Prevalence of anxiety and depression and the association with self-management behaviour in >12 000 patients with inflammatory rheumatic disease: a cross-sectional nationwide study

• DOI: 10.1136/rmdopen-2023-003412
• Publication Date: 2024-01-23T01:25:32Z
• Authors: Sofie Bech Vester...; Bente Appel Esbensen; Julie Midtgaard K...; Bente Glintborg; Lene Lau; Connie Yilmaz Jan...; Mette Aadahl; Pernille Fevejle ...; Annette de Thurah
• Keywords: Depression; Cross-sectional study; Association (psychology)

Objective To investigate the prevalence of anxiety and depression among patients with inflammatory arthritis (IA) evaluate association these mental health issues self-management behaviour. Methods In this nationwide cross-sectional study, we analysed data from 12 713 adult Danish rheumatoid (RA), psoriatic (PsA) or spondyloarthritis (SpA). Patients received an electronic questionnaire covering sociodemographics, behaviour status. Questionnaire were linked to clinical Rheumatology database (DANBIO) National Patient Registry. The (by Hospital Anxiety Depression Scale for (HADS-A) (HADS-D)) was estimated separately RA/PsA/SpA. between status low (adherence treatment, activation physical activity) using multivariable logistic regression, adjusting age, sex, educational level comorbidity. Results (HADS-A≥8) highest SpA (34.5% (95% CI 32.4% 36.6%)) lowest RA (22.1% 21.2% 23.0%)), it higher women, younger (<55 years) recently diagnosed (<3 those basic education. Similar estimates found depression. Across diagnoses, clinically relevant symptoms (HADS≥8) significantly associated Conclusion IA showed substantial levels A statistically significant identified. These findings call a systematic approach identifying in IA.