Background Ankylosing spondylitis (AS) is a chronic disease, which causes deformities and workforce decline. This, in turn, might lead to psychological distress and less self esteem.
Objectives Our objective was to determine the relationship between self esteem, psychological well-being and disease parameters in AS patients.
Methods One hundred patients (30 women, 70 men, mean age 38.88±12.6 years) were included in this cross-sectional study according to the modified New York criteria for AS. Psychological status was assessed by the Hospital Anxiety and Depression Scale including the depression and anxiety subscales. Pain, disease activity and functional status were respectively assessed by visual analogue scale, the Bath Ankylosing Spondylitis Disease Activity Index and the Bath Ankylosing Spondylitis Functional Index. Finally, to assess fatigue and self esteem we have used Multidimensional Assessment of Fatigue and Rosenberg scale for self esteem.
Results Only 29% of AS patients have a good self esteem. Patients who had low self esteem were suffering from depression and anxiety more than patients with good self esteem (respectively 69 vs. 6.9%; p<0.0001 and 33.8 vs. 6.9%; p=0.005). Low self esteem correlated with the disease activity (r= -0.48), functional status (r= -0.44), fatigue (r= -0.57), depression (r= -0.76), anxiety (r= -0.53) (for all p<0.0001) and pain (r= -0.29; p=0.004)). Multivariate logistic regression analysis revealed that depression (OR=1.526; IC 95% (1.205-1.932); p<0.0001) and disease activity (OR=1.595; IC 95% (1.015-2.506; p=0.04) were the independent risk factors of low self esteem.
Conclusions This study suggests that AS patients are suffering from a low self esteem. Disturbance of self esteem in this chronic rheumatism seems to be closely related to an active disease and a bad psychological status. Those results should be confirmed by larger studies.
Disclosure of Interest None Declared