Factors associated with anxiety and depression in rheumatoid arthritis patients: a cross-sectional study

Autor: Miyabi Uda, Motomu Hashimoto, Ryuji Uozumi, Mie Torii, Takao Fujii, Masao Tanaka, Moritoshi Furu, Hiromu Ito, Chikashi Terao, Wataru Yamamoto, Genichi Sugihara, Yukako Nakagami, Tsuneyo Mimori, Kazuko Nin
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Advances in Rheumatology, Vol 61, Iss 1, Pp 1-10 (2021)
Druh dokumentu: article
ISSN: 2523-3106
DOI: 10.1186/s42358-021-00223-2
Popis: Abstract Background The management of anxiety and depression symptoms in rheumatoid arthritis (RA) patients is vital. Previous study findings on this topic are conflicting, and the topic remains to be thoroughly investigated. This study aimed to clarify the association of RA disease activity with anxiety and depression symptoms after controlling for physical disability, pain, and medication. Methods We conducted a cross-sectional study of RA patients from the XXX Rheumatoid Arthritis Management Alliance cohort. We assessed patients using the Disease Activity Score (DAS28), Health Assessment Questionnaire Disability Index (HAQ-DI), and Hospital Anxiety and Depression Scale (HADS). Anxiety and depression symptoms were defined by a HADS score ≥ 8. We analyzed the data using multivariable logistic regression analyses. Results Of 517 participants, 17.6% had anxiety symptoms and 27.7% had depression symptoms. The multivariable logistic regression analysis demonstrated that DAS28 was not independently associated with anxiety symptoms (odds ratio [OR] [95% confidence interval; CI] 0.93 [0.48–1.78]; p = 0.82) and depression symptoms (OR [95% CI] 1.45 [0.81–2.61]; p = 0.22). However, DAS28 patient global assessment (PtGA) severity was associated with anxiety symptoms (OR [95% CI] 1.15 [1.02–1.29]; p = 0.03) and depression symptoms (OR [95% CI] 1.21 [1.09–1.35]; p
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