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See Latest ArticlesThe association between arthritis and psychiatric disorders; results from a longitudinal population-based study
Journal of Psychosomatic Research, 10/09/09
van'tLand H et al. – Arthritis is associated with psychiatric disorders. The temporal relationship points to one direction: arthritis predicts new onset of psychiatric disorder (mood disorder) instead of the reverse. Especially younger people (<45 years) with arthritis are at risk of developing a psychiatric disorder. Screening and simultaneous treatment of comorbid mood disorder and arthritis are recommended as part of routine in primary care.
Methods- Data from Netherlands Mental Health Survey and Incidence Study (NEMESIS)
- Nationally representative household survey with repeated measurements in 1996, 1997 and 1999
- Self-report used to ascertain arthritis
- Psychiatric and substance use disorders diagnosed with WHO Composite International Diagnostic Interview
- Strength of association of arthritis with mood and anxiety disorders similar [odds ratio (OR)=1.48, 95% confidence interval (CI)=1.09–1.99 and OR=1.42, 95% CI=1.11–1.81, respectively]
- Longitudinal results showed preexisting arthritis elevated the risk of developing any mood disorder (OR=1.94, 95% CI=1.23–3.07)
- Mood or any anxiety disorder did not predict new-onset arthritis
- Incidence of psychiatric disorder was significantly higher among younger persons (<45 years) with arthritis, compared to others in same age category without arthritis
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