Depression is quite common in rheumatic diseases. Pxhere. CC0
Depression at rheumatism (ICD-10 F32)
Contents
Definition
Depression is a disease characterized by persistent low mood, low self-esteem and lost interest in activities that usually provide pleasure.
- Chronic rheumatic disease (rheumatism) with pain, reduced sleep, fatigue and physical impairment are available for the development of depression.
Symptoms
- Helplessness
- Hopelessness
- Worthlessness
- Grinder Thoughts
- Concern for the future
- Grubling over the past
- "Life is not worth living"
- Fault
- Solitude
- Reduced concentration and memory
- Difficulty making decisions
- Thoughts of suicide
- Lack of enjoyment of activities as one previously appreciated
- Sleep
- Too little sleep
- Too much sleep also occurs
- Appetite
- Reduced or increased (especially for carbohydrates)
- Joint pain og muscle aches
- Exhaustion
- Discomfort in the stomach, alternating stools
- Social isolation
- Irritability, concern
- Reduced initiative and motivation
Testing on depression: MADRS (Used for medical examination)
Causes
Rheumatic disease often causes symptoms and consequences that can be predisposed to depression. Some medications can trigger depression (for example Benlysta against Lupus / SLE)
Differential diagnosis
There are many diseases that can imitate depression (for example low metabolism (hypothyreosis) or hyperpara-thyroidism). Further assessment of the symptoms is very important.
Treatment
Prevention
- Regular and adequate sleep
- Avoid much alcohol
- Do not use drugs
- Physical activity and exercise
- Participate in social activity with others
It is important to tell the symptoms to the doctor (primarily the GP). Effective treatment exists.
- psychotherapy
- Medication
- Other
