki povečuje tveganje za pojavljanje depresivno anksioznih motenj zaradi prisotnega bolečinskega sindroma in motenj na socialnem ter ekonomskem področju bolnikovega življenja. Pri sladkornih bolnikih so bile depresivno anksiozne motnje redkejše. Ugotovljeno je bilo pogosto pojavljanje obeh motenj v različnih oblikah povezave - kot komorbidnost ali kosimptomatologija.
Descriptors		CHRONIC DISEASE DEPRESSIVE DISORDER ANXIETY DISORDERS FAMILY PRACTICE DIABETES MELLITUS MUSCULOSKELETAL DISEASES PSYCHOLOGICAL TESTS