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Sociodemographic and disease-related factors are associated with patient-reported anxiety and depression in spondyloarthritis patients in the Swedish SpAScania cohort
Epi-centre Skåne, Skåne University Hospital, Medicon village, Lund, Sweden & Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, Netherlands.
Epi-centre Skåne, Skåne University Hospital, Medicon village, Lund, Sweden & Department of Orthopedics, Clinical Sciences, University of Lund, Lund, Sweden.
Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden & Spenshult, Research and Development Center, Oskarström, Sweden.ORCID iD: 0000-0002-6294-538X
Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden & Spenshult, Research and Development Center, Oskarström, Sweden.ORCID iD: 0000-0002-1445-5247
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2014 (English)In: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 33, no 11, p. 1649-1656Article in journal (Refereed) Published
Abstract [en]

Anxiety and depression are common among patients with rheumatic diseases. This study aims to explore which factors are associated with self-reported anxiety and depression in a well-defined cohort of spondyloarthritis (SpA) patients. In 2009, 3,711 patients from the SpAScania cohort were sent a postal questionnaire to assess health-related quality of life (HRQoL) and physical and mental functioning. The Hospital Anxiety and Depression Scale measured anxiety (HADS-A) and depression (HADS-D), subscales 0-21, best-worst. HADS ≥8 indicates possible cases of anxiety or depression. One-way ANOVA (p < 0.05) tested for differences among the SpA subtypes in HADS scores. Linear regression analysis adjusted for age, gender, and disease duration was used to test for associations between HADS and independent variables. In total, 2,167 (58 %) patients (52 % females, mean age 55.4 years) returned the questionnaire. In total, 683 (32 %) cases were classified as "possible anxiety" and 305 (14 %) as "possible depression" cases with mean (SD) HADS-A 5.9 (4.3) and HADS-D 4.4 (3.6). There were no differences among the SpA subtypes in HADS-A and HADS-D. HADS-A and HADS-D were associated with lower education, lower physical activity (HADS-D only), chronic pain problems, more fatigue, lower general health, lower HRQoL, lower level of functioning, higher disease activity, and lower self-efficacy. Associations with anxiety and/or depression appear multifactorial in patients with SpA including both personal and disease-related factors. Since these comorbidities are increased in SpA and treatable, they should be screened for in clinical practice, possibly with instruments like the HADS. © 2014, Clinical Rheumatology

Place, publisher, year, edition, pages
London: Springer London, 2014. Vol. 33, no 11, p. 1649-1656
Keyword [en]
Anxiety, Cohort studies, Depression, Spondyloarthritis
National Category
General Practice
Identifiers
URN: urn:nbn:se:hh:diva-26380DOI: 10.1007/s10067-014-2699-7ISI: 000343752100015PubMedID: 24907034Scopus ID: 2-s2.0-84919398327OAI: oai:DiVA.org:hh-26380DiVA, id: diva2:743869
Note

We would like to thank Fredrik Nilsson and Aleksandra Turkiewicz for statistical support and data management. Funding support was from the Swedish Rheumatism Association, Medical Faculty Lund University, and Region Skåne, Sweden.

Available from: 2014-09-05 Created: 2014-09-04 Last updated: 2018-01-11Bibliographically approved

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Bergman, StefanHaglund, EmmaBremander, Ann

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