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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.

Identifieur interne : 000B83 ( Main/Exploration ); précédent : 000B82; suivant : 000B84

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.

Auteurs : Brendon Stubbs [Royaume-Uni, Italie] ; Nicola Veronese [Italie] ; Davy Vancampfort [Belgique] ; Trevor Thompson [Royaume-Uni] ; Cristiano Kohler [Brésil] ; Patricia Schofield [Royaume-Uni] ; Marco Solmi [Belgique, Italie] ; James Mugisha [Ouganda] ; Kai G. Kahl [Allemagne] ; Toby Pillinger [Royaume-Uni] ; Andre F. Carvalho [Brésil] ; Ai Koyanagi [Espagne]

Source :

RBID : pubmed:28769081

Descripteurs français

English descriptors

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.

DOI: 10.1038/s41598-017-07688-6
PubMed: 28769081
PubMed Central: PMC5541038


Affiliations:


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<nlm:affiliation>Department of Neurosciences, University of Padova, Padova, Italy.</nlm:affiliation>
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<name sortKey="Mugisha, James" sort="Mugisha, James" uniqKey="Mugisha J" first="James" last="Mugisha">James Mugisha</name>
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<nlm:affiliation>Kyambogo University, Kampala, Uganda.</nlm:affiliation>
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<nlm:affiliation>Butabika National Referral and Mental Health Hospital, Kampala, Uganda.</nlm:affiliation>
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<name sortKey="Kahl, Kai G" sort="Kahl, Kai G" uniqKey="Kahl K" first="Kai G" last="Kahl">Kai G. Kahl</name>
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<wicri:regionArea>Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover Medical School, Hannover</wicri:regionArea>
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<name sortKey="Pillinger, Toby" sort="Pillinger, Toby" uniqKey="Pillinger T" first="Toby" last="Pillinger">Toby Pillinger</name>
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<nlm:affiliation>Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF</wicri:regionArea>
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<name sortKey="Carvalho, Andre F" sort="Carvalho, Andre F" uniqKey="Carvalho A" first="Andre F" last="Carvalho">Andre F. Carvalho</name>
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<nlm:affiliation>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.</nlm:affiliation>
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<wicri:regionArea>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza</wicri:regionArea>
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<name sortKey="Koyanagi, Ai" sort="Koyanagi, Ai" uniqKey="Koyanagi A" first="Ai" last="Koyanagi">Ai Koyanagi</name>
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<nlm:affiliation>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, 08830, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, 08830</wicri:regionArea>
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<nlm:affiliation>Instituto de Salud Carlos III, Centro de InvestigaciónBiomédicaenRed de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, Madrid, 28029, Spain.</nlm:affiliation>
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<wicri:regionArea>Instituto de Salud Carlos III, Centro de InvestigaciónBiomédicaenRed de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, Madrid, 28029</wicri:regionArea>
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<title xml:lang="en">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>
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<name sortKey="Stubbs, Brendon" sort="Stubbs, Brendon" uniqKey="Stubbs B" first="Brendon" last="Stubbs">Brendon Stubbs</name>
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<nlm:affiliation>South London and Maudsley NHS Foundation Trust, Denmark Hill, London, SE5 8AZ, United Kingdom. brendon.stubbs@kcl.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<nlm:affiliation>Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF, United Kingdom. brendon.stubbs@kcl.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<nlm:affiliation>Institute of clinical Research and Education in Medicine (IREM), Padova, Italy. brendon.stubbs@kcl.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<nlm:affiliation>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, United Kingdom. brendon.stubbs@kcl.ac.uk.</nlm:affiliation>
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<wicri:regionArea>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford</wicri:regionArea>
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<name sortKey="Veronese, Nicola" sort="Veronese, Nicola" uniqKey="Veronese N" first="Nicola" last="Veronese">Nicola Veronese</name>
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<nlm:affiliation>National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy.</nlm:affiliation>
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<nlm:affiliation>Institute of clinical Research and Education in Medicine (IREM), Padova, Italy.</nlm:affiliation>
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<name sortKey="Vancampfort, Davy" sort="Vancampfort, Davy" uniqKey="Vancampfort D" first="Davy" last="Vancampfort">Davy Vancampfort</name>
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<nlm:affiliation>KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.</nlm:affiliation>
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<nlm:affiliation>KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.</nlm:affiliation>
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<name sortKey="Thompson, Trevor" sort="Thompson, Trevor" uniqKey="Thompson T" first="Trevor" last="Thompson">Trevor Thompson</name>
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<nlm:affiliation>Faculty of Education and Health, University of Greenwich, London, United Kingdom.</nlm:affiliation>
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<settlement type="city">Londres</settlement>
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</placeName>
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<name sortKey="Kohler, Cristiano" sort="Kohler, Cristiano" uniqKey="Kohler C" first="Cristiano" last="Kohler">Cristiano Kohler</name>
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<nlm:affiliation>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza, CE, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza, CE</wicri:regionArea>
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<name sortKey="Schofield, Patricia" sort="Schofield, Patricia" uniqKey="Schofield P" first="Patricia" last="Schofield">Patricia Schofield</name>
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<nlm:affiliation>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, United Kingdom.</nlm:affiliation>
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<wicri:regionArea>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford</wicri:regionArea>
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<name sortKey="Solmi, Marco" sort="Solmi, Marco" uniqKey="Solmi M" first="Marco" last="Solmi">Marco Solmi</name>
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<nlm:affiliation>KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.</nlm:affiliation>
