Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries

Abstract Population-based studies investigating the relationship of arthritis with mental health outcomes are lacking, particularly among low- and middle-income countries (LMICs). We investigated the relationship between arthritis and mental health (depression spectrum, psychosis spectrum, anxiety,...

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Autores principales:	Brendon Stubbs, Nicola Veronese, Davy Vancampfort, Trevor Thompson, Cristiano Kohler, Patricia Schofield, Marco Solmi, James Mugisha, Kai G. Kahl, Toby Pillinger, Andre F. Carvalho, Ai Koyanagi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a8f6c54ef4584b8ab815586ff7bfdedb
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spelling	oai:doaj.org-article:a8f6c54ef4584b8ab815586ff7bfdedb2021-12-02T11:41:19ZLifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries10.1038/s41598-017-07688-62045-2322https://doaj.org/article/a8f6c54ef4584b8ab815586ff7bfdedb2017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07688-6https://doaj.org/toc/2045-2322Abstract Population-based studies investigating the relationship of arthritis with mental health outcomes are lacking, particularly among low- and middle-income countries (LMICs). We investigated the relationship between arthritis and mental health (depression spectrum, psychosis spectrum, anxiety, sleep disturbances and stress) across community-dwelling adults aged ≥18 years across 46 countries from the World Health Survey. Symptoms of psychosis and depression were established using questions from the Mental Health Composite International Diagnostic Interview. Severity of anxiety, sleep problems, and stress sensitivity over the preceding 30 days were self-reported. Self-report lifetime history of arthritis was collected, including presence or absence of symptoms suggestive of arthritis: pain, stiffness or swelling of joints over the preceding 12-months. Multivariable logistic regression analyses were undertaken. Overall, 245,706 individuals were included. Having arthritis increased the odds of subclinical psychosis (OR = 1.85; 95%CI = 1.72–1.99) and psychosis (OR = 2.48; 95%CI = 2.05–3.01). People with arthritis were at increased odds of subsyndromal depression (OR = 1.92; 95%CI = 1.64–2.26), a brief depressive episode (OR = 2.14; 95%CI = 1.88–2.43) or depressive episode (OR = 2.43; 95%CI = 2.21–2.67). Arthritis was also associated with increased odds for anxiety (OR = 1.75; 95%CI = 1.63–1.88), sleep problems (OR = 2.23; 95%CI = 2.05–2.43) and perceived stress (OR = 1.43; 95%CI = 1.33–1.53). Results were similar for middle-income and low-income countries. Integrated interventions addressing arthritis and mental health comorbidities are warranted to tackle this considerable burden.Brendon StubbsNicola VeroneseDavy VancampfortTrevor ThompsonCristiano KohlerPatricia SchofieldMarco SolmiJames MugishaKai G. KahlToby PillingerAndre F. CarvalhoAi KoyanagiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-11 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Brendon Stubbs Nicola Veronese Davy Vancampfort Trevor Thompson Cristiano Kohler Patricia Schofield Marco Solmi James Mugisha Kai G. Kahl Toby Pillinger Andre F. Carvalho Ai Koyanagi Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries
description	Abstract Population-based studies investigating the relationship of arthritis with mental health outcomes are lacking, particularly among low- and middle-income countries (LMICs). We investigated the relationship between arthritis and mental health (depression spectrum, psychosis spectrum, anxiety, sleep disturbances and stress) across community-dwelling adults aged ≥18 years across 46 countries from the World Health Survey. Symptoms of psychosis and depression were established using questions from the Mental Health Composite International Diagnostic Interview. Severity of anxiety, sleep problems, and stress sensitivity over the preceding 30 days were self-reported. Self-report lifetime history of arthritis was collected, including presence or absence of symptoms suggestive of arthritis: pain, stiffness or swelling of joints over the preceding 12-months. Multivariable logistic regression analyses were undertaken. Overall, 245,706 individuals were included. Having arthritis increased the odds of subclinical psychosis (OR = 1.85; 95%CI = 1.72–1.99) and psychosis (OR = 2.48; 95%CI = 2.05–3.01). People with arthritis were at increased odds of subsyndromal depression (OR = 1.92; 95%CI = 1.64–2.26), a brief depressive episode (OR = 2.14; 95%CI = 1.88–2.43) or depressive episode (OR = 2.43; 95%CI = 2.21–2.67). Arthritis was also associated with increased odds for anxiety (OR = 1.75; 95%CI = 1.63–1.88), sleep problems (OR = 2.23; 95%CI = 2.05–2.43) and perceived stress (OR = 1.43; 95%CI = 1.33–1.53). Results were similar for middle-income and low-income countries. Integrated interventions addressing arthritis and mental health comorbidities are warranted to tackle this considerable burden.
format	article
author	Brendon Stubbs Nicola Veronese Davy Vancampfort Trevor Thompson Cristiano Kohler Patricia Schofield Marco Solmi James Mugisha Kai G. Kahl Toby Pillinger Andre F. Carvalho Ai Koyanagi
author_facet	Brendon Stubbs Nicola Veronese Davy Vancampfort Trevor Thompson Cristiano Kohler Patricia Schofield Marco Solmi James Mugisha Kai G. Kahl Toby Pillinger Andre F. Carvalho Ai Koyanagi
author_sort	Brendon Stubbs
title	Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries
title_short	Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries
title_full	Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries
title_fullStr	Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries
title_full_unstemmed	Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries
title_sort	lifetime self-reported arthritis is associated with elevated levels of mental health burden: a multi-national cross sectional study across 46 low- and middle-income countries
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/a8f6c54ef4584b8ab815586ff7bfdedb
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Lifetime self-reported arthritis is associated with elevated levels of mental health burden: A multi-national cross sectional study across 46 low- and middle-income countries

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