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Bipolar Bozukluk ve Romatoid Artrit İlişkisi

Yıl 2022, Cilt: 14 Sayı: 2, 131 - 142, 30.06.2022
https://doi.org/10.18863/pgy.921569

Öz

Romatoid artrit, sinovit, sistemik inflamasyon, artrit ve vaskülit, anemi, mononörit, pulmoner fibrozis gibi eklem dışı sistem tutulumu ile karakterize olan zamanında ve yeterli tedavi edilmezse eklem destruksiyonuna, eklem hareketlerinin kısıtlanmasına, hastanın yaşam kalitesinin bozulmasına neden olabilecek kronik bir otoimmün hastalıktır. Romatoid artrit hastalarında eklem bulgularının yanı sıra klinik tabloya bilişsel işlev bozukluğu, davranış değişiklikleri ve duygudurum değişiklikleri gibi nöropsikiyatrik belirtiler de eşlik edebilir. Romatoid artrit hastalarında nöroinflamatuar sürecin, plazmadaki proinflamatuar sitokin düzeylerinde artışın, uzun süre kullanılan ilaçların yan etkilerinin, hastalıkla birlikte oluşan yeti yitiminin ve olası ortak gen bölgelerinin bu belirtilere neden olabileceği düşünülmektedir. Romatoid artrit hastalarında psikiyatrik semptom ve bozukluklarla ilgili giderek artan sayıda çalışmalar yayınlanmaktadır. Özellikle anksiyete bozuklukları ve major depresif bozukluk ile ilişkisine odaklanan birçok çalışma mevcuttur. Bipolar bozukluk etiyolojisinde immün fonksiyonlarda bozulmanın yer aldığına ilişkin giderek artan sayıda çalışma bulunmaktadır. Bipolar bozukluk hastalarının plazmalarında sitokin düzeylerinde değişiklikler görülmesi bu görüşü destekler niteliktedir. Çeşitli otoimmün hastalıklarla bipolar bozukluk arasındaki ilişki baraştırılmaya devam edilmektedir. Romatolojik hastalığı olan bireylerde, psikiyatrik eş tanılar açısından dikkatli olunması hastaların tedaviye uyumu ve klinik seyir açısından önemlidir.

Kaynakça

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Relationship between Bipolar Disorder and Rheumatoid Arthritis

Yıl 2022, Cilt: 14 Sayı: 2, 131 - 142, 30.06.2022
https://doi.org/10.18863/pgy.921569

Öz

Rheumatoid arthritis is a chronic autoimmune disease that is characterized by synovitis, systemic inflammation, arthritis and vasculitis, anemia, mononeuritis, pulmonary fibrosis, and can cause joint destruction, limitation of joint movements and impairment of the patient's quality of life if not treated in right time and adequate manner. In addition to joint symptoms, neuropsychiatric symptoms such as cognitive dysfunction, behavioral changes, and mood changes may accompany rheumatoid arthritis patients. It is thought that neuroinflammatory process in rheumatoid arthritis patients, increase in proinflammatory cytokine levels in plasma; side effects of drugs used for a long time, disability that occurs with the disease, and possible common gene regions may cause these symptoms. An increasing number of studies are being published on psychiatric symptoms and disorders in patients with rheumatoid arthritis. There are many studies focusing especially on its relationship with anxiety disorders and major depressive disorder. There are increasing numbers of studies showing that the impairment of immune functions is involved in the etiology of bipolar disorder. The changes in cytokine levels in the plasma of bipolar disorder patients supports this argument. The relationship between various autoimmune diseases and bipolar disorder continues to be examined. In people with rheumatological diseases, it is important to be careful in psychiatric comorbidities in terms of patient compliance and clinical course.

