Spondyloarthritis & psoriatic arthritis

Effect of tumour necrosis factor inhibitors on risk of depression in patients with AS: a nationwide propensity score-matched cohort study

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · Incident depressionResult — go to the resultAdjusted hazard ratio 0.82 95% CI 0.72–0.92

Authors' conclusion

TNFi exposure was associated with a lower incidence of depression in patients with AS

Study context

Population
Patients with AS with no history of depression, Korean nationwide claims database1:1 propensity score-matched
Participants
4,284 vs 4,284
Exposure
TNFi exposure vs TNFi non-exposure
  • TNFi exposuren = 4,284
  • TNFi non-exposuren = 4,284reference
Outcome
Incident depression
Methodological detailsnationwide, propensity score-matched (1:1), multivariable stratified Cox regression
  • Nationwide
  • Propensity score-matched (1:1)
  • Multivariable stratified Cox regression

Main finding

As reported in the abstract

Adjusted hazard ratio

0.82

95% CI 0.72–0.92

P = 0.001

By group

TNFi exposurevs TNFi non-exposure
aHR 0.82 (95% CI 0.72–0.92); P = 0.001

Observational data: associations, not effects.

Original publication

Effect of tumour necrosis factor inhibitors on risk of depression in patients with AS: a nationwide propensity score-matched cohort study. Rheumatology (Oxford). Published 3 February 2026. doi:10.1093/rheumatology/keag062

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