Психиатрические аспекты спондилоартритов
https://doi.org/10.47360/1995-4484-2020-716-724
Аннотация
Спондилоартриты относятся к иммуновоспалительным ревматическим заболеваниям, характеризующимся выраженной болью, воспалительной активностью и инвалидизацией пациентов трудоспособного возраста. Одними из наиболее частых коморбидных спондилоартритам заболеваний, утяжеляющих течение и исходы, являются расстройства тревожно-депрессивного спектра. Хроническое воспаление с гиперпродукцией цитокинов оси интерлейкин-23/интерлейкин-17 и нарушением внутриклеточной сигнализации этих цитокинов, развивающееся на фоне нарушения стрессового и иммунного ответа, является ключевым патогенетическим механизмом, объединяющим спондилоартрит и расстройства тревожно-депрессивного спектра и диктующим подходы к их терапии. В статье обсуждаются современные представления о распространенности психических расстройств среди больных спондилоартритом и их негативном влиянии на течение и исходы ревматического заболевания, общности их патогенеза и провоцирующих факторов, влиянии антидепрессантов на исходы спондилоартрита и противовоспалительных препаратов, прежде всего ингибиторов интерлейкина-17 и фактора некроза опухоли альфа, на симптомы расстройств тревожно-депрессивного спектра.
Ключевые слова
Об авторах
Т. А. ЛисицынаРоссия
Лисицына Татьяна Андреевна
115522, Москва, Каширское шоссе, 34А
Конфликт интересов: нет
Д. Ю. Вельтищев
Россия
107076, Москва, ул. Потешная, 3, корп. 10; 117997, Москва, ул. Островитянова, 1
Конфликт интересов: нет
Е. Л. Насонов
Россия
115522, Москва, Каширское шоссе, 34А; 119991, Москва, ул. Трубецкая, 8, стр. 2
Конфликт интересов: нет
А. М. Лила
Россия
125993, Москва, ул. Баррикадная, 2/1, стр. 1; 115522, Москва, Каширское шоссе, 34А
Конфликт интересов: нет
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Рецензия
Для цитирования:
Лисицына Т.А., Вельтищев Д.Ю., Насонов Е.Л., Лила А.М. Психиатрические аспекты спондилоартритов. Научно-практическая ревматология. 2020;58(6):716-724. https://doi.org/10.47360/1995-4484-2020-716-724
For citation:
Lisitsyna T.A., Veltishchev D.Yu., Nasonov E.L., Lila A.M. Psychiatric aspects of spondyloarthritis. Rheumatology Science and Practice. 2020;58(6):716-724. (In Russ.) https://doi.org/10.47360/1995-4484-2020-716-724