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   <dc:title>Effects of depression on patients suffering from ankylosing spondylitis: a comparative study.</dc:title>
   <dc:creator>Cortés-Rodríguez, Antonio</dc:creator>
   <dc:creator>Alves-Gomes, Lisa</dc:creator>
   <dc:creator>Losa-Iglesias, Marta Elena</dc:creator>
   <dc:creator>Gómez-Salgado, Juan</dc:creator>
   <dc:creator>Becerro-de-Bengoa-Vallejo, Ricardo</dc:creator>
   <dc:creator>Saavedra‐García, Miguel Ángel</dc:creator>
   <dc:creator>López-López, Daniel</dc:creator>
   <dc:creator>Jiménez-Cebrián, Ana María</dc:creator>
   <dc:subject>Espondiloartropatías</dc:subject>
   <dc:subject>Pie - Anomalías y malformaciones</dc:subject>
   <dcterms:abstract>BACKGROUND: Ankylosing spondylitis (AS) is a sustained inflammatory pathology that manifests as increasing rigidity and a continuous decline in spinal flexibility, leading to increasing lumbar pain during rest.&#xd;
OBJECTIVES: This study primarily aimed to evaluate depression assessments using the Beck Depression&#xd;
Inventory (BDI) and delineate depressive symptomatology in patients diagnosed with AS compared to&#xd;
those without this condition.&#xd;
DESIGN AND SETTING: A comparative study was conducted in Medical Centers in Málaga, Spain.&#xd;
METHODS: A cohort of 102 participants, with a mean age of 46,80 ± 10,54 years, was divided into two&#xd;
sets: 51 individuals diagnosed with AS (cases) and another 51 without AS (controls), each harmonized&#xd;
across variables such as body mass index, age, and sex. Demographic variables were systematically gathered from each participant, and the BDI responses were accurately recorded and subsequently analyzed&#xd;
for comparison.&#xd;
RESULTS: Of the total sample, the sex distribution was 29.4% male and 70.6% female. BDI scores were&#xd;
higher for the AS group (19.25 ± 15.5) than for the control group (5.33 ± 7). Notably, there were clear statistical differences (P &lt; 0.01) in the BDI categories, with elevated levels observed in participants with AS.&#xd;
CONCLUSIONS: Individuals with AS experienced higher levels of depression than those without AS. Furthermore, there were sex differences within the case group, with a higher percentage of women than men&#xd;
at any level of depression. Notably, there was a moderate inverse correlation between the number of years&#xd;
since diagnosis and depression level.</dcterms:abstract>
   <dcterms:dateAccepted>2025-05-09T07:08:10Z</dcterms:dateAccepted>
   <dcterms:available>2025-05-09T07:08:10Z</dcterms:available>
   <dcterms:created>2025-05-09T07:08:10Z</dcterms:created>
   <dcterms:issued>2025-04-04</dcterms:issued>
   <dc:type>journal article</dc:type>
   <dc:identifier>Cortés-Rodríguez A, Alves-Gomes L, Losa-Iglesias M, Gómez-Salgado J, Becerro-de-Bengoa-Vallejo R, Saavedra-García MÁ, López-López D, Jiménez-Cebrián AM. Effects of depression on patients suffering from ankylosing spondylitis: a comparative study. Sao Paulo Med J. 2025 Apr 4;143(2):e2024177. doi: 10.1590/1516-3180.2024.0177.R1.16102024. PMID: 40197951; PMCID: PMC11974190.</dc:identifier>
   <dc:identifier>1806-9460</dc:identifier>
   <dc:identifier>https://hdl.handle.net/10630/38541</dc:identifier>
   <dc:identifier>10.1590/1516-3180.2024.0177.R1.16102024</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
   <dc:rights>open access</dc:rights>
   <dc:rights>Attribution 4.0 Internacional</dc:rights>
   <dc:publisher>Associação Paulista de Medicina</dc:publisher>
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