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| Item Type: | Article |
|---|---|
| Title: | Depression, anxiety and cognitive function in persons with inflammatory rheumatic diseases: cross-sectional results from the German National Cohort (NAKO) |
| Creators Name: | Callhoff, J., Berger, K., Albrecht, K. and Strangfeld, A. |
| Abstract: | OBJECTIVE: To assess the presence of mental health disorders in persons with rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic arthritis (PsA), systemic lupus erythematosus (SLE) and Sjögren’s disease (SjD) (all: inflammatory rheumatic disease, iRMD) in a population-based cohort. METHODS: Baseline data from 101 601 participants of the German National Cohort (NAKO) were analysed. Self-reported physician’s diagnoses of depression and anxiety, the depression scale of the Patient Health Questionnaire (PHQ-9), the Generalised Anxiety Disorder Symptoms Scale (GAD-7), the depression section of the Mini-International Neuropsychiatric Interview (MINI) and cognitive tests on memory and executive functions were analysed. Results of participants with iRMD were compared with participants with osteoarthritis (OA), stratified by age and sex. Cognitive function was described for iRMD and OA using a linear regression model, adjusted for sex and education. RESULTS: n=3257 participants (3.2%) had an iRMD (2.3% RA, 0.6% AS, 0.5% PsA, 0.2% SLE, 0.1% SjD) and n=24 030 (24%) had OA. Physicians’ diagnoses of depression (26% vs 21%), anxiety (15% vs 11%), current depressive (PHQ-9 ≥10: 13% vs 9.0%) and anxiety symptoms (GAD-7 ≥10: 8.6% vs 5.8%) were more frequent in iRMDs compared with OA. In all age groups, women were more often affected than men. Linear regression models showed no differences in neuropsychological test results between iRMD and OA. CONCLUSION: Individuals with iRMD frequently experience mental disorders. The study provides an assessment of both self-report and test-based occurrences in this group. Depression and anxiety are more frequent in iRMD compared with OA, whereas levels of cognitive dysfunction were comparable. |
| Keywords: | Anxiety, Cognition, Cognitive Dysfunction, Cross-Sectional Studies, Depression, Germany, Neuropsychological Tests, Rheumatoid Arthritis, Rheumatic Diseases |
| Source: | RMD Open |
| ISSN: | 2056-5933 |
| Publisher: | BMJ Publishing Group |
| Volume: | 10 |
| Number: | 4 |
| Page Range: | e004808 |
| Date: | 23 October 2024 |
| Additional Information: | Tobias Pischon and Ilais Moreno Velásquez are NAKO Investigators. |
| Official Publication: | https://doi.org/10.1136/rmdopen-2024-004808 |
| PubMed: | View item in PubMed |
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