Prevalence of anxiety and depression in patients with rheumatoid arthritis before and during the COVID-19 pandemic

Itaya, Takahiro; Torii, Mie; Hashimoto, Motomu; Tanigawa, Kyosuke; Urai, Yuki; Kinoshita, Ayae; Nin, Kazuko; Jindai, Kazuaki; Watanabe, Ryu; Murata, Koichi; Murakami, Kosaku; Tanaka, Masao; Ito, Hiromu; Matsuda, Shinji; Morinobu, Akio

doi:10.1093/rheumatology/keab065

Cited by 25 publications

(24 citation statements)

References 4 publications

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“…This is in accordance with previous mainly cross-sectional studies regarding anxiety and depression in patients with IRD showing that use of bDMARDs, previous depression, anxiety or poor quality of life seem to be associated with tendencies to self-isolate. (3)(4)(5)8,10,40) Our findings mirror those in the general population showing psychological distress to gradually normalize after lockdown periods (36) and anxiety to decline in periods with lower SARS-CoV-19 infection rates. (37) Similarly, an ongoing Danish nationwide survey in >300000 Danish citizens showed reduced avoidance of physical contact during spring and summer 2021 compared to levels during winter.…”

Section: Discussionsupporting

confidence: 81%

“…However, the impact of these factors is poorly explored in patients with IRD where previous studies mainly have been of a cross-sectional design and performed during the early months of the pandemic. (3)(4)(5)10) In two previous nationwide surveys (performed in 2020), we have described anxiety, concerns and widespread changes in behavior in patients with IRD. (6,11,12) More than 10.000 patients monitored in the Danish DANBIO registry (13) participated in each survey.…”

Section: Introductionmentioning

confidence: 99%

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Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

et al. 2022

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Objective To explore anxiety and self-isolation 15 months into the COVID-19 pandemic including attitudes towards and impact of SARS-CoV-2 vaccination in patients with inflammatory rheumatic disease (IRD). Methods Nationwide online survey at three time points (May 2020, November 2020, May 2021). Patients with IRD followed in the Danish DANBIO registry were asked about the impact of the pandemic (SARS-CoV-2-infection, behavior, anxiety, concerns). The May 2021-survey included attitudes towards vaccination (SARS-CoV-2, influenza). Characteristics associated with self-isolation in May 2021 were explored with adjusted logistic-regression analyses including patient characteristics and SARS-CoV-2-vaccination status. Results Respondents to survey 1, 2 and 3 were 12789, 14755 and 13921 patients, respectively (64% rheumatoid arthritis, 63% female). Anxiety and concerns were highest in May 2020 and decreased to stable levels in November 2020 and May 2021 (86%, 50% and 52% reported self-isolation, respectively). In May 2021, self-reported previous SARS-CoV-2-infection was 4%. SARS-CoV-2 vaccine acceptance was 86%, and proportions of influenza-vaccinated patients had increased (50% winter 2019-20 to 64% in 2020-21). Proportions with anxiety appeared similar in SARS-CoV-2 vaccinated and unvaccinated. In multivariable analyses, being unvaccinated, female gender, receiving biologicals, and poor quality of life were independently associated with self-isolation. Conclusion Levels of anxiety and self-isolation decreased after the initial lock-down period in patients with IRD. Half of patients reported self-isolation in May 2021, -a phase with wide-spread re-opening of society and large-scale vaccination. Lack of pre-pandemic data prevented a full understanding of the long-term impact of the pandemic on anxiety and self-isolation in IRDs.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

et al. 2022

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“…The prolonged lockdown related to COVID-19 pandemic determined disruption of lifestyle and social isolation. The pandemic has adversely affected mental health, especially in individuals with chronic disease such as Parkinson's disease, relapsing-remitting multiple sclerosis patients, and patients with rheumatoid arthritis ( 27 – 29 ). This study was focused on the inpatients.…”

Section: Discussionmentioning

confidence: 99%

Patients' Responses to COVID-19 Pandemic: The Relationship Between Potential Pandemic-Induced Disruptions, Ontological Security, and Adaptive Responses in Taizhou, China

Luo

Wang

et al. 2022

Front. Public Health

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BackgroundThe COVID-19 pandemic has changed the social environment of most individuals around the world and has profoundly impacted people's lives, ontological security, and behavior. Among them, the patients are one of the groups most influenced by the pandemic.ObjectiveThe present research aimed to study the relationship of COVID-19 pandemic-induced disruption to patients' daily lives, ontological security, and patients' responses to prevent the spread of COVID-19, and explore the role of ontological security.MethodsThis article was based on an online structured questionnaire study conducted among hospitalized patients in Taizhou Hospital of Zhejiang Province, Taizhou, China, from 8 July to 11 August 2021. We analyzed the data using the multivariate regression model and mediation analysis method.ResultsThe results showed that the higher the pandemic-induced disruption to inpatients' lives, the better behavior would be taken by hospitalized patients to prevent the spread of COVID-19, and the perceived scarcity of ontological security played a mediating role in this process. Higher pandemic-induced disruption to patients' lives increased the ontological insecurity which further, in turn, reduced patients' good practice toward measures to prevent the novel coronavirus.ConclusionThese findings provided direct evidence for the relationship between pandemic-induced disruption, scarcity of ontological security, and patients' prevention behavior. It suggested that there was a need to emphasize patients' ontological security. Overall, these findings suggested that it is important to emphasize the mental health among patients during the COVID-19 pandemic, and implement strategies to offer psychological support when needed.

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“…The level of their psychological distress were found to be similar to those of the healthy group (teachers/academic staff). The prevalence of anxiety and depression in patients with rheumatoid arthritis (RA) before and during the COVID-19 pandemic was researched [ 42 ]. While the anxiety level in RA patients was found to be higher than the pre-pandemic levels, the depression levels in several patients with RA did not change during the pandemic, and it was reported that the number of patients reporting suspected depression increased remarkably after the COVID-19 outbreak.…”

Section: Discussionmentioning

confidence: 99%

Clinical Course of Idiopathic Inflammatory Myopathies in the COVID-19 Pandemic: A single-center Experience

et al. 2022

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Aim: To evaluate the clinical course of idiopathic inflammatory myopathy (IIM) patients in COVID-19 pandemic, and to assess the COVID-19 outcomes in infected IIM patients. Materials & methods: In this study, 39 patients were evaluated retrospectively. Myositis disease activity, myositis damage index, depression, fatigue, active medical treatment, drug compliance and SARS-CoV-2 PCR test results in COVID-19 pandemic were collected. Results: Fourteen of these patients (35%) were detected to have a positive SARS-CoV-2 PCR test. The demographic and clinical characteristics, active medical treatment, disease activity, depression and fatigue of the patients who had undergone or not SARS-CoV-2 were similar. Conclusion: Our results have shown that although prevalence of COVID-19 seems to be increased in IIM patients under immunosuppressive treatment, hospitalization rates were lower and no intensive care unit admissions or deaths were observed.

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Prevalence of anxiety and depression in patients with rheumatoid arthritis before and during the COVID-19 pandemic

Cited by 25 publications

References 4 publications

Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

Long-term Behavioral Changes During the COVID-19 Pandemic and Impact of Vaccination in Patients With Inflammatory Rheumatic Diseases

Patients' Responses to COVID-19 Pandemic: The Relationship Between Potential Pandemic-Induced Disruptions, Ontological Security, and Adaptive Responses in Taizhou, China

Clinical Course of Idiopathic Inflammatory Myopathies in the COVID-19 Pandemic: A single-center Experience

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