Kaynakça

  • Abbott NJ, Ronnback L, Hansson E. Astrocyte-endothelial interactions at the blood-brain barrier. Nat Rev Neurosci 2006; 7: 41–53.
  • Arias I, Sorlozano A, Villegas E, de Dios Luna J, McKenney K, Cervilla J, Gutierrez B, Gutierrez J. Infectious agents associated with schizophrenia: a meta-analysis. Schizophr Res. 2012 Apr;136(1-3):128-36. doi: 10.1016/j.schres.2011.10.026. Epub 2011 Nov 21. PMID: 22104141.
  • Austin M, Tan YCJ. Mania associated with infliximab. Aust N Z J Psychiatry 2012; 46: 684–685.
  • Belt N, Kronholm E, Kauppi M. Sleep problems in fibromyalgia and rheumatoid arthritis compared with the general population. Clin. Exp. Rheumatol. 2009; 27, 35
  • Belvederi Murri M, Prestia D, Mondelli V, Pariante C, Patti S, Olivieri B, Amore M. The HPA axis in bipolar disorder: systematic review and meta-analysis. Psychoneuroendocrinology 2016; 63, 327–342. https://doi.org/10.1016/j.psyneuen.2015. 10.014.
  • Benros ME, Waltoft BL, Nordentoft M, Ostergaard SD, Eaton WW, Krogh J, Mortensen PB. Autoimmune diseases and severe infections as risk factors for mood disorders: a nationwide study. JAMA Psychiatry. 2013 Aug;70(8):812-20. doi: 10.1001/jamapsychiatry.2013.1111. PMID: 23760347.
  • Berk M, Kapczinski F, Andreazza AC, Dean OM, Giorlando F, Maes M, Malhi GS. Pathways underlying neuroprogression in bipolar disorder: focus on inflammation, oxidative stress and neurotrophic factors. Neurosci. Biobehav. Rev. 2011; 35 (3), 804–817. https://doi.org/10.1016/j.neubiorev.2010.10.001
  • Bolanos SH, Khan DA, Hanczyc M, Bauer MS, Dhanani N, Brown ES. Assessment of mood states in patients receiving long-term corticosteroid therapy and in controls with patient-rated and clinician-rated scales. Ann Allergy Asthma Immunol. 2004 May;92(5):500-5. doi: 10.1016/S1081-1206(10)61756-5. PMID: 15191017.
  • Brietzke E, Kapczinski F. TNF-α as a molecular target in bipolar disorder. Prog Neuropsychopharmacol Biol Psychiatry 2008; 32: 1355–1361.
  • Brietzke E, Stertz L, Fernandes BS, Kauer-Sant'anna M, Mascarenhas M, Escosteguy Vargas A, Chies JA, Kapczinski F. Comparison of cytokine levels in depressed, manic and euthymic patients with bipolar disorder. J Affect Disord. 2009 Aug;116(3):214-7. doi: 10.1016/j.jad.2008.12.001. Epub 2009 Feb 28. PMID: 19251324.
  • Brietzke E, Lafer B. Induction of manic switch by the tumor necrosis factor-α antagonist infliximab. Psychiatry Clin Neurosci 2010; 64: 442–443.
  • Bruce, T. O. Comorbid depression in rheumatoid arthritis: pathophysiology and clinical implications. Curr. Psychiatry. Rep. 2008; 10, 258–264
  • Ceïde ME, Rosenberg PB. Brief Manic episode after Rituximab Treatment of limbic encephalitis. J Neuropsychiatry Clin Neurosci 2011; 23: E8.
  • Chandarana PC, Eals M, Steingart AB, Bellamy N, Allen S. The detection of psychiatric morbidity and associated factors in patients with rheumatoid arthritis. Can J Psychiatr 1987; 32:356–361
  • Chugani DC, Ackermann RF, Phelps ME. In vivo [3H]spiperone binding: Evidence for accumulation in corpus striatum by agonist-mediated receptor internalization. J Cereb Blood Flow Metab 1988; 8: 291–303.
  • Corfield EC, Martin NG, Nyholt DR. Co-occurrence and symptomatology of fatigue and depression. Compr Psychiatry. 2016 Nov;71:1-10. doi: 10.1016/j.comppsych.2016.08.004. Epub 2016 Aug 9. PMID: 27567301.
  • Covic T, Cumming SR, Pallant JF, Manolios N, Emery P, Conaghan PG, Tennant A. Depression and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the hospital, Anxiety and Depression Scale (HADS). BMC Psychiatry 2012; 24;12:6. doi: 10.1186/1471-244X-12-6. PMID: 22269280; PMCID: PMC3285517.
  • Cronin MJ . Some calcium and lysosome antagonists inhibit 3H-spiperone binding to the porcine anterior pituitary. Life Sci 1982; 30: 1385–1389.
  • Cross M, Smith E, Hoy D, Carmona L, Wolfe F, Vos T, March L, The global burden of rheumatoid arthritis: estimates from the global burden of disease 2010 study. Ann. Rheum. Dis. 2014; 73 (7), 1316. https://doi.org/10.1136/annrheumdis2013-204627.
  • Cutolo M, Kitas GD,van Riel PL. Burden of disease in treated rheumatoid arthritis patients: going beyond the joint. Semin. Arthritis Rheum. 2014; 43, 479–488
  • Dickens C, McGowan L, Clark-Carter D, Creed F. Depression in rheumatoid arthritis: a systematic review of the literature with meta-analysis. Psychosom Med 2002; 64: 52–60.
  • Drew JF. Concerning the side effects of antimalarial drugs used in the extended treatment of rheumatic diseases. Med J Aust. 1962;49:618–620.
  • Eaton WW, Byrne M, Ewald H, Mors O, Chen CY, Agerbo E, Mortensen PB. Association of schizophrenia and autoimmune diseases: linkage of Danish national registers. Am J Psychiatry. 2006 Mar;163(3):521-8. doi: 10.1176/appi.ajp.163.3.521. PMID: 16513876.
  • Eaton WW, Pedersen MG, Nielsen PR, Mortensen PB. Autoimmune diseases, bipolar disorder, and non-affective psychosis. Bipolar Disord. 2010; 12 (6), 638–646.
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Toplam 77 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Bölüm Derleme
Yazarlar

Melike Mandacı 0000-0002-1333-3475

Aslı Sarandöl 0000-0002-1092-8254

Cengiz Akkaya 0000-0001-9049-2413

Yayımlanma Tarihi 30 Haziran 2022
Kabul Tarihi 27 Ağustos 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 14 Sayı: 2

Kaynak Göster

AMA Mandacı M, Sarandöl A, Akkaya C. Bipolar Bozukluk ve Romatoid Artrit İlişkisi. Psikiyatride Güncel Yaklaşımlar. Haziran 2022;14(2):131-142. doi:10.18863/pgy.921569

Creative Commons Lisansı
Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.