Psychological well-being among US adults with arthritis and the unmet need for mental health care

Laura E Straub,1,2 Miriam G Cisternas3 1Emory University, Atlanta, GA, 2Immune Tolerance Network, San Francisco, CA, 3MGC Data Services, Carlsbad, CA, USA Purpose: Mental health conditions can increase the risk of disability among adults with arthritis. The objective of this analysis was to compare...

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Autores principales:	Straub LE, Cisternas MG
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	arthritis depression mental health services health services accessibility Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/478e9eb621c64de7a95715f89c1c1c1b
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spelling	oai:doaj.org-article:478e9eb621c64de7a95715f89c1c1c1b2021-12-02T00:54:23ZPsychological well-being among US adults with arthritis and the unmet need for mental health care1179-156Xhttps://doaj.org/article/478e9eb621c64de7a95715f89c1c1c1b2017-05-01T00:00:00Zhttps://www.dovepress.com/psychological-well-being-among-us-adults-with-arthritis-and-the-unmet--peer-reviewed-article-OARRRhttps://doaj.org/toc/1179-156XLaura E Straub,1,2 Miriam G Cisternas3 1Emory University, Atlanta, GA, 2Immune Tolerance Network, San Francisco, CA, 3MGC Data Services, Carlsbad, CA, USA Purpose: Mental health conditions can increase the risk of disability among adults with arthritis. The objective of this analysis was to compare the prevalence of serious psychological distress (SPD), depression, and anxiety among US adults with arthritis vs. those without; characterize adults with arthritis with and without SPD; and determine correlates of seeing a mental health professional during the year for adults with arthritis and SPD.Materials and methods: Cross-sectional analysis of adults in the 2011–2013 National Health Interview Survey.Results: Higher proportions of adults with arthritis had SPD (6.8% vs. 2.4%), depression (19.4% vs. 7.3%), and anxiety (29.3% vs. 16.3%) compared to those without. Of the estimated 3.5 million adults with arthritis and SPD, only 39% saw a mental health professional during the year. Adjusted analyses identified the following statistically significant relationships: those who were older (45–64 and ≥65 [vs.18–44], prevalence ratio [PR]=0.8 and 0.4, respectively), less educated (PR=0.5 and 0.7 for high school or less vs. college degree, respectively), and without health insurance coverage (vs. any private, PR=0.7), were less likely to see a mental health professional, whereas the disabled or unemployed (vs. employed, PR=1.6 and 1.5, respectively), and those unable to afford mental health care throughout the year (PR=1.3) were more likely.Conclusion: The high prevalence of SPD, anxiety, and depression in adults with arthritis suggests the need for increased mental health screening, with subsequent referral to mental health professionals or other treatment programs, in that population. Keywords: serious psychological distress, anxiety, depression, access to mental health care, rheumatoid arthritis Straub LECisternas MGDove Medical Pressarticlearthritisdepressionmental health serviceshealth services accessibilityDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol Volume 9, Pp 101-110 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	arthritis depression mental health services health services accessibility Diseases of the musculoskeletal system RC925-935
spellingShingle	arthritis depression mental health services health services accessibility Diseases of the musculoskeletal system RC925-935 Straub LE Cisternas MG Psychological well-being among US adults with arthritis and the unmet need for mental health care
description	Laura E Straub,1,2 Miriam G Cisternas3 1Emory University, Atlanta, GA, 2Immune Tolerance Network, San Francisco, CA, 3MGC Data Services, Carlsbad, CA, USA Purpose: Mental health conditions can increase the risk of disability among adults with arthritis. The objective of this analysis was to compare the prevalence of serious psychological distress (SPD), depression, and anxiety among US adults with arthritis vs. those without; characterize adults with arthritis with and without SPD; and determine correlates of seeing a mental health professional during the year for adults with arthritis and SPD.Materials and methods: Cross-sectional analysis of adults in the 2011–2013 National Health Interview Survey.Results: Higher proportions of adults with arthritis had SPD (6.8% vs. 2.4%), depression (19.4% vs. 7.3%), and anxiety (29.3% vs. 16.3%) compared to those without. Of the estimated 3.5 million adults with arthritis and SPD, only 39% saw a mental health professional during the year. Adjusted analyses identified the following statistically significant relationships: those who were older (45–64 and ≥65 [vs.18–44], prevalence ratio [PR]=0.8 and 0.4, respectively), less educated (PR=0.5 and 0.7 for high school or less vs. college degree, respectively), and without health insurance coverage (vs. any private, PR=0.7), were less likely to see a mental health professional, whereas the disabled or unemployed (vs. employed, PR=1.6 and 1.5, respectively), and those unable to afford mental health care throughout the year (PR=1.3) were more likely.Conclusion: The high prevalence of SPD, anxiety, and depression in adults with arthritis suggests the need for increased mental health screening, with subsequent referral to mental health professionals or other treatment programs, in that population. Keywords: serious psychological distress, anxiety, depression, access to mental health care, rheumatoid arthritis
format	article
author	Straub LE Cisternas MG
author_facet	Straub LE Cisternas MG
author_sort	Straub LE
title	Psychological well-being among US adults with arthritis and the unmet need for mental health care
title_short	Psychological well-being among US adults with arthritis and the unmet need for mental health care
title_full	Psychological well-being among US adults with arthritis and the unmet need for mental health care
title_fullStr	Psychological well-being among US adults with arthritis and the unmet need for mental health care
title_full_unstemmed	Psychological well-being among US adults with arthritis and the unmet need for mental health care
title_sort	psychological well-being among us adults with arthritis and the unmet need for mental health care
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/478e9eb621c64de7a95715f89c1c1c1b
work_keys_str_mv	AT strauble psychologicalwellbeingamongusadultswitharthritisandtheunmetneedformentalhealthcare AT cisternasmg psychologicalwellbeingamongusadultswitharthritisandtheunmetneedformentalhealthcare
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Psychological well-being among US adults with arthritis and the unmet need for mental health care

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