Symptoms of Anxiety and Depression Among Adults with Arthritis — United States, 2015–2017

Guglielmo, Dana; Hootman, Jennifer; Boring, Michael A.; Murphy, Louise B.; Theis, Kristina A.; Croft, Janet B.; Barbour, Kamil E.; Katz, Patricia P.; Helmick, Charles G.

doi:10.15585/mmwr.mm6739a2

Cited by 50 publications

(49 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Frequent mental distress and history of depression are common features among adults with arthritis in all states, with considerable variability across states. These findings are supported by previous studies that estimated anxiety and current depression among adults with and without arthritis (3,4). Similar to findings in an earlier report (6), states with high prevalences of frequent mental distress were geographically clustered, with eight of the 10 states in the highest quintile in the Appalachian and southern states.…”

Section: Discussionsupporting

confidence: 91%

“…Chronic pain conditions like arthritis are associated with poorer mental health (3), especially anxiety and depression, which can impede self-care and self-management behaviors (1). Although the national prevalence of mental health conditions among adults with arthritis has been reported (3,4), little is known about statespecific prevalences, particularly of frequent mental distress, a useful public health measure that reflects perceived mental health status. An estimated 11.3% and 19% of U.S. adults overall have frequent mental distress and a history of depression, respectively (5).…”

mentioning

confidence: 99%

See 1 more Smart Citation

State-Specific Prevalence and Characteristics of Frequent Mental Distress and History of Depression Diagnosis Among Adults with Arthritis — United States, 2017

Price¹,

Barbour²,

Liu³

et al. 2020

MMWR Morb. Mortal. Wkly. Rep.

Self Cite

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 99%

State-Specific Prevalence and Characteristics of Frequent Mental Distress and History of Depression Diagnosis Among Adults with Arthritis — United States, 2017

Price¹,

Barbour²,

Liu³

et al. 2020

MMWR Morb. Mortal. Wkly. Rep.

Self Cite

View full text Add to dashboard Cite

“…This is consistent with previous studies. 3 In addition, we found positive, reciprocal longitudinal associations between depressive symptoms and mobility disability. To our knowledge, this is the first study that longitudinally examined this association in a sample of Chinese adults with arthritis, although this association has previously been reported in the older adult population.…”

Section: Discussionmentioning

confidence: 57%

“…2,17 People with arthritis report the occurrence of depressive symptoms two to three times more often than those without arthritis were. 3 According to the Disablement Process suggested by Verbrugge and Jette, 4,5 psychological conditions such as depressive symptoms are often intricately accompanied and reinforced by a physical disabling process, [4][5][6][7][8] and both conditions are assumed to be mutually reinforced. 4 Depressive symptoms are sometimes viewed as the early stage of disability (including mobility disability).…”

Section: Introductionmentioning

confidence: 99%

“…7,9,14,15 Although depressive symptoms and physical disability would likely reinforce each other mutually due to this shared inflammatory mechanism among people with arthritis, 16 few have specifically examined the bidirectional association between depressive symptoms-mobility disability in a sample of adults with arthritis, including Chinese adults. Depressive symptoms and physical disability are prevalent and might not be limited to Western populations, 1,3 but are also found in Chinese populations. 2,17 With the rapid aging in China, the comorbid rates of depressive symptoms and physical disability may contribute significantly to the burden of disease, healthcare cost and poor quality of life in Chinese adults with arthritis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A cross‐lagged model of depressive symptoms and mobility disability among middle‐aged and older Chinese adults with arthritis

Yang

Wang

et al. 2020

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim: To examine the reciprocal and longitudinal associations between depressive symptoms and mobility disability in middle-aged and older Chinese adults with arthritis. Methods: We used three waves of the China Health and Retirement Longitudinal Study. The analytic sample included 4682 community-dwelling adults aged ≥45 years with arthritis who completed the self-report measurement of depressive symptoms and mobility disability every 2 years over a 4-year study period. Analysis involved an autoregressive cross-lagged model. Results: The prevalence rates of comorbid depressive symptoms and mobility disability were 38.9%, 33.2% and 38.9%, respectively across three waves. There was a significant bidirectional and longitudinal relationship between depressive symptoms and mobility disability among middle-aged and older Chinese adults with arthritis. A higher level of depressive symptoms in previous waves was associated with a subsequent increase in mobility disability over time. A similar pattern was also shown in the opposite direction from mobility disability to depressive symptoms over time. Conclusions: This study demonstrates that depressive symptoms and mobility disability are reciprocally related in Chinese adults with arthritis over time. In addition, it highlights the importance of early interventions aimed at reversing the downward spiral of depressive symptoms and mobility disability to improve the health of Chinese adults with arthritis.

show abstract

Improvements in Physical Function and Pain Interference and Changes in Mental Health Among Patients Seeking Musculoskeletal Care

Zhang,

Singh,

Clement

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceAmong patients seeking care for musculoskeletal conditions, there is mixed evidence regarding whether traditional, structure-based care is associated with improvement in patients’ mental health.ObjectiveTo determine whether improvements in physical function and pain interference are associated with meaningful improvements in anxiety and depression symptoms among patients seeking musculoskeletal care.Design, Setting, and ParticipantsThis cohort study included adult patients treated by an orthopedic department of a tertiary care US academic medical center from June 22, 2015, to February 9, 2022. Eligible participants presented between 4 and 6 times during the study period for 1 or more musculoskeletal conditions and completed Patient-Reported Outcomes Measurement Information System (PROMIS) measures as standard care at each visit.ExposurePROMIS Physical Function and Pain Interference scores.Main Outcomes and MeasuresLinear mixed effects models were used to determine whether improvements in PROMIS Anxiety and PROMIS Depression scores were associated with improved PROMIS Physical Function or Pain Interference scores after controlling for age, gender, race, and PROMIS Depression (for the anxiety model) or PROMIS Anxiety (for the depression model). Clinically meaningful improvement was defined as 3.0 points or more for PROMIS Anxiety and 3.2 points or more for PROMIS Depression.ResultsAmong 11 236 patients (mean [SD] age, 57 [16] years), 7218 (64.2%) were women; 120 (1.1%) were Asian, 1288 (11.5%) were Black, and 9706 (86.4%) were White. Improvements in physical function (β = −0.14; 95% CI, −0.15 to −0.13; P &lt; .001) and pain interference (β = 0.26; 95% CI, 0.25 to 0.26; P &lt; .001) were each associated with improved anxiety symptoms. To reach a clinically meaningful improvement in anxiety symptoms, an improvement of 21 PROMIS points or more (95% CI, 20-23 points) on Physical Function or 12 points or more (95% CI, 12-12 points) on Pain Interference would be required. Improvements in physical function (β = −0.05; 95% CI, −0.06 to −0.04; P &lt; .001) and pain interference (β = 0.04; 95% CI, 0.04 to 0.05; P &lt; .001) were not associated with meaningfully improved depression symptoms.Conclusions and RelevanceIn this cohort study, substantial improvements in physical function and pain interference were required for association with any clinically meaningful improvement in anxiety symptoms, and were not associated with any meaningful improvement in depression symptoms. Patients seeking musculoskeletal care clinicians providing treatment cannot assume that addressing physical health will result in improved symptoms of depression or potentially even sufficiently improved symptoms of anxiety.

show abstract

Symptoms of Anxiety and Depression Among Adults with Arthritis — United States, 2015–2017

Cited by 50 publications

References 11 publications

State-Specific Prevalence and Characteristics of Frequent Mental Distress and History of Depression Diagnosis Among Adults with Arthritis — United States, 2017

State-Specific Prevalence and Characteristics of Frequent Mental Distress and History of Depression Diagnosis Among Adults with Arthritis — United States, 2017

A cross‐lagged model of depressive symptoms and mobility disability among middle‐aged and older Chinese adults with arthritis

Improvements in Physical Function and Pain Interference and Changes in Mental Health Among Patients Seeking Musculoskeletal Care

Contact Info

Product

Resources

About