[Psychiatric disorders in rheumatic diseases, as exemplified by systemic lupus erythematosus (SLE)].

Abstract:

:Among the rheumatic diseases, systemic lupus erythematosus (SLE) reveals the highest frequency of central nervous symptoms. Psychiatric abnormalities are present in over 90% of the patients, if very mild cognitive impairment is included. The psychiatric syndromes listed by the American College of Rheumatologists encompass cognitive syndromes, including the acute confusional state, anxiety disorders, depressive symptomatology and psychosis. Associations between cognitive impairment and demographic and disease variables, i. e. disease severity, have not been clearly identified so far. The same holds true for the evolution of depressive symptoms. Reactive depression in coping with a chronic disease is, however, a psychologically plausible factor in addition to specific cerebral lesions. Therapeutic interventions in SLE should consist of a combined pharmacological and nonpharmacological treatment. Corticosteroid drugs, however, may be effective in alleviating mild psychiatric symptoms as well.

journal_name

Z Rheumatol

authors

Haupt M

doi

10.1007/s00393-004-0618-z

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

122-30

issue

2

eissn

0340-1855

issn

1435-1250

journal_volume

63

pub_type

杂志文章,评审
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    abstract::In a double-blind study, glycosaminoglycan polysulfate (GAGPS, Arteparon) was compared to saline solution: both preparations were applied intramuscularly in two groups of 70 patients, each over a period of 8 weeks. The patients were suffering from pain and impaired function of the knee and hip joints. To assess the th...

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Siegmeth W,Radi I

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  • [German patient version of the ASAS/EULAR recommendations for the management of ankylosing spondylitis].

    abstract::The evidence-based recommendations on the management of ankylosing spondylitis (AS) have enjoyed a high level of acceptance and circulation in Germany, as well as in other European countries. To make patient participation in the decision-making process regarding their disease easier, as well as to strengthen the physi...

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

    doi:

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