Hostname: page-component-5db58dd55d-lqwgf Total loading time: 0 Render date: 2026-06-07T06:57:17.704Z Has data issue: false hasContentIssue false
  • English
  • Français

Mental disorders among persons with arthritis: resultsfrom the World Mental Health Surveys

Published online by Cambridge University Press:  26 February 2008

Y. He ,
M. Zhang ,
E. H. B. Lin ,
R. Bruffaerts ,
J. Posada-Villa ,
M. C. Angermeyer ,
D. Levinson ,
G. de Girolamo ,
H. Uda  and
Z. Mneimneh
...Show all authors
Y. He*
Affiliation:
Shanghai Mental Health Center, Shanghai, China
M. Zhang
Affiliation:
Shanghai Mental Health Center, Shanghai, China
E. H. B. Lin
Affiliation:
Center for Health Studies, Group Health Cooperative, Seattle, WA, USA
R. Bruffaerts
Affiliation:
Department of Neurosciences and Psychiatry, University Hospital Gasthuisberg, Leuven, Belgium
J. Posada-Villa
Affiliation:
Colegio mayor de Cundinamarca University, Saldarriaga Concha Foundation, Bogotá, Colombia
M. C. Angermeyer
Affiliation:
Department of Psychiatry, University of Leipzig, Germany
D. Levinson
Affiliation:
Research and Planning, Mental Health Services, Ministry of Health, Israel
G. de Girolamo
Affiliation:
Department of Mental Health, AUSL di Bologna, Italy
H. Uda
Affiliation:
Sensatsu Public Health Center, Kagoshima, Japan
Z. Mneimneh
Affiliation:
Institute for Development, Research, and Applied Care (IDRAC), Beirut, Lebanon
C. Benjet
Affiliation:
National Institute of Psychiatry, Calzada Mexico Xochimilco, Mexico City, Mexico
R. de Graaf
Affiliation:
Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
K. M. Scott
Affiliation:
Department of Psychological Medicine, Wellington School of Medicine and Health Sciences, Otago University, Wellington South, New Zealand
O. Gureje
Affiliation:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
S. Seedat
Affiliation:
Department of Psychiatry, University of Stellenbosch, Cape Town, South Africa
J. M. Haro
Affiliation:
Sant Joan de Deu-SSM, Barcelona, Spain
E. J. Bromet
Affiliation:
Department of Psychiatry, SUNY Stony Brook, NY, USA
J. Alonso
Affiliation:
Health Services Research Unit, Institut Municipal d'Investigacio Medica (IMIM), Barcelona, Spain
V. Kovess
Affiliation:
Fondation MGEN pour la santé publique, Université Paris 5, Paris, France
M. von Korff
Affiliation:
Center for Health Studies, Group Health Cooperative, Seattle, WA, USA
R. Kessler
Affiliation:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
*
*Address forcorrespondence: Dr Y. He, Shanghai Mental HealthCenter, 600 Wan Ping Nan Road,Shanghai 200030, China.(Email: heyl2001@yahoo.com.cn)
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Prior studies in the USA have reported higher rates of mental disorders amongpersons with arthritis but no cross-national studies have been conducted. Inthis study the prevalence of specific mental disorders among persons witharthritis was estimated and their association with arthritis across diversecountries assessed.

Method

The study was a series of cross-sectional population sample surveys. Eighteenpopulation surveys of household-residing adults were carried out in 17countries in different regions of the world. Most were carried out between2001 and 2002, but others were completed as late as 2007. Mental disorderswere assessed with the World Health Organization (WHO)World Mental Health–Composite International Diagnostic Interview(WMH-CIDI). Arthritis was ascertained by self-report.The association of anxiety disorders, mood disorders and alcohol usedisorders with arthritis was assessed, controlling for age and sex.Prevalence rates for specific mental disorders among persons with andwithout arthritis were calculated and odds ratios(ORs) with 95% confidence intervals wereused to estimate the association.

Results

After adjusting for age and sex, specific mood and anxiety disorders occurredamong persons with arthritis at higher rates than among persons withoutarthritis. Alcohol abuse/dependence showed a weaker and lessconsistent association with arthritis. The pooled estimates of the age- andsex-adjusted ORs were about 1.9 for mood disorders and for anxiety disordersand about 1.5 for alcohol abuse/dependence among persons withversus without arthritis. The patternof association between specific mood and anxiety disorders and arthritis wassimilar across countries.

Conclusions

Mood and anxiety disorders occur with greater frequency among persons witharthritis than those without arthritis across diverse countries. Thestrength of association of specific mood and anxiety disorders witharthritis was generally consistent across disorders and acrosscountries.

