Quantifying the burden of emotional ill‐health amongst patients referred to a specialist rheumatology service
Objectives. (1) To determine the prevalence of emotional disorders (DSM IV depression, anxiety and panic disorders) amongst patients referred to a rheumatology out‐patient service and the proportion of these detected by the rheumatologist. (2) To test the hypotheses that emotional disorders are asso...
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| Veröffentlicht in: | British journal of rheumatology 2003-06, Vol.42 (6), p.750-757 |
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| container_title | British journal of rheumatology |
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| creator | Maiden, N. L. Hurst, N. P. Lochhead, A. Carson, A. J. Sharpe, M. |
| description | Objectives. (1) To determine the prevalence of emotional disorders (DSM IV depression, anxiety and panic disorders) amongst patients referred to a rheumatology out‐patient service and the proportion of these detected by the rheumatologist. (2) To test the hypotheses that emotional disorders are associated with (i) broad categories of rheumatological diagnosis (systemic, inflammatory vs non‐systemic, non‐inflammatory), (ii) female gender, (iii) greater symptom burden and disability and (iv) markers of socio‐economic deprivation. Methods. A cross‐sectional study was made of consecutive newly referred attenders at a hospital‐based, regional rheumatology service. Emotional disorders, pain, health status and socio‐economic factors were assessed by questionnaire. The letter to the referrer was scrutinized for the rheumatological diagnosis and mention of emotional disorder. Results. A total of 256 patients were eligible and 203 (79%) participated. The sample was 69% female, had a mean age of 50 yr and 68 patients (33.5%) had one or more emotional disorders. Only a minority were detected. There was no association with type of rheumatological diagnosis. Patients with an emotional disorder were more likely to be female (81 vs 62%; P |
| doi_str_mv | 10.1093/rheumatology/keg211 |
| format | Article |
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L. ; Hurst, N. P. ; Lochhead, A. ; Carson, A. J. ; Sharpe, M.</creator><creatorcontrib>Maiden, N. L. ; Hurst, N. P. ; Lochhead, A. ; Carson, A. J. ; Sharpe, M.</creatorcontrib><description>Objectives. (1) To determine the prevalence of emotional disorders (DSM IV depression, anxiety and panic disorders) amongst patients referred to a rheumatology out‐patient service and the proportion of these detected by the rheumatologist. (2) To test the hypotheses that emotional disorders are associated with (i) broad categories of rheumatological diagnosis (systemic, inflammatory vs non‐systemic, non‐inflammatory), (ii) female gender, (iii) greater symptom burden and disability and (iv) markers of socio‐economic deprivation. Methods. A cross‐sectional study was made of consecutive newly referred attenders at a hospital‐based, regional rheumatology service. Emotional disorders, pain, health status and socio‐economic factors were assessed by questionnaire. The letter to the referrer was scrutinized for the rheumatological diagnosis and mention of emotional disorder. Results. A total of 256 patients were eligible and 203 (79%) participated. The sample was 69% female, had a mean age of 50 yr and 68 patients (33.5%) had one or more emotional disorders. Only a minority were detected. There was no association with type of rheumatological diagnosis. Patients with an emotional disorder were more likely to be female (81 vs 62%; P<0.007), to report more pain (mean Visual Analogue Score 70 vs 50 mm, P<0.001), a greater number of somatic symptoms (median 3 vs 1, P<0.001) and greater disability (median Health Assessment Questionnaire 1.1 vs 0.5, P<0.001). Emotional disorders were also associated with some, but not all, measures of lower social and economic status and life dissatisfaction. Conclusions. Emotional disorder is present in one‐third of new rheumatology referrals. The course, causation and management of this important component of rheumatological illness merit further attention.