Association between patient's psychological health and discordance in patient-physician assessment of psoriatic arthritis

被引：1

作者：

Tan, Minjia ^{[1
,2
,3
,4
]}

Xie, Xiaowen ^{[1
,2
,3
,4
]}

Hu, Jingjin ^{[1
,2
,3
,4
]}

Li, Xingyu ^{[1
,2
,3
,4
]}

Hu, Kun ^{[1
,2
,3
,4
]}

Yang, Jing ^{[1
,2
,3
,4
]}

Zhang, Mi ^{[1
,2
,3
,4
]}

Chen, Junchen ^{[1
,2
,3
,4
]}

Zhu, Wu ^{[1
,2
,3
,4
]}

Kuang, Yehong ^{[1
,2
,3
,4
]}

机构：

[1] Cent South Univ, Xiangya Hosp, Dept Dermatol, 87 Xiangya Rd, Changsha 410008, Hunan, Peoples R China

[2] Cent South Univ, Hunan Engn Res Ctr Skin Hlth & Dis, Changsha 410008, Hunan, Peoples R China

[3] Cent South Univ, Xiangya Hosp, Hunan Key Lab Skin Canc & Psoriasis, Changsha 410008, Hunan, Peoples R China

[4] Xiangya Hosp, Natl Clin Res Ctr Geriatr Disorders, Changsha 410008, Hunan, Peoples R China

来源：

CLINICAL RHEUMATOLOGY | 2025年 / 44卷 / 01期

基金：

中国国家自然科学基金;

关键词：

Psoriatic arthritis; Patient-physician assessment; Psychological health; Depression; Anxiety; RHEUMATOID-ARTHRITIS; GLOBAL ASSESSMENT; ANXIETY DISORDERS; DISEASE; DEPRESSION; DETERMINANTS; IMPAIRMENT;

D O I：

10.1007/s10067-024-07202-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectivesThis study aimed to evaluate the discordance in patient-physician assessment of psoriatic arthritis disease activity and its association with the patient's psychological health.MethodsThis cross-sectional study recruited 135 patients with PsA from Xiangya Hospital of China between October 2021 and July 2022. The visual analogue scale was used to assess the disease activity of PsA, and an absolute difference of >= 10 points between the patient-physician global assessment on visual analogue scale was regarded as a clinically relevant discordance. In addition, the patients' clinical data and self-reported questionnaire responses were collected to screen depressive and anxiety symptoms.ResultsDiscordance in patient-physician assessment of psoriatic arthritis activity occurred in 88 (65.2%) patients, while concordance occurred in 47 (34.8%) patients. Depressive symptoms (AOR: 4.43, 95% CI:1.85-10.61), as well as anxiety symptoms (AOR: 3.95, 95% CI:1.70-9.16), were associated with the discordance in disease activity assessment between the patients and physicians.ConclusionThis study suggests that the discordance in patient-physician assessment of psoriatic arthritis activity is associated with the patient's psychological health. Therefore, sufficient assessment of patient's psychological health is indispensable from a comprehensive understanding of the disease activity in patients with psoriatic arthritis. Key Points center dot This is the first study to evaluate the discordance in patient-physician assessment of psoriatic arthritis disease activity and its association with the patient's psychological health.

引用

页码：291 / 297

页数：7

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