CommentaryArthritis and psychiatric disorders: Disentangling the relationship
Section snippets
Mechanisms linking arthritis and mood disturbance
The Land et al. [6] study provides further confirming evidence of the deleterious impact of arthritis on patients' psychosocial functioning. However, this important research did not address the mechanisms responsible for heightened psychiatric risk. Recently published epidemiological data in the US have shown that persons with arthritis report significantly more functional limitations than persons with other disabling conditions [7]. Land et al. [6] appropriately note that disability may be a
Depression does not predict arthritis: a caveat
While Land et al. [6] showed that having a mood disorder did not predict the development of arthritis, depression may contribute to adverse health outcomes in already diagnosed patients. For example, after the onset of arthritis, depression may augment inflammatory processes, interfere with functioning, reduce medical adherence, and contribute to maladaptive health behaviors that create risk for greater disease activity and medical comorbidities. Thus, depression may serve as a potential cause
Clinical implications
The Land et al. [6] findings highlight the importance of being aware of the potential impact of arthritis on mood disturbance and the need for integrated management strategies that are based on the biopsychosocial model [14]. Having arthritis is a stressor that taxes the adaptive resources of patients and may lead to myriad adjustment problems for many patients. An integrated approach to management recognizes the interdependence between biomedical factors and psychosocial adjustment and the
References (16)
- et al.
Depression in rheumatoid arthritis patients: demographic, clinical and psychological predictors
J Psychosom Res
(2006) - et al.
Development of a questionnaire for the assessment of active and passive pain coping strategies in chronic pain patients
Pain
(1987) - et al.
The role of pain coping strategies in prognosis after whiplash injury: passive coping predicts slowed recovery
Pain
(2006) - et al.
Psychiatric disorders in a sample of the general medical population with and without medical disorders
Am J Psychiatry
(1988) - et al.
Comorbidity of fibromyalgia and psychiatric disorders
J Clin Psychiatry
(2007) - et al.
Psychosocial research on systemic lupus erythematosus: a literature review
Lupus
(2004) - et al.
Anxiety and depression in patients with rheumatoid arthritis
Clin Rheumatol
(2007) - et al.
The association between arthritis and psychiatric disorders: results from a longitudinal population-based study
J Psychosom Res
(2010)
Cited by (19)
Total Knee Arthroplasty Has A Positive Effect on Patients With Low Mental Health Scores
2020, Journal of ArthroplastyCitation Excerpt :This study evaluated the impact of TKA on patient mental health while assessing the impact of mental health on the outcomes of TKA. The relationship of mental health, arthritis, and TKA is complex and not fully understood [14]. Our findings show that following TKA, mental health status dramatically improves in patients with low MCS.
Associations between DSM-IV mental disorders and subsequent onset of arthritis
2016, Journal of Psychosomatic ResearchCitation Excerpt :Arthritis is also known to be associated with disability and economic burden that eventually leads to diminished productivity and social roles. Previous work in this area suggests that such impairments and social isolation is strongly associated with experiencing a mental disorder [4–7]. A number of researchers have examined the association between mental disorders and arthritis with cross-sectional designs [5,9,3].
An evaluation of a biopsychosocial framework for health-related quality of life and disability in rheumatoid arthritis
2011, Journal of Psychosomatic ResearchCitation Excerpt :Rheumatoid arthritis (RA) is a chronic, inflammatory disease that can lead to disability and significantly interfere with functional adaptation [1,2]. Symptoms such as joint pain, swelling, and fatigue are disease-specific stressors that tax the adaptive resources of patients and heighten the risk for patient reported declines in function (i.e., difficulties in carrying out activities of daily living) as well as reports of emotional disturbance [3] which together create enormous psychological and financial loss for those afflicted [4]. Given the salience of such subjective reports of declines in patients' physical, social, and psychological functioning, there is growing interest in using patient-reported outcomes (PROs) to assess treatment effectiveness [5].
Data Analytics and Visualization to Aid Mental Health Care
2022, Lecture Notes on Data Engineering and Communications TechnologiesEffects of the covid-19 pandemic on psychology and disease activity in patients with ankylosing spondylitis and rheumatoid arthritis
2021, Turkish Journal of Medical Sciences