</description><identifier>ISSN: 1462-0324</identifier><identifier>ISSN: 1460-2172</identifier><identifier>EISSN: 1462-0332</identifier><identifier>EISSN: 1460-2172</identifier><identifier>DOI: 10.1093/rheumatology/keg211</identifier><identifier>PMID: 12730534</identifier><identifier>CODEN: BJRHDF</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adult ; Adult and adolescent clinical studies ; Aged ; Anxiety ; Anxiety Disorders - complications ; Biological and medical sciences ; Clinical Competence ; Cross-Sectional Studies ; Depression ; Depressive Disorder - complications ; Diseases of the osteoarticular system ; Emotional disorders ; Female ; Humans ; Logistic Models ; Male ; Medical sciences ; Mental Disorders - complications ; Mental Disorders - diagnosis ; Middle Aged ; Miscellaneous ; Miscellaneous. Osteoarticular involvement in other diseases ; Outpatient Clinics, Hospital ; Pain - psychology ; Panic disorder ; Panic Disorder - complications ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Referral and Consultation ; Rheumatic Diseases - complications ; Rheumatic Diseases - psychology ; Rheumatology out‐patients ; Risk Factors ; Sex Factors ; Socioeconomic Factors</subject><ispartof>British journal of rheumatology, 2003-06, Vol.42 (6), p.750-757</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Jun 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-a6b303240cd618b418b77097f67691bef0c705ede1cf04db5565e191c7274cc63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14910983$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12730534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maiden, N. L.</creatorcontrib><creatorcontrib>Hurst, N. P.</creatorcontrib><creatorcontrib>Lochhead, A.</creatorcontrib><creatorcontrib>Carson, A. J.</creatorcontrib><creatorcontrib>Sharpe, M.</creatorcontrib><title>Quantifying the burden of emotional ill‐health amongst patients referred to a specialist rheumatology service</title><title>British journal of rheumatology</title><addtitle>Rheumatology</addtitle><description>Objectives. (1) To determine the prevalence of emotional disorders (DSM IV depression, anxiety and panic disorders) amongst patients referred to a rheumatology out‐patient service and the proportion of these detected by the rheumatologist. (2) To test the hypotheses that emotional disorders are associated with (i) broad categories of rheumatological diagnosis (systemic, inflammatory vs non‐systemic, non‐inflammatory), (ii) female gender, (iii) greater symptom burden and disability and (iv) markers of socio‐economic deprivation. Methods. A cross‐sectional study was made of consecutive newly referred attenders at a hospital‐based, regional rheumatology service. Emotional disorders, pain, health status and socio‐economic factors were assessed by questionnaire. The letter to the referrer was scrutinized for the rheumatological diagnosis and mention of emotional disorder. Results. A total of 256 patients were eligible and 203 (79%) participated. The sample was 69% female, had a mean age of 50 yr and 68 patients (33.5%) had one or more emotional disorders. Only a minority were detected. There was no association with type of rheumatological diagnosis. Patients with an emotional disorder were more likely to be female (81 vs 62%; P<0.007), to report more pain (mean Visual Analogue Score 70 vs 50 mm, P<0.001), a greater number of somatic symptoms (median 3 vs 1, P<0.001) and greater disability (median Health Assessment Questionnaire 1.1 vs 0.5, P<0.001). Emotional disorders were also associated with some, but not all, measures of lower social and economic status and life dissatisfaction. Conclusions. Emotional disorder is present in one‐third of new rheumatology referrals. The course, causation and management of this important component of rheumatological illness merit further attention.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety Disorders - complications</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Depressive Disorder - complications</subject><subject>Diseases of the osteoarticular system</subject><subject>Emotional disorders</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - diagnosis</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Outpatient Clinics, Hospital</subject><subject>Pain - psychology</subject><subject>Panic disorder</subject><subject>Panic Disorder - complications</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Referral and Consultation</subject><subject>Rheumatic Diseases - complications</subject><subject>Rheumatic Diseases - psychology</subject><subject>Rheumatology out‐patients</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><issn>1462-0324</issn><issn>1460-2172</issn><issn>1462-0332</issn><issn>1460-2172</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc9qFEEQxgdRTIw-gSCNYG5juqb_7RwlmERdUEEheGl6emp2O-mZ3nT3iHvzEXxGn8QOuyTBQ1EF9auP-qqq6iXQt0BbdhLXOI8mBx9W25NrXDUAj6pD4LKpKWPN47u64QfVs5SuKKUC2OJpdQCNYlQwfliFr7OZshu2blqRvEbSzbHHiYSB4BiyC5PxxHn_9_efNRqf18SMYVqlTDYmO5xyIhEHjBF7kgMxJG3QOuNdIR4uSBLGn87i8-rJYHzCF_t8VH0_e__t9KJefj7_cPpuWVvOIddGdux2cWp7CYuOl1CKtmqQSrbQ4UCtogJ7BDtQ3ndCSIHQglWN4tZKdlQd73Q3MdzMmLIeXbLovZkwzEkrxmABoing6__AqzDH4jppaIWUkgtVILaDbAwpFcN6E91o4lYD1bfP0A-96t0zytSrvfTcjdjfz-yvX4A3e8Aka_wQzWRduud4W7QXrHD1jitXxV93fROvtVRMCX1x-UMDLJaXZ18-6Y_sH2OUqNI</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>Maiden, N. L.</creator><creator>Hurst, N. P.</creator><creator>Lochhead, A.</creator><creator>Carson, A. J.</creator><creator>Sharpe, M.