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The association between arthritis and psychiatric disorders; results from a longitudinal population-based study
Journal of Psychosomatic Research, 10/12/09

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

Results

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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Positive anti-citrullinated protein antibody status and small joint arthritis are consistent predictors of chronic disease in patients with very early arthritis: results from the NOR-VEAC cohort
Arthritis Research & Therapy, 10/02/09 Relevance Score: 95%

Pain in arthritis
European Journal of Pain, 11/17/09 Relevance Score: 94%

Citrulline dependence of anti-cyclic citrullinated peptide antibodies in systemic lupus erythematosus as a marker of deforming/erosive arthritis
Journal of Rheumatology, 11/06/09 Relevance Score: 93%

Psoriatic arthritis common in people with psoriasis
Internet Source, 11/06/09 Relevance Score: 93%

Rheumatoid Arthritis and Tuberculous Arthritis: Differentiating MRI Features
American Journal of Roentgenology, 10/26/09 Relevance Score: 93%