Quality of Life Issues in Ankylosing Spondylitis
Psychosocial Aspects of Ankylosing Spondylitis
Because ankylosing spondylitis (AS) is a chronic condition, it is estimated that about 25% of patients will develop emotional problems such as anxiety and depression. Depression tends to be more prevalent in women than men (approximately 46% vs. 26%). Data from questionnaires indicates that depression in women relates more to the severity of pain and depression in men relates to pain as well as level of functional disability. Thus, the risk factors for the development of psychological problems in patients with ankylosing spondylitis include severe, chronic pain and functional disability.
Social interactions are not typically impacted to a significant extent among patients with ankylosing spondylitis. Some women with ankylosing spondylitis, however, report having sexual relations less frequently and with less enjoyment than women without AS. Sexual problems do not appear to be prevalent in men with ankylosing spondylitis.
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