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Quantifying the burden of emotional ill‐health amongst patients referred to a specialist rheumatology service</title><author>Maiden, N. L. ; Hurst, N. P. ; Lochhead, A. ; Carson, A. J. ; Sharpe, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-a6b303240cd618b418b77097f67691bef0c705ede1cf04db5565e191c7274cc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety Disorders - complications</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Depressive Disorder - complications</topic><topic>Diseases of the osteoarticular system</topic><topic>Emotional disorders</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - complications</topic><topic>Mental Disorders - diagnosis</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Outpatient Clinics, Hospital</topic><topic>Pain - psychology</topic><topic>Panic disorder</topic><topic>Panic Disorder - complications</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Referral and Consultation</topic><topic>Rheumatic Diseases - complications</topic><topic>Rheumatic Diseases - psychology</topic><topic>Rheumatology out‐patients</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maiden, N. L.</creatorcontrib><creatorcontrib>Hurst, N. P.</creatorcontrib><creatorcontrib>Lochhead, A.</creatorcontrib><creatorcontrib>Carson, A. J.</creatorcontrib><creatorcontrib>Sharpe, M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maiden, N. L.</au><au>Hurst, N. P.</au><au>Lochhead, A.</au><au>Carson, A. J.</au><au>Sharpe, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantifying the burden of emotional ill‐health amongst patients referred to a specialist rheumatology service</atitle><jtitle>British journal of rheumatology</jtitle><addtitle>Rheumatology</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>42</volume><issue>6</issue><spage>750</spage><epage>757</epage><pages>750-757</pages><issn>1462-0324</issn><issn>1460-2172</issn><eissn>1462-0332</eissn><eissn>1460-2172</eissn><coden>BJRHDF</coden><abstract>Objectives. (1) To determine the prevalence of emotional disorders (DSM IV depression, anxiety and panic disorders) amongst patients referred to a rheumatology out‐patient service and the proportion of these detected by the rheumatologist. (2) To test the hypotheses that emotional disorders are associated with (i) broad categories of rheumatological diagnosis (systemic, inflammatory vs non‐systemic, non‐inflammatory), (ii) female gender, (iii) greater symptom burden and disability and (iv) markers of socio‐economic deprivation. Methods. A cross‐sectional study was made of consecutive newly referred attenders at a hospital‐based, regional rheumatology service. Emotional disorders, pain, health status and socio‐economic factors were assessed by questionnaire. The letter to the referrer was scrutinized for the rheumatological diagnosis and mention of emotional disorder. Results. A total of 256 patients were eligible and 203 (79%) participated. The sample was 69% female, had a mean age of 50 yr and 68 patients (33.5%) had one or more emotional disorders. Only a minority were detected. There was no association with type of rheumatological diagnosis. Patients with an emotional disorder were more likely to be female (81 vs 62%; P<0.007), to report more pain (mean Visual Analogue Score 70 vs 50 mm, P<0.001), a greater number of somatic symptoms (median 3 vs 1, P<0.001) and greater disability (median Health Assessment Questionnaire 1.1 vs 0.5, P<0.001). Emotional disorders were also associated with some, but not all, measures of lower social and economic status and life dissatisfaction. Conclusions. Emotional disorder is present in one‐third of new rheumatology referrals. The course, causation and management of this important component of rheumatological illness merit further attention.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>12730534</pmid><doi>10.1093/rheumatology/keg211</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Adult and adolescent clinical studies Aged Anxiety Anxiety Disorders - complications Biological and medical sciences Clinical Competence Cross-Sectional Studies Depression Depressive Disorder - complications Diseases of the osteoarticular system Emotional disorders Female Humans Logistic Models Male Medical sciences Mental Disorders - complications Mental Disorders - diagnosis Middle Aged Miscellaneous Miscellaneous. Osteoarticular involvement in other diseases Outpatient Clinics, Hospital Pain - psychology Panic disorder Panic Disorder - complications Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Referral and Consultation Rheumatic Diseases - complications Rheumatic Diseases - psychology Rheumatology out‐patients Risk Factors Sex Factors Socioeconomic Factors |
| title | Quantifying the burden of emotional ill‐health amongst patients referred to a specialist rheumatology service |
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