A study of the factors associated with anxiety and depression among the patients of arthritis

  • Dr. Faisal Siddiqui Senior Resident, Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, India
  • Dr. Anoop Kumar Associate Professor, Department of Medicine, Hind Institute of Medical Science, Safidabad, Barabanki, U.P, India
Keywords: Arthritis, Anxiety, Depression


Background: Arthritis is one of the common chronic disease and leading cause of disability in India. Due to increasing number of older adults, the prevalence of arthritis is expected to rise dramatically. Depression and anxiety are generally more common among people with arthritis than in general population and interplay independently and synergistically with clinical outcomes such as pain and disability.

Aim: To study the prevalence of depression, anxiety and the factors associated with them among Indian adults suffering from arthritis in a tertiary care centre.

Material and Methods: The study sample comprised of adults age above 30 years with clinician diagnosed arthritis (n=370). Depression and anxiety were measured using separate and validated scales. Prevalence was estimated for the sample overall and stratified by subgroups. Associations between correlates and each condition were estimated with prevalence ratios.

Result: Depression was more common than anxiety (24% and 11% respectively) overall; about 8% of patients have mixed depression and anxiety disorder. Among them only 2-3% of patients seek consultation for mental health condition.

Conclusion: Despite of high prevalence of depression and anxiety among the patients of arthritis help seeking for the psychiatric disability appears to be minimal. Untreated anxiety and depression may negatively impact on pain, mobility and quality of life.


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Rheumatoid arthritis http://www.who.int/chp/topics/rheumatic/in accessed on 14 Nov 2015.

Lokeshia A Sumner and Perry M Nicassio in: Perry M Nicassio. Ed Psychosocial Factors in Arthritis. Springer 2015).

Cross M, Smith E, Hoy D, Carmona L, Wolfe F, Vos T, Williams B, Gabriel S, Lassere M, Johns N, Buchbinder R, Woolf A, March L. The global burden of rheumatoid arthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014 Jul;73(7):1316-22. doi: http://dx.doi.org/10.1136/annrheumdis-2013-204627. Epub 2014 Feb 18.

Osteoarthritis http://www.who.int/healthinfo/statistics/bod_osteoarthrits accessed 21 Nov 2015.

Harris M L. Physical and clinical predictors. In: Perry M Nicassio. Ed Psychosocial Factors in Arthritis. Springer 2015.

DeVellis BM, DeVellis RF. Depression and arthritis. N C Med J. 2007 Nov-Dec;68(6):434-5.

Arthritis http://www.arthritis-india.com accessed on 15 Nov 2015.

Zung WW. A rating instrument for anxiety disorders. Psychosomatics. 1971 Nov-Dec;12(6):371-9.

ZUNG WW. A self-rating depression scale. Arch Gen Psychiatry. 1965 Jan;12:63-70.

Takade T, Morimato N, Kinukewa N et al. Factors affecting depression and anxiety in female Japanese patients with rheumatoid arthritis. Clinical and Experimental Rheumatology. 2000; 5: 101-12.

el-Miedany YM, el-Rasheed AH. Is anxiety a more common disorder than depression in rheumatoid arthritis? Joint Bone Spine. 2002 May;69(3):300-6.

Zyrianova Y, Kelly BD, Gallagher C, McCarthy C, Molloy MG, Sheehan J, Dinan TG. Depression and anxiety in rheumatoid arthritis: the role of perceived social support. Ir J Med Sci. 2006 Apr-Jun;175(2):32-6.

Isik A, Koca SS, Ozturk A, Mermi O. Anxiety and depression in patients with rheumatoid arthritis. Clin Rheumatol. 2007 Jun;26(6):872-8. Epub 2006 Aug 29.

Murphy LB, Sacks JJ, Brady TJ, Hootman JM, Chapman DP. Anxiety and depression among US adults with arthritis: prevalence and correlates. Arthritis Care Res (Hoboken). 2012 Jul;64(7):968-76. doi: https://doi.org/10.1002/acr.21685.

A study of the factors associated with anxiety and depression among the patients of arthritis
DOI: 10.17511/ijmrr.2017.i09.07
Published: 2017-09-30
How to Cite
Siddiqui F, Kumar A. A study of the factors associated with anxiety and depression among the patients of arthritis. Int J Med Res Rev [Internet]. 2017Sep.30 [cited 2021Jun.19];5(9):872-6. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/923
Original Article