<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2413-4341</journal-id>
<journal-title><![CDATA[Revista Paraguaya de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. parag. reumatol.]]></abbrev-journal-title>
<issn>2413-4341</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Reumatología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2413-43412020000100031</article-id>
<article-id pub-id-type="doi">10.18004/rpr/2020.06.01.31-35</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Depresión y autoestima en pacientes con Espondiloartrítis del Departamento de Reumatología del Hospital de Clínicas. San Lorenzo. Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Depression and self-esteem in patients with Spondyloarthritis of the Rheumatology Department of the Hospital de Clínicas. San Lorenzo. Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Losanto]]></surname>
<given-names><![CDATA[Jhonatan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yinde]]></surname>
<given-names><![CDATA[Yanira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas Departamento de Reumatología]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>6</volume>
<numero>1</numero>
<fpage>31</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2413-43412020000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2413-43412020000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2413-43412020000100031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La espondiloartritis hace referencia a un conjunto de patologías reumatológicas relacionadas genética y clínicamente, de evolución crónica y que produce en el paciente una carga física y psicológica importante, muchas veces subvalorada. El objetivo de este trabajo es identificar la presencia de depresión y valorar el grado de autoestima en un grupo de pacientes con espondiloartristis, con seguimiento regular en el Departamento de Reumatología del Hospital de Clínicas, San Lorenzo, de enero a diciembre del 2017.  Metodología: Estudio descriptivo de corte transversal donde se incluyeron pacientes que cumplieron los criterios ASAS para espondiloartritis. Se consideraron para este estudio: the mayor depression inventory, el test de autoestima de Rosemberg, el BASDAI, el BASFI, el cuestionario HAQ, la escala de Graffar de estratificación social y datos demográficos, como la edad de inicio de la enfermedad, edad al diagnóstico y tiempo de evolución de la enfermedad. Todos estos datos fueron recavados del cuestionario de ingreso al resgistro de pacientes con espondiloartritis del Departamento de Reumatología del Hospital de Clínicas durante el año 2017.  Resultados: 19 pacientes, 14 (73,7%) varones y 5 (26,3%) mujeres, con una edad media de 38,57 ± 13,97 años y 38 ± 11,16 años respectivamente. Son solteros 10 (52,6%) pacientes y provienen de Gran Asunción 13/19 (68,4%) pacientes. La edad de inicio de los síntomas en los varones es de 23,35 ± 12,52 años y en mujeres de 22,6 ± 8,93, con un tiempo de evolución de la enfermedad en meses en varones de 200,28 ± 167,28 y en mujeres de 202,6 ± 131,05. Solo 3/19 (15,8%) de los pacientes se encuentra con depresión moderada y 12/19 (63,1%) con alta autoestima. Presentan una puntuación por BASDAI &gt;4, 7 (36,8%) de los pacientes, un BASFI = 0,5 (26,3%) de los pacientes y una puntuación por HAQ &lt;1, 14 (73,7%) de los pacientes.  Conclusión: La mayoría de los pacientes son varones, entre 30 y 40 años, que se encuentran en su gran mayoría con alta autoestima y sin depresión.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Spondyloarthritis is an umbrella term for a group of chronic rheumatic diseases, genetically and clinically related, that lead to an important and often undervalued phy-ansical and psychological load. For this reason, the objective of this work is to identify patients with depression and low self-esteem in a group of spondyloarthritis patients with regular follow-up in the Department of Rheumatology at the Hospital de Clínicas, San Lorenzo, from January to December 2017.  Methodology: Descriptive cross-sectional study. Patients who fulfilled ASAS criteria for spondyloarthritis were included. Data was collected from the entry questionnaire to the spondyloarthritis patients&#8217; registry of the Department of Rheumatology of the Hospital de Clínicas during 2017. The questionnaire included the mayor depression inventory, Rosemberg self-esteem test, BASDAI, BASFI, HAQ questionnaire, Graffar scale of social stratification and demographic data, such as age at disease onset, age at diagnosis and disease duration.  Results: We included 19 patients, 14 (73.7%) male and 5 (26.3%) female, with a mean age of 38.57 ± 13.97 and 38 ± 11.16 years, respectively. Most were single (10/19, 52.6%) and from Gran Asunción (13/19, 68.4%). The mean age at symptom onset was 23.35± 12.52 years in men and 22.6 8.93 years in women, with a mean disease duration of 200.28 ±167.28 months in men and 202.6±131.05 months in women. Only 3/19 (15.8%) of patients were found to be depressed and 12/19 (63.1%) had high self-esteem. Concerning disease indexes, 42.2% of patients presented with a BASDAI score &gt;4, 7 (36.8%) had a BASFI = 0,5 and 73.7% had an HAQ &lt;1,14.  Conclusion: The majority of patients are men in the 30-40 age range, without depression or low self-esteem.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Espondiloartritis]]></kwd>
<kwd lng="es"><![CDATA[depresión]]></kwd>
<kwd lng="es"><![CDATA[autoestima]]></kwd>
<kwd lng="en"><![CDATA[spondyloarthritis]]></kwd>
<kwd lng="en"><![CDATA[depression]]></kwd>
<kwd lng="en"><![CDATA[self-esteem]]></kwd>
</kwd-group>
</article-meta>
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