Rheumatoid arthritis

Trends in Anxiety and Depression Among Individuals With Rheumatoid Arthritis: A Population-Based Study

J RheumatolPublished Population-based cohort study

Authors' conclusion

Anxiety and concomitant anxiety and depression diagnoses are elevated in individuals with RA.

Study context

Population
Rochester Epidemiology Project, incident rheumatoid arthritis (RA) 1985–2014 and matched non-RA comparators (mean age 55.9 years, 68.38% female), followed until death, migration or December 31, 2020
Participants
1,012 vs 1,012
Exposure
Incident RA vs matched non-RA comparators, by decade
  • RAn = 1,012
  • Matched controlsn = 1,012reference
Outcome
Trends in occurrence of depression, anxiety and cooccurring anxiety and depression diagnoses (ICD-9/10 code sets) by decade and RA status
Methodological detailsmatched 1:1 on age, sex and calendar year of RA incidence, Cox models adjusted for potential confounders
  • Matched 1:1 on age, sex and calendar year of RA incidence
  • Cox models adjusted for potential confounders

Main finding

As reported in the abstract

Occurrence of anxiety and concomitant anxiety and depression, RA vs controls
RA vs Matched controlsHazard ratio (95% CI)
Anxiety
1.27(0.86–1.88)
Concomitant anxiety and depression
1.49(0.96–2.33)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Anxiety in seropositive RA (subgroup)Seropositive patients with RA4.01 (2.21–7.30)

Original publication

Trends in Anxiety and Depression Among Individuals With Rheumatoid Arthritis: A Population-Based Study. J Rheumatol. Published 15 October 2024. doi:10.3899/jrheum.2024-0165

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