Cited by 250Spondyloarthritis Studies and TreatmentsPsoriasis: Treatment and PathogenesisMusculoskeletal pain and rehabilitation

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Depression and Anxiety in Psoriatic Disease: Prevalence and Associated Factors

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McDonough, Emily, Ayearst, Renise, Eder, Lihi, Chandran, Vinod, Rosen, Cheryl F., Thavaneswaran, Arane, Gladman, Dafna D.·2014·The Journal of Rheumatology

DOI 10.3899/jrheum.130797

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Abstract

OBJECTIVE: (1) To determine the prevalence of depression and anxiety in patients with psoriatic arthritis (PsA) and to identify associated demographic and disease-related factors. (2) To determine whether there is a difference in the prevalence of depression and anxiety between patients with PsA and those with psoriasis without PsA (PsC). METHODS: Consecutive patients attending PsA and dermatology clinics were assessed for depression and anxiety using the Hospital Anxiety and Depression Scale. Patients underwent a clinical assessment according to a standard protocol and completed questionnaires assessing their health and quality of life. T tests, ANOVA, and univariate and multivariate models were used to compare depression and anxiety prevalence between patient cohorts and to determine factors associated with depression and anxiety. RESULTS: We assessed 306 patients with PsA and 135 with PsC. There were significantly more men in the PsA group (61.4% vs 48% with PsC) and they were more likely to be unemployed. The prevalence of both anxiety and depression was higher in patients with PsA (36.6% and 22.2%, respectively) compared to those with PsC (24.4% and 9.6%; p = 0.012, 0.002). Depression and/or anxiety were associated with unemployment, female sex, and higher actively inflamed joint count as well as disability, pain, and fatigue. In the multivariate reduced model, employment was protective for depression (OR 0.36) and a 1-unit increase on the fatigue severity scale was associated with an increased risk of depression (OR 1.5). CONCLUSION: The rate of depression and anxiety is significantly higher in patients with PsA than in those with PsC. Depression and anxiety are associated with disease-related factors.

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Authors: McDonough, E., Ayearst, R., Eder, L., Chandran, V., Rosen, C. F., Thavaneswaran, A., & Gladman, D. D.
Affiliations: University Health Network (CA)
Corresponding author: Gladman, Dafna D.
ORCID: Eder, Lihi
Chandran, Vinod
Rosen, Cheryl F.
Gladman, Dafna D.
Venue: The Journal of Rheumatology
Publisher: The Journal of Rheumatology
Published: 2014-04-01
Volume: 41
Issue: 5
Pages: 887-896
ISSN: 0315-162X (ISSN-L)
1499-2752
DOI: 10.3899/jrheum.130797
OpenAlex: W2133432325
Cited by: 250
References: 50
Citations by year: 2026: 18 · 2025: 12 · 2024: 16 · 2023: 20 · 2022: 21 · 2021: 32 · 2020: 30 · 2019: 22 · 2018: 25 · 2017: 25 · 2016: 15 · 2015: 9 · 2014: 5
FWCI: 14.92
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: The Journal of Rheumatology (publishedVersion)
PubMed (publishedVersion)
Funders: Canadian Rheumatology Association
Krembil Foundation
Canadian Institutes of Health Research
Topics: Health Sciences › Medicine › Rheumatology › Spondyloarthritis Studies and Treatments
Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords: depression, anxiety, psoriatic arthritis, psoriasis, prevalence, unemployment, fatigue, disease activity, disability, sex differences, quality of life
MeSH terms: Activities of Daily Living, Adult, Aged, Anxiety Disorders, Depressive Disorder, Disability Evaluation, Female, Humans, Male, Middle Aged, Psoriasis, Quality of Life, Surveys and Questionnaires, Risk Factors, Arthritis, Psoriatic, Prevalence, Outcome Assessment, Health Care

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Depression and Anxiety in Psoriatic Disease: Prevalence and Associated Factors

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