Psychological distress over 12 months post-diagnosis in an early inflammatory arthritis cohort
Authors' conclusion
Half of patients with IA show significant mental health comorbidity at presentation, which associated with worse disease outcomes and quality of life.
Study context
- Population
- People recruited to the National Early Inflammatory Arthritis Audit (NEIAA) receiving an inflammatory arthritis (IA) diagnosis and completing the baseline patient survey
- Participants
- 6,873 eligible patients
- Outcome
- Psychological distress (Patient Health Questionnaire Anxiety and Depression Screener (PHQ4ADS))
- Follow-up
- Baseline, 3 months and 12 months
Methodological detailsmixed effects linear regression
- Mixed effects linear regression
Main finding
As reported in the abstract
baseline
Distressed at baseline
3451
50.2%
Observational data: associations, not effects.
Further findings
Psychological distress among those completing follow-ups · 3 months and 12 months
- Distressed at 3 months
- 30.0%
- Distressed at 12 months
- 24.1%
Predictors of higher distress at diagnosis · baseline
- Higher distress more commonly reported by younger, female and non-White patients
- Higher comorbidity counts, prior depression and higher disease activity at diagnosis associated with higher distress
Outcomes over time by baseline distress
- Higher baseline distress associated with poorer quality of life, disability, work performance, disease activity, and reduced likelihood of good EULAR treatment response
Original publication
Psychological distress over 12 months post-diagnosis in an early inflammatory arthritis cohort. Rheumatology (Oxford). Published 15 May 2024. doi:10. 1093/ rheumatology/ keae276
Composed by AI from the published abstract and checked against it. How Briefs are made →