Keywords

Arthritismental disorderscross-sectional

Information

Type
Original Articles
Information
Psychological Medicine , Volume 38 , Issue 11 , November 2008 , pp. 1639 - 1650
Copyright
Copyright © 2008 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Ang, DC, Choi, H, Kroenke, K, Wolfe, F (2005). Comorbid depression is an independent risk factor for mortality in patients with rheumatoid arthritis. Journal of Rheumatology 32, 1013–1019.Google Scholar
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
Berkanovic, E, Hurwicz, ML (1990). Rheumatoid arthritis and comorbidity. Journal of Rheumatology 17, 888–892.Google Scholar
Bird, SM, Cox, D, Farewell, VT, Goldstein, H, Holt, T, Smith, PC (2005). Performance indicators: good, bad, and ugly. Journal of the Royal Statistical Society, Series A 168, 1–27.Google Scholar
Carmona, L, Ballina, J, Gabriel, R, Laffon, A; EPISER Study Group (2001). The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Annals of the Rheumatic Diseases 60, 1040–1045.Google Scholar
CDC (2001). Prevalence of arthritis – United States, 1997. Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report 50, 334–336.Google Scholar
Cunningham, LS, Kelsey, JL (1984). Epidemiology of musculoskeletal impairments and associated disability. American Journal of Public Health 74, 574–579.CrossRefGoogle Scholar
Demyttenaere, K, Bonnewyn, A, Bruffaerts, R, Brugha, T, Graaf, R, Alonso, J (2006). Comorbid painful physical symptoms and depression: prevalence, work loss, and help seeking. Journal of Affective Disorders 92, 185–193.Google Scholar
Dickens, C, Jackson, J, Tomenson, B, Hay, E, Creed, F (2003). Association of depression and rheumatoid arthritis. Psychosomatics 44, 209–215.Google Scholar
Dunlop, DD, Lyons, JS, Manheim, LM, Song, J, Chang, RW (2004). Arthritis and heart disease as risk factors for major depression: the role of functional limitation. Medical Care 42, 502–511.Google Scholar
ESEMeD/MHEDEA 2000 Investigators (2004). Sampling and methods of the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica. Supplementum 420, 8–20.Google Scholar
Felson, DT, Naimark, A, Anderson, J, Kazis, L, Castelli, W, Meenan, RF (1987). The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis and Rheumatism 30, 914–918.Google Scholar
Foley, D, Ancoli-Israel, S, Britz, P, Walsh, J (2004). Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. Journal of Psychosomatic Research 56, 497–502.Google Scholar
Guccione, AA, Felson, DT, Anderson, JJ, Anthony, JM, Zhang, Y, Wilson, PW, Kelly-Yayes, M, Wolf, PA, Kreger, BE, Kannel, WB (1994). The effects of specific medical condition on the functional limitations of elders in the Framingham Study. American Journal of Public Health 84, 351–358.Google Scholar
Gureje, O, Von Korff, M, Kola, L, Demyttenaere, K, He, YL, Posada-Villa, J, Lepine, JP, Angermeyer, MC, Levinson, D, Girolamo, G, Iwata, N, Karam, A, Guimaraes Borges, GL, Graaf, R, Browne, MO, Stein, DJ, Haro, JM, Bromet, EJ, Kessler, RC, Alonso, J (2007). The relation between multiple pains and mental disorders: results from the World Mental Health Surveys. Pain. Published online: 12 June 2007. doi: 10.1016/j.pain.2007.05.005.Google Scholar
Gureje, O, Von Korff, M, Simon, GE, Grater, R (1998). Persistent pain and wellbeing: a World Health Organization study in primary care. Journal of the American Medical Association 280, 147–151.Google Scholar
Haro, JM, Arbabzadeh-Bouchez, S, Brugha, TS, de Girolamo, G, Guyer, ME, Jin, R, Lepine, JP, Mazzi, F, Reneses, B, Vilagut, G, Sampson, NA, Kessler, RC (2006). Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health Surveys. International Journal of Methods in Psychiatric Research 15, 167–180.Google Scholar
Helmick, CG, Lawrence, RC, Pollard, RA, Lloyd, E, Heyse, SP (1995). Arthritis and other rheumatic conditions: who is affected now, who will be affected later? Arthritis Care and Research 8, 203–211.Google Scholar
John, R, Kerby, DS, Hennessy, CH (2003). Patterns and impact of comorbidity and multimorbidity among community-resident American Indian elders. The Gerontologist 43, 649–660.Google Scholar
Kessler, RC, Berglund, P, Chiu, WT, Demler, O, Heeringa, S, Hiripi, E, Jin, R, Pennell, B-P, Walters, EE, Zaslavsky, A, Zheng, H (2004). The US National Comorbidity Survey Replication (NCS-R): design and field procedures. International Journal of Methods in Psychiatric Research 13, 69–92.Google Scholar
Kessler, RC, Ormel, J, Demler, O, Stang, PE (2003). Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: results from the National Comorbidity Survey. Journal of Occupational Environment Medicine 45, 1257–1266.Google Scholar
Kessler, RC, Ustun, TB (2004). The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research 13, 93–121.Google Scholar
