Vasculitis & polymyalgia rheumatica

Exploration of health-related quality of life, anxiety and depression in antineutrophil cytoplasmic antibody-associated vasculitis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

In patients with AAV, HRQoL, anxiety, depression and fatigue are persistent but vary depending on disease activity, disease duration, gender and age.

Study context

Population
Persons with ANCA-associated vasculitis (AAV)
Outcome
HRQoL (EQ-5D-3L, EQ-VAS), anxiety and depression (HADS) and fatigue (MAF)

Main finding

As reported in the abstract

HRQoL, anxiety, depression and fatigue
  • EQ-VAS health-related quality of life (HRQoL) higher in younger patients, those with inactive disease (BVAS = 0) and those with long disease duration (≥3 years); EQ-5D-3L varied only with disease activity
  • Women, patients with active disease and patients with shorter disease duration reported more anxiety
  • Younger persons with active disease and short disease duration reported more fatigue
  • In the total group, disease activity and disease duration both associated with HRQoL, anxiety, depression and fatigue
  • Four clusters based on EQ-5D, EQ-5D index and Hospital Anxiety and Depression Score (HADS) identified, with various levels of HRQoL and psychological distress across the disease course

Observational data: associations, not effects.

Original publication

Exploration of health-related quality of life, anxiety and depression in antineutrophil cytoplasmic antibody-associated vasculitis. Rheumatology (Oxford). Published 8 August 2025. doi:10.1093/rheumatology/keaf417

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