- Subscribe
- Log In More
Log in via Institution
Log in via OpenAthens
Log in using your username and password
- Basket
- Search More
Advanced search
- Latest content
- Current issue
- Archive
- Authors
- About
- Podcasts
Advanced search
- CloseMore
Main menu
- Latest content
- Current issue
- Archive
- Authors
- About
- Podcasts
- Subscribe
- Log in More
Log in via Institution
Log in via OpenAthens
Log in using your username and password
- BMJ Journals
You are here
- Home
- Archive
- Volume 83,Issue Suppl 1
- AB1482 MENTAL DISORDERS AND HELP-SEEKING IN PATIENTS WITH RHEUMATOID ARTHRITIS AND AXIAL SPONDYLOARTHRITIS: RESULTS FROM A TERTIARY CENTRE CROSS-SECTIONAL STUDY
Email alerts
Article Text
Article menu
- Article Text
- Article info
- Citation Tools
- Share
- Rapid Responses
- Article metrics
- Alerts
Scientific Abstracts
Publication Only
Across diseases
AB1482 MENTAL DISORDERS AND HELP-SEEKING IN PATIENTS WITH RHEUMATOID ARTHRITIS AND AXIAL SPONDYLOARTHRITIS: RESULTS FROM A TERTIARY CENTRE CROSS-SECTIONAL STUDY
- T. Formanek1,2,
- M. Husakova3,
- M. Olejárova4,
- V. Balajková4,
- J. Juhaszova5,
- L. Šenolt4,
- R. Moravcova4,
- L. Goerojova4,
- K. Pavelka4,
- K. Mladá6,7,
- P. Winkler8,9,
- P. Mohr10,11
- 1Department of Public Mental Health, National Institute of Mental Health, Klecany, Czech Republic, Klecany, Czech Republic
- 2University of Cambridge, Cambridge, United Kingdom, Department of Psychiatry, Cambridge, United Kingdom
- 3First Faculty of Medicine Charles University and Rheumatology Institute, Prague, Czech Republic, Rheumatology, Prague, Czech Republic
- 4First Faculty of Medicine Charles University and Rheumatology Institute, Prague, Czech Republic, Rheumatology, Prague, Czech Republic
- 5First Faculty of Medicine Charles University and Rheumatology Institute, Prague, Czech Republic, Rheumatology, Prague
- 6National Institute of Mental Health, Czech Republic, Department of Public Mental Health, Klecany, Czech Republic
- 7Faculty of Medicine in Pilsen, Charles University, Czech Republic, Department of Psychiatry, Pilsen, Czech Republic
- 8National Institute of Mental Health, Department of Public Mental Health, Klecany, Czech Republic
- 9Institute of Psychiatry, Psychology and Neuroscience, United Kingdom, Health Service and Population Research Department, London, United Kingdom
- 10National Institute of Mental Health, Czech Republic, Clinical Center, Klecany, Czech Republic
- 11Third Faculty of Medicine, Charles University, Czech Republic, Prague, Czech Republic
Abstract
Background: Growing evidence indicate substantial psychiatric comorbidity in patients with inflammatory arthritis (IA) [1]. Mental disorders may, then, subsequently contribute to worsened therapeutic response in people with rheumatoid arthritis (RA) or axial spondyloarthritis (axSpA).
Objectives:
1. To assess the occurrence of mental disorders in IA patients treated in a tertiary centre using the Mini-International Neuropsychiatric Interview (M.I.N.I.).
2. To investigate help-seeking for mental disorders and attitudes towards to it in IA patients.
3. To assess the association between symptoms of depression and anxiety and disease activity in IA patients.
Methods: This is a cross-sectional study, consisting of IA patients (RA and axSpA) drawn from daily care in an outpatient clinic. Individuals without systemic disease were invited as controls. Disease activity was assessed using ASDAS and DAS28, while patient-reported outcomes (PRO´s) were assessed using 5D-EQ, BASDAI, BASFI, and HAQ. The Czech version of M.I.N.I. (version 5.0.0) was used to screen for depression, dysthymia, suicidal ideation, hypo/manic episodes, panic disorder, psychotic disorder, and generalised anxiety disorder. Individuals scoring positively on M.I.N.I. were offered services for their mental health needs. Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI) were used to assess the presence of symptoms of depression and anxiety, respectively.
Results: The data consisted of 405 individuals: 236 with IA and 169 age- and sex-matched controls (Table 1). Approximately 30% of patients with IA scored positively on M.I.N.I. for at least one of the studied mental disorders, most commonly for depression, dysthymia, and suicidal ideation (Table 1). However, the majority of IA patients who scored positively on M.I.N.I. refused the offered services for their mental health needs (Table 1). The main reasons for not seeking help were waiting for a potential further deterioration of mental health before considering seeking help (43.10%), postpone (16.70), and belief that professional help is not needed for their mental health needs (13.90%). Both axSpA and RA patients had, on average, higher scores on BDI-II (6.12±0.60 and 7.90±0.70 vs. 3.05±0.12; all p<0.0001) and BAI (7.30±0.80 and 9.20±0.70 vs. 4.16±0.30; all p<0.0001) than the control group. ASDAS-CRP positively correlated with BDI-II and BAI in axSpA patients (r=0.507 and r=0.481; all p<0.0001). However, in RA patients, the correlation between BDI-II and BAI and DAS28 was relatively weak (r=0.264 and r=0.254, all p<0.01).
Conclusion: Despite profound psychiatric comorbidity in axSpA and RA patients and positive association between symptoms of depression and anxiety and disease activity, help-seeking for mental health is seriously lacking. Our study highlights the importance of facilitating the provision of mental health services to IA patients.
REFERENCES: [1] Howren A, et al. Arthritis Care Res (Hoboken). 2024 Jan 8. DOI: 10.1002/acr.25294.
[2] Sheehan DV, et al. J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57.
- Download figure
- Open in new tab
- Download powerpoint
Graph 1. The M.I.N.I. outcomes in people with inflammatory arthritis and healthy individuals
- Download figure
- Open in new tab
- Download powerpoint
Acknowledgements: Czech Health Research Council: NU21-09-00297.
Disclosure of Interests: None declared.
- Mental health
- Descriptive Studies
Statistics from Altmetric.com
Request Permissions
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
- Mental health
- Descriptive Studies
Read the full text or download the PDF:
Subscribe
Log in via Institution
Log in via OpenAthens
Log in using your username and password
Read the full text or download the PDF:
Subscribe
Log in via Institution
Log in via OpenAthens