The Prevalence and Risk Factors of Depression and Anxiety in Patients with Rheumatic Diseases Attending a Tertiary Care Hospital in Muscat, Oman
Background and Aims:
There is ample evidence to suggest that physical illness tend to impact on mental disorder and conversely mental disorder affect physical illness. There is a death of studies examine such link in societies in transition such as those in Oman. This study aims to determine the prevalence of depression and anxiety among patients attending a rheumatology clinic in a tertiary care hospital in Oman. Related aims are to tease out the contribution of demographic and clinical characteristics to the development of depression and anxiety.
A cross-sectional study was conducted among attendees (n 270) seeking consultation from a rheumatology unit at Sultan Qaboos University Hospital (SQUH) in Muscat, Oman from 1st of June 2018 to 31 of December 2018. Depressive symptom and anxiety were assessed using Patient Health Questionnaire-9 (PHO-9) and Generalized Anxiety Disorder (GAD-7) respectively. Data regarding demographic and clinical characteristics of respondents were collected
The prevalence of depressive symptoms was 60.7% while 43.3% of patients endorsed the presence of anxiety. 30.3% of respondents with depressive symptoms fulfil the criteria for moderately to severe depression. Approximately 19.6% of respondents with anxiety symptoms found to have moderate to severe anxiety. Only 3.7% of patients with depressive symptoms and 2% of patients with anxiety symptoms were receiving relevant psychiatric treatment for their anxiety and /or depression.
This study collaborates with studies from other populations to support that the rate of psychiatric disorder is high among people with rheumatic diseases and it appears to exceed the rate found in the general population. Pending further scrutiny, mechanisms are needed in Oman to increase the awareness among physicians dealing with rheumatology patients. Such an undertaking could include providing means for early detection and prompt interventions.