Khongsaengdao, B, Louthrenoo, W, Srisurapanont, M (2000). Depression in Thai patients with rheumatoid arthritis. Arthritis Care and Research 83, 743–747.Google Scholar
Kriegsman, DMW, Penninx, BWJH, van Eijk, JThM, Boeke, AJP, Deeg, DJH (1996). Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly. A study on the accuracy of patients' self-reports and on determinants of inaccuracy. Journal of Clinical Epidemiology 49, 1407–1417.Google Scholar
Lawrence, RC, Helmick, CG, Arnett, FC, Deyo, RA, Felson, DT, Giannini, EH, Heyse, SP, Hirsch, R, Hochberg, MC, Hunder, GG, Liang, MH, Pillemer, SR, Steen, VD, Wolfe, F (1998). Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis and Rheumatism 41, 778–799.Google Scholar
Lin, EHB, Katon, W, Von Korff, M, Tang, L, Williams, JW, Kroenke, K, Hunkeler, E, Harpole, L, Hegel, M, Arean, P, Hoffing, M, Penna, RD, Langston, C, Unutzer, J (2003). Effect of improving depression care on pain and functional outcomes among older adults with arthritis: a randomized controlled trial. Journal of the American Medical Association 290, 2428–2434.Google Scholar
Lowe, B, Willand, L, Eich, W, Zipfel, S, Ho, AD, Herzog, W, Fiehn, C (2004). Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases. Psychosomatic Medicine 66, 395–402.Google Scholar
Mannoni, A, Briganti, MP, Di Bari, M, Ferrucci, L, Costanzo, S, Serni, U, Masotti, G, Marchoinni, N (2003). Epidemiological profile of symptomatic osteoarthritis in older adults: a population based study in Dicomano, Italy. Annals of the Rheumatic Diseases 62, 576–578.Google Scholar
Mikkelsen, WM, Dodge, HJ, Duff, IF, Kato, H (1967). Estimates of the prevalence of rheumatic diseases in the population of Tecumseh, Michigan, 1959–60. Journal of Chronic Disease 20, 351–369.Google Scholar
Mili, F, Helmick, CG, Zack, MM (2002). Prevalence of arthritis: analysis of data from the US Behavioral Risk Factor Surveillance System, 1996–1999. Journal of Rheumatology 29, 1981–1988.Google Scholar
National Center for Health Statistics (1994). Evaluation of National Health Interview Survey diagnostic reporting. Vital and Health Statistics Series 2. 120, 1–116.Google Scholar
Oliveria, SA, Felson, DT, Reed, JI, Cirillo, PA, Walker, AM (1995). Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis and Rheumatism 38, 1134–1141.Google Scholar
Oslin, DW, Datto, CJ, Kallan, MJ, Katz, IR, Edell, WS, TenHave, T (2002). Association between medical comorbidity and treatment outcomes in late-life depression. Journal of the American Geriatrics Society 50, 823–828.Google Scholar
PRC (2003). Morbidity Rate of Chronic Diseases. Ministry of Health, People's Republic of China (www.moh.gov.cn/open/statistics/digest05/s61.htm). Accessed 1 February 2006.Google Scholar
Reginster, JY (2002). The prevalence and burden of arthritis. Rheumatology (Oxford) 41 (Suppl. 1), 3–6.Google Scholar
Scott, KM, Bruffaerts, R, Tsang, A, Ormel, J, Alonso, J, Angermeyer, MC, Benjet, C, Bromet, E, de Girolamo, G, de Graaf, R, Gasquet, I, Gureje, O, Haro, JM, He, Y, Kessler, RC, Levinson, D, Mneimneh, ZN, Oakley Browne, MA, Posada-Villa, J, Stein, DJ, Takeshima, T, Von Korff, M (2007). Depression-anxiety relationships with chronic physical conditions: results from the World Mental Health Surveys. Journal of Affective Disorders 103, 113–120.Google Scholar
Stang, PE, Brandenburg, NA, Lane, MC, Merikangas, KR, Von Knorff, MR, Kessler, RC (2006). Mental and physical comorbid conditions and days in role among persons with arthritis. Psychosomatic Medicine 68, 152–158.Google Scholar
SUDAAN (2002). SUDAAN software version 8.0.1. Research Triangle Institute: Research Triangle Park, NC.Google Scholar
Vali, FM, Walkup, J (1998). Combined medical and psychological symptoms: impact on disability and health care utilization of patients with arthritis. Medical Care 36, 1073–1084.Google Scholar
Van Saase, JL, van Romunde, LK, Cats, A, Vandenbroucke, JP, Valkenburg, HA (1989). Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Annals of Rheumatic Diseases 48, 271–280.Google Scholar
Wittchen, HU (1994). Reliability and validity studies of the WHO Composite International Diagnostic Interview (CIDI): a critical review. Journal of Psychiatric Research 28, 57–84.Google Scholar
Wolter, KM (1985). Introduction to Variance Estimation. Springer-Verlag: New York.Google Scholar
Yelin, EH (1995). Musculoskeletal conditions and employment. Arthritis Care and Research 8, 311–317.Google Scholar
Yelin, EH, Callahan, LF (1995). The economic cost and social and psychological impact of musculoskeletal conditions. Arthritis and Rheumatism 38, 1351–1362.Google Scholar
Zhang, YQ, Xu, L, Nevitt, MC, Aliabadi, P, Yu, W, Qin, MW, Lui, LY, Felson, DT (2001). Comparison of the prevalence of knee osteoarthritis between the elderly Chinese population in Beijing and whites in the United States. Arthritis and Rheumatism 44, 2065–2071.Google Scholar