DEPRESSIVE DISORDER INFLUENCE ON THE QUALITY OF LIFE OF THE PATIENT WITH DEGENERATIVE PATHOLOGY

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Article Title:	DEPRESSIVE DISORDER INFLUENCE ON THE QUALITY OF LIFE OF THE PATIENT WITH DEGENERATIVE PATHOLOGY
Authors:	Carmen Nistor Cseppento*, Claudia Judea-Pusta*, Adrian Megiesan**, Lucia Vicas*, Diana Iovanovici***, Calin Bochis***, Purza Lavinia*, Danche Vasileva****
Affiliation:	*University of Oradea, Faculty of Medicine and Pharmacy ** Vasile Goldis Western University of Arad, Faculty of Medicine ***UMF Victor Babes Timisoara ****Goce Delchev University, Faculty of Medical Sciences- Shtip, Republic of Macedonia
Abstract:	In chronic rheumatic diseases, we frequently follow the physical dimension of the disease and less the mental and social dimension of it. In the recent years, there has been a great interest in measuring the quality of life reflecting together all these three dimensions. The aim of this study was to assess and compare the perception of pain, quality of life of the patients with depression respectively without depression, using assessment tests recognized and accredited in Romania. We conducted an observational study on a group of 20 patients (n=20). The subjects were randomized of the patients hospitalized at ,,Avram Iancu’’ Clinical Hospital, Oradea, over a period of 2 weeks(in January-February 2016).All the cases were staged according to current criteria approved in Romania. Data collection was prospective and was made directly by examining the patients. Assessment methods are standardized in order to limit as much as possible the influence of systematic error. Initial evaluation and monitoring the patients consisted of physical examination, muscular and articular consultations, assessment of the pain, and depression and quality. We observe higher incidence of depression among women, 70% in the studied group. We assessed the pain expressed by the patients objectively on the VAS pain scale. The mean values of pain were as follows: group I- initially3.8, at the end of treatment1.4; the second group – initially 6.2 and finally 4. The initial average values of the pain were lower in the group without depression and also the treatment response and mean values in group I were significantly superior to of the second group. From the analysis of the data obtained we observe that the average quality of life of the patients from group I is 1.81 and increases after treatment with a percentage of 41.4%.The average value of HAQ score in the group of patients with depressive disorder is 2.03, decreasing to 1.37 after treatment. That means an improvement of 32.17%. The number of women that addresses for recovery treatment is higher. We observe a higher incidence of depression among women, 70% in the study group. The average value of the pain of the patients from group I is lower both initially and at the end of the study than the average pain of the patients from group II, result otherwise expected because the perception of pain is higher at patients with depression and treatment response it is more modest. In the case of first group, the mean value of the pain decreases by 63.15%, while for the second group the decrease is 30.64%. From the analysis of the obtained data we observe that the average quality of life of the patients from group I is 1.81 and increased after treatment with a percentage of 41.4%. The average value of the HAQ score in the group of patients with depressive disorder is 2.03, this dropped to 1.37 after treatment. That means an improvement of 32.17%.
Keywords:	chronic rheumatic diseases, quality of life, depressive disorder.
References:	1. Lazăr L., M. Florin, Ioana Tonț, Geriatrie și recuperare specifică, Curs Editura Universirății din Oradea 2009, pg.171. 2. IoanaTonț, Lazăr L. Geriatrie și Kinetoterapie specific: Îndreptar de lucrări practice, Editura Universirății din Oradea, 2009, pg. 85. 3. Maria Georgescu, Ana-Maria Sorena Georgescu ,Gerontologie – Aspecte fundamentale, Editura Universal Dalsi, Bucureşti, 2004. 4. Gh. Grecu, Marieta Grecu-Gabor, Serim Ghengiomer Particularitati clinice in depresia vârstinicului Revista romana de psihiatrie, nr.1-2/2001. 5. Raluca Grozăvescu, Dimensiunile și indicatorii calității vieții copiilor și adolescenților cu psihoze, SNPCAR 2009, vol.12-nr.4, pg.26-32
*Correspondence: