Association of depression and rheumatoidarthritis.

C Dickens, J Jackson, BM Tomenson, E Hay, FH. Creed

    Research output: Contribution to journalArticlepeer-review

    Abstract

    This study assessed the relative strength of the associationof physical characteristics and social stresses with a diagnosis ofdepression in patients with rheumatoid arthritis.Depression and social difficulties were assessed in 74 patients withrheumatoid arthritis by using standardized research interviews.Rheumatoid arthritis activity, damage related to rheumatoid arthritis, andsubjective functional disability were assessed with well-validatedmethods.Twenty-nine patients (39.2%) were depressed.Compared to nondepressed patients, depressed patients had more markedsocial difficulties related to rheumatoid arthritis (72.4% versus 46.7%,respectively) and more marked social difficulties independent ofrheumatoid arthritis (55.2% versus 31.1%, respectively).With logistic regression, social difficulties, independent of rheumatoidarthritis, was the only variable significantly associated withdepression.Demographic characteristics and rheumatoid arthritis were not associatedwith a diagnosis of depression.Recognition by clinicians of the importance of social stresses,independent of disease state, should lead to more appropriate and specificpsychological and social treatment of depression in rheumatoidarthritis.
    Original languageEnglish
    JournalPsychosomatics
    Volume44( 3)
    Publication statusPublished - 2003

    Keywords

    • psychology: Activities of Daily Living
    • Adult
    • Aged
    • diagnosis: Anxiety Disorders
    • psychology: Arthritis, Rheumatoid
    • psychology: Combined Modality Therapy
    • Comorbidity
    • diagnosis: Depressive Disorder
    • Female
    • Human
    • Interview, Psychological
    • Male
    • Middle Age
    • Sick Role
    • Social Adjustment
    • complications: Stress, Psychological

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