Spondyloarthritis & psoriatic arthritis
Factors Associated with Poor Mental Health in Patients with Axial Spondyloarthritis: Results from the International Map of Axial Spondyloarthritis (IMAS)
Authors' conclusion
Globally, 6 in 10 patients with axSpA had poor mental health, with a higher proportion in South Africa and lower in Asia. The factors associated with poor mental health include domains such as younger age, female gender, employment difficulties, harmful habits, disease burden and symptom duration.
Study context
- Population
- Unselected patients with axial spondyloarthritis (axSpA) worldwide, IMAS online survey (2017–2022)5,351 with General Health Questionnaire (GHQ-12)
- Participants
- 5,557 patients
- Outcome
- Prevalence of poor mental health (GHQ-12≥3)
Methodological detailsonline survey, international
- Online survey
- International
Main finding
As reported in the abstract
Poor mental health (GHQ-12≥3)
- Poor mental health, overall
- 59.4%
- GHQ-12, mean
- 4.7
- Poor mental health, South Africa
- 69.9%
- Poor mental health, Latin America
- 63.7%
- Poor mental health, Europe
- 60.8%
- Poor mental health, North America
- 54.3%
- Poor mental health, Asia
- 51.8%
Observational data: associations, not effects.
Further findings
Anxiety and depression
- Anxiety
- 40.5%
- Depression
- 37.2%
Factors associated with poor mental health (logistic regression, n=4335)
- Age (younger), OR
- 0.99
- Female gender, OR
- 1.16
- Sick leave or unemployed, OR
- 1.63
- Non-physical activity, OR
- 1.22
- Smoking, OR
- 1.20
- Higher BASDAI, OR
- 1.42
- Functional limitation, OR
- 1.02
- Symptom duration (shorter), OR
- 0.98
- n=4335
Original publication
Factors Associated with Poor Mental Health in Patients with Axial Spondyloarthritis: Results from the International Map of Axial Spondyloarthritis (IMAS). RMD Open. Published 12 June 2024. doi:10.
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