Depression in rheumatic disease 4.14/5 (7)

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Depression in rheumatic disease

Depression is quite common in rheumatic diseases. Pxhere. CC0

Depression at rheumatism (ICD-10 F32)

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 hyperparathyroidism). 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

Literature


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