Factors affecting depression and anxiety in female Japanese patients with rheumatoid arthritis

OBJECTIVE

In this study, we attempted to identify which background factors were the most important indicators regarding such psychological problems as depression and anxiety in female rheumatoid arthritis (RA) patients.

METHODS

Among female RA patients aged 20 and older, who visited the outpatient clinic, and who met the Revised Criteria of the American Rheumatism Association for RA (ARA1987), 101 Class I and II patients were selected as subjects for the present study. Specially designed questionnaires and psychological tests were given to those subjects who had given their written consent for such testing, and a stepwise multiple logistic regression analysis was carried out on the 85 patients who returned all written forms. Those factors affecting psychological problems at a significance level of 5% or less were identified.

RESULTS

It was shown that among sociodemographic factors, "a decrease in the frequency of going out socially after having RA" and "a higher education" worked as significantly associated variables for depression, while "a decrease in the number of friends after having RA" served as a significantly associated variable for trait anxiety. Significantly associated variables for state anxiety included "a decrease in the frequency of going out socially after having RA" and "a willingness to join an RA study group".

CONCLUSION

The present study demonstrated that factors related to social interactions were significantly associated with depression and anxiety in Class I and II female RA outpatients.

[The amount of nitrogenous oxygen demand (NOD) in BOD--study on effluents and influent from biological treatment plants and river waters in Kitakyushu area]

BOD (Biochemical Oxygen Demand) is utilized widely as an index of water quality. However, nitrification is a cause of significant errors in measuring BOD, particularly when a large population of nitrifying organisms are existing in water such as effluents from biological treatment plants. In this case, the use of a nitrification inhibitor is recommended, but it is not used commonly. In order to investigate the amount of nitrogenous oxygen demand (NOD) which is caused by nitrification, BOD with and without inhibitor was measured as samples in the Kitakyushu area. About 70 percent of BOD from the effluents of biological treatment plants was NOD. In the case of influent of biological treatment plant and river waters, 0-39 percent of NOD was contained in BOD.