Coping and psychological adjustment in recent-onset inflammatory polyarthritis: the role of gender and age

Ramjeet, Janet; Koutantji, M; Barrett, Emma; Scott, DL

doi:10.1093/rheumatology/keh699

Cited by 28 publications

(28 citation statements)

References 11 publications

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“…There has been some discussion in the literature regarding the factors that influence the development of depression in patients with RA [48]–[50]. However, whether there is certain physical comorbidity as an independent risk factor for new-onset depressive disorders following a RA diagnosis has never been studied.…”

Section: Discussionmentioning

confidence: 99%

Risk of Developing Depressive Disorders following Rheumatoid Arthritis: A Nationwide Population-Based Study

Wang

Chang

et al. 2014

PLoS ONE

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Background & AimsTo evaluate the risk of depressive disorders among rheumatoid arthritis (RA) by using the Taiwan National Health Insurance Research Database (NHIRD).MethodsWe conducted a retrospective study of a matched cohort of 18 285 participants (3 657 RA patients and 14 628 control patients) who were selected from the NHIRD. Patients were observed for a maximum of 10 years to determine the rates of newly diagnosed depressive disorders, and Cox regression was used to identify the risk factors associated with depressive disorders in RA patients.ResultsDuring the 10-year follow-up period, 205 (11.2 per 1000 person-years) RA patients and 384 (5.1 per 1000 person-years) control patients were diagnosed with depressive disorders. In RA patients, most depressive disorders (n = 163, 80%) developed with five years of being diagnosed with RA. The incidence risk ratio of depressive disorders between RA patients and control patients was 2.20 (95% confidence interval [CI], 1.84–2.61, P<.001). After adjusting for age, sex, and comorbidities, RA patients were 2.06 times more likely to develop depressive disorders (95% CI, 1.73–2.44, P<.001) compared with the control patients. Hyperthyroidism (HR = 1.67) was an independent risk factor for depressive disorders in patients with RA.ConclusionsThe likelihood of developing depressive disorders is greater among RA patients than among patients without RA. Symptoms of depression should be sought in patients with RA.

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Section: Discussionmentioning

confidence: 99%

Risk of Developing Depressive Disorders following Rheumatoid Arthritis: A Nationwide Population-Based Study

Wang

Chang

et al. 2014

PLoS ONE

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“…Cross-sectional studies consistently showed that avoidanceoriented coping is linked to poor psychological well-being [105,106]. Catastrophizing has been found to be especially harmful for daily functioning in patients with RA [107] and in patients with other rheumatic conditions such as low back pain, fibromyalgia, and osteoarthritis [108].…”

Section: Coping Styles and Strategiesmentioning

confidence: 99%

Psychological Factors Associated with Response to Treatment in Rheumatoid Arthritis

Santiago

Geenen²,

J.W.G.³

et al. 2014

CPD

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This paper presents a comprehensive review of research relating psychological domains with response to therapy in patients with rheumatoid arthritis. A holistic approach to the disease was adopted by incorporating not only disease activity but also dimensions of the impact of disease on patients' lives. Psychological distress, including depression and anxiety, is common among patients with rheumatoid arthritis and has a significant negative impact on response to therapy and on patients' abilities to cope with chronic illness. Evidence regarding the influence of positive psychological dimensions such as acceptance, optimism, and adaptive coping strategies is scarce. The mechanisms involved in these interactions are incompletely understood, although changes in neuro-endocrine-immune pathways, which are common to depression and rheumatoid arthritis, seem to play a central role. Indirect psychological influences on therapeutic efficacy and long-term effectiveness include a myriad of factors such as adherence, placebo effects, cognition, coping strategies, and family and social support. Data suggest that recognition and appropriate management of psychological distress may improve response to treatment and significantly reduce disease burden.

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“…The proportion of patients meeting ‘possible caseness’ criteria for depression increased from 15 to 43% from the initial assessment to 15 months and was 33% at 21 months. Using the Centre for Epidemiological Studies Depression Scale (CES-D), with a cutoff point of ≥16, Ramjeet et al [32] noted that 36% of patients with inflammatory polyarthritis from the Norfolk Arthritis Register were ‘at risk for depression’. If depression is the result of living with a chronic and potentially debilitating disease then one would surmise that the rates would be lower in the earlier stages of the disease.…”

Section: Introductionmentioning

confidence: 99%

Identifying Target Areas of Treatment for Depressed Early Inflammatory Arthritis Patients

Dobkin

Filipski²,

Looper³

et al. 2008

Psychother Psychosom

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Background: The goal of this study was to identify target areas for psychosocial intervention for depressed patients with earlyinflammatory arthritis. Methods:One hundred and sixty-five patients with early inflammatory arthritis (≧1 joint with synovitis for ≧6 weeks and <1 year with a diagnosis of either rheumatoid or undifferentiated inflammatory arthritis) were referred to the McGill Early Arthritis Registry (McEAR) by their rheumatologist. McEAR patients agree to periodic physical exams and to completing questionnaires. Demographic, disease and psychosocial factors were compared between patients screening positive and negative for depression using independent samples t tests and Pearson’s χ² test and then were entered into a logistic regression model examining the likelihood of screening positive for depression. Results: Thirty-eight (23%) patients screened positive for depressive symptoms. Patients with symptoms of depression had significantly worse disease severity, disability, and pain, engaged in more emotional preoccupation coping, had less self-efficacy for pain and other arthritis-related symptoms, smaller social networks and were less satisfied with social support than the nondepressed group. In logistic regression analyses, pain and emotional preoccupation coping were positively related to the likelihood of screening positive for depression, while satisfaction with social support was negatively related to the likelihood of screening positive for depression Conclusion: Higher pain levels, emotional preoccupation coping and dissatisfaction with social support were related to depressive symptoms in this study. This suggests that the optimal care of depressed patients with inflammatory arthritis would include a psychosocial approach that addresses these specific target areas.

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Coping and psychological adjustment in recent-onset inflammatory polyarthritis: the role of gender and age

Abstract: The study found higher levels of depression and anxiety for women than men with early IP. Psychological distress was predicted by younger age, specific coping strategies and high levels of pain.

Cited by 28 publications

References 11 publications

Risk of Developing Depressive Disorders following Rheumatoid Arthritis: A Nationwide Population-Based Study

Risk of Developing Depressive Disorders following Rheumatoid Arthritis: A Nationwide Population-Based Study

Psychological Factors Associated with Response to Treatment in Rheumatoid Arthritis

Identifying Target Areas of Treatment for Depressed Early Inflammatory Arthritis Patients

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