Skip to main content
×
Home
    • Aa
    • Aa

Mental disorders among persons with arthritis: results from the World Mental Health Surveys

  • Y. He (a1), M. Zhang (a1), E. H. B. Lin (a2), R. Bruffaerts (a3), J. Posada-Villa (a4), M. C. Angermeyer (a5), D. Levinson (a6), G. de Girolamo (a7), H. Uda (a8), Z. Mneimneh (a9), C. Benjet (a10), R. de Graaf (a11), K. M. Scott (a12), O. Gureje (a13), S. Seedat (a14), J. M. Haro (a15), E. J. Bromet (a16), J. Alonso (a17), V. Kovess (a18), M. von Korff (a2) and R. Kessler (a19)...
Abstract
Background

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

Method

The study was a series of cross-sectional population sample surveys. Eighteen population surveys of household-residing adults were carried out in 17 countries in different regions of the world. Most were carried out between 2001 and 2002, but others were completed as late as 2007. Mental disorders were 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 use disorders with arthritis was assessed, controlling for age and sex. Prevalence rates for specific mental disorders among persons with and without arthritis were calculated and odds ratios (ORs) with 95% confidence intervals were used to estimate the association.

Results

After adjusting for age and sex, specific mood and anxiety disorders occurred among persons with arthritis at higher rates than among persons without arthritis. Alcohol abuse/dependence showed a weaker and less consistent association with arthritis. The pooled estimates of the age- and sex-adjusted ORs were about 1.9 for mood disorders and for anxiety disorders and about 1.5 for alcohol abuse/dependence among persons with versus without arthritis. The pattern of association between specific mood and anxiety disorders and arthritis was similar across countries.

Conclusions

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

Copyright
Corresponding author
*Address for correspondence: Dr Y. He, Shanghai Mental Health Center, 600 Wan Ping Nan Road, Shanghai 200030, China. (Email: heyl2001@yahoo.com.cn)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

L Carmona , J Ballina , R Gabriel , A Laffon ; 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, 10401045.

LS Cunningham , JL Kelsey (1984). Epidemiology of musculoskeletal impairments and associated disability. American Journal of Public Health 74, 574579.

K Demyttenaere , A Bonnewyn , R Bruffaerts , T Brugha , R Graaf , J Alonso (2006). Comorbid painful physical symptoms and depression: prevalence, work loss, and help seeking. Journal of Affective Disorders 92, 185193.

C Dickens , J Jackson , B Tomenson , E Hay , F Creed (2003). Association of depression and rheumatoid arthritis. Psychosomatics 44, 209215.

DD Dunlop , JS Lyons , LM Manheim , J Song , RW Chang (2004). Arthritis and heart disease as risk factors for major depression: the role of functional limitation. Medical Care 42, 502511.

DT Felson , A Naimark , J Anderson , L Kazis , W Castelli , RF Meenan (1987). The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis and Rheumatism 30, 914918.

AA Guccione , DT Felson , JJ Anderson , JM Anthony , Y Zhang , PW Wilson , M Kelly-Yayes , PA Wolf , BE Kreger , WB Kannel (1994). The effects of specific medical condition on the functional limitations of elders in the Framingham Study. American Journal of Public Health 84, 351358.

CG Helmick , RC Lawrence , RA Pollard , E Lloyd , SP Heyse (1995). Arthritis and other rheumatic conditions: who is affected now, who will be affected later? Arthritis Care and Research 8, 203211.

R John , DS Kerby , CH Hennessy (2003). Patterns and impact of comorbidity and multimorbidity among community-resident American Indian elders. The Gerontologist 43, 649660.

RC Kessler , J Ormel , O Demler , PE Stang (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, 12571266.

RC Kessler , TB Ustun (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, 93121.

RC Lawrence , CG Helmick , FC Arnett , RA Deyo , DT Felson , EH Giannini , SP Heyse , R Hirsch , MC Hochberg , GG Hunder , MH Liang , SR Pillemer , VD Steen , F Wolfe (1998). Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis and Rheumatism 41, 778799.

EHB Lin , W Katon , M Von Korff , L Tang , JW Williams , K Kroenke , E Hunkeler , L Harpole , M Hegel , P Arean , M Hoffing , RD Penna , C Langston , J Unutzer (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, 24282434.

B Lowe , L Willand , W Eich , S Zipfel , AD Ho , W Herzog , C Fiehn (2004). Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases. Psychosomatic Medicine 66, 395402.

A Mannoni , MP Briganti , M Di Bari , L Ferrucci , S Costanzo , U Serni , G Masotti , N Marchoinni (2003). Epidemiological profile of symptomatic osteoarthritis in older adults: a population based study in Dicomano, Italy. Annals of the Rheumatic Diseases 62, 576578.

DW Oslin , CJ Datto , MJ Kallan , IR Katz , WS Edell , T TenHave (2002). Association between medical comorbidity and treatment outcomes in late-life depression. Journal of the American Geriatrics Society 50, 823828.

JY Reginster (2002). The prevalence and burden of arthritis. Rheumatology (Oxford) 41 (Suppl. 1), 36.

KM Scott , R Bruffaerts , A Tsang , J Ormel , J Alonso , MC Angermeyer , C Benjet , E Bromet , G de Girolamo , R de Graaf , I Gasquet , O Gureje , JM Haro , Y He , RC Kessler , D Levinson , ZN Mneimneh , MA Oakley Browne , J Posada-Villa , DJ Stein , T Takeshima , M Von Korff (2007). Depression-anxiety relationships with chronic physical conditions: results from the World Mental Health Surveys. Journal of Affective Disorders 103, 113120.

JL Van Saase , LK van Romunde , A Cats , JP Vandenbroucke , HA Valkenburg (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, 271280.

EH Yelin (1995). Musculoskeletal conditions and employment. Arthritis Care and Research 8, 311317.

YQ Zhang , L Xu , MC Nevitt , P Aliabadi , W Yu , MW Qin , LY Lui , DT Felson (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, 20652071.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 2
Total number of PDF views: 14 *
Loading metrics...

Abstract views

Total abstract views: 141 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 24th July 2017. This data will be updated every 24 hours.