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AB1185-HPR Psychological and Sleep Disorders in Patients with Rheumatoid Arthritis and It's Relationship with Disease Activity
  1. G. Saavedra-Martinez,
  2. L. Villarreal,
  3. A. Palomino,
  4. V. Giraldo,
  5. D. Gomez,
  6. J. Bello-Gualtero,
  7. P. Santos-Moreno
  1. Rheumatology, Biomab, Center For Rheumatoid Arthritis, Bogota, Bogota, Colombia

Abstract

Background Emotional stability is an important dimension of personality, therefore any involvement in this area should be considered as important. Psychological an sleep disorders in rheumatoid arthritis (RA) are poorly described in literature.

Objectives The aim of this study was to describe psychological and sleep disturbances using CIE-10 classification in a population with RA and a possible correlation with disease activity.

Methods A descriptive cross-sectional study was performed in a specialized clinic dedicated to care patients with RA. 349 patients were included in the study, which were seen by the area of psychology, which information was collected through semi-structured interviews and non-probability sampling. Descriptive epidemiology was applied for continuous variables, measures of central tendency and dispersion for categorical and qualitative variables (averages/percentages) and Pearson's statistics for bi-variated analysis.

Results The total sample of patients was 349, 287 (82.2%) were women and 62 (17.8%) were men, average DAS28- 2.46. Average age is 58.1 years. 52.7% of patients were medium socio-economical level and the 47% were low socio-economical level; Related with the occupation, 30.5% is retired because age and the 19.8% have handicap retirement pay; 26.9% is dedicated to the housekeeping and 20.1% were working.

Psychological disorders: 72 (18.4% of women and 36.8% of men) reported no psychological disorders, while 262 (81.5% of women and 63.1% of men) report psychological disorders. women: 143 (57.1% of women and 38.8%) mood disorder (depression/anxiety), 60 (24.7% of women and 11.1% of men) somatoform disorders, 13 (4.8% of women and 5.5% of men) disorders of food intake, 17 (7.5% in woman only) sleep disorders, 6 (1.7% of women and 5.5% of men) sexual dysfunction, 10 (3.9% of women and 2.7% of men) dementia. The mean of DAS was 2.49

Sleep disorders: primary insomnia 122 patients (84.4% of women and 15.6% of men), related sleep disorder breathing (OSAS) 18 Patients (77.7% of women and 22.3% of men) and 12 patients with circadian rhythm disorder (83.3% of women and 16.7% of men), and hypersomnia 8 patients (100% of women).

It was not established a correlation between psychological and sleep disorders and disease activity.

Conclusions According to these findings most of patient who were in remission no report psychological disorders and most of patients in moderate disease activity present somatoform disorders. Women have many psychological disorders in relation to RA; there is a prevalence of depressive episode. A higher DAS28 is expected to be associated with restless sleep.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.5373

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