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<wicri:noRegion>Leuven-Kortenberg</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Department of Neurosciences, University of Padova, Padova, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Neurosciences, University of Padova, Padova</wicri:regionArea>
<wicri:noRegion>Padova</wicri:noRegion>
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<name sortKey="Mugisha, James" sort="Mugisha, James" uniqKey="Mugisha J" first="James" last="Mugisha">James Mugisha</name>
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<nlm:affiliation>Kyambogo University, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Kyambogo University, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Butabika National Referral and Mental Health Hospital, Kampala, Uganda.</nlm:affiliation>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Butabika National Referral and Mental Health Hospital, Kampala</wicri:regionArea>
<wicri:noRegion>Kampala</wicri:noRegion>
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<name sortKey="Kahl, Kai G" sort="Kahl, Kai G" uniqKey="Kahl K" first="Kai G" last="Kahl">Kai G. Kahl</name>
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<nlm:affiliation>Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover Medical School, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover Medical School, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
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<name sortKey="Pillinger, Toby" sort="Pillinger, Toby" uniqKey="Pillinger T" first="Toby" last="Pillinger">Toby Pillinger</name>
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<nlm:affiliation>South London and Maudsley NHS Foundation Trust, Denmark Hill, London, SE5 8AZ, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>South London and Maudsley NHS Foundation Trust, Denmark Hill, London, SE5 8AZ</wicri:regionArea>
<wicri:noRegion>SE5 8AZ</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF</wicri:regionArea>
<wicri:noRegion>Box SE5 8AF</wicri:noRegion>
</affiliation>
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<author>
<name sortKey="Carvalho, Andre F" sort="Carvalho, Andre F" uniqKey="Carvalho A" first="Andre F" last="Carvalho">Andre F. Carvalho</name>
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<country xml:lang="fr">Brésil</country>
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<name sortKey="Koyanagi, Ai" sort="Koyanagi, Ai" uniqKey="Koyanagi A" first="Ai" last="Koyanagi">Ai Koyanagi</name>
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<nlm:affiliation>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, 08830, Spain.</nlm:affiliation>
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<affiliation wicri:level="2">
<nlm:affiliation>Instituto de Salud Carlos III, Centro de InvestigaciónBiomédicaenRed de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, Madrid, 28029, Spain.</nlm:affiliation>
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<wicri:regionArea>Instituto de Salud Carlos III, Centro de InvestigaciónBiomédicaenRed de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, Madrid, 28029</wicri:regionArea>
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<title level="j">Scientific reports</title>
<idno type="eISSN">2045-2322</idno>
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<date when="2017" type="published">2017</date>
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<term>Adult (MeSH)</term>
<term>Arthritis (epidemiology)</term>
<term>Arthritis (psychology)</term>
<term>Comorbidity (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Developing Countries (MeSH)</term>
<term>Female (MeSH)</term>
<term>Global Health (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Income (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Health (statistics & numerical data)</term>
<term>Middle Aged (MeSH)</term>
<term>Odds Ratio (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Public Health Surveillance (MeSH)</term>
<term>Self Report (MeSH)</term>
<term>Social Class (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Arthrite (psychologie)</term>
<term>Arthrite (épidémiologie)</term>
<term>Autorapport (MeSH)</term>
<term>Classe sociale (MeSH)</term>
<term>Comorbidité (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Odds ratio (MeSH)</term>
<term>Pays en voie de développement (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>Revenu (MeSH)</term>
<term>Santé mentale (statistiques et données numériques)</term>
<term>Santé mondiale (MeSH)</term>
<term>Surveillance de la santé publique (MeSH)</term>
<term>Études transversales (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Arthritis</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Arthrite</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Arthritis</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Mental Health</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Santé mentale</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Arthrite</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Comorbidity</term>
<term>Cross-Sectional Studies</term>
<term>Developing Countries</term>
<term>Female</term>
<term>Global Health</term>
<term>Humans</term>
<term>Income</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Prevalence</term>
<term>Public Health Surveillance</term>
<term>Self Report</term>
<term>Social Class</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autorapport</term>
<term>Classe sociale</term>
<term>Comorbidité</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Pays en voie de développement</term>
<term>Prévalence</term>
<term>Revenu</term>
<term>Santé mondiale</term>
<term>Surveillance de la santé publique</term>
<term>Études transversales</term>
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<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
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<Year>2019</Year>
<Month>02</Month>
<Day>18</Day>
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<Year>2019</Year>
<Month>02</Month>
<Day>19</Day>
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<ISSN IssnType="Electronic">2045-2322</ISSN>
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<Volume>7</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2017</Year>
<Month>08</Month>
<Day>02</Day>
</PubDate>
</JournalIssue>
<Title>Scientific reports</Title>
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<ArticleTitle>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.</ArticleTitle>
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<MedlinePgn>7138</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1038/s41598-017-07688-6</ELocationID>
<Abstract>
<AbstractText>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.</AbstractText>
</Abstract>
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<LastName>Stubbs</LastName>
<ForeName>Brendon</ForeName>
<Initials>B</Initials>
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<Affiliation>South London and Maudsley NHS Foundation Trust, Denmark Hill, London, SE5 8AZ, United Kingdom. brendon.stubbs@kcl.ac.uk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF, United Kingdom. brendon.stubbs@kcl.ac.uk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Institute of clinical Research and Education in Medicine (IREM), Padova, Italy. brendon.stubbs@kcl.ac.uk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, United Kingdom. brendon.stubbs@kcl.ac.uk.</Affiliation>
</AffiliationInfo>
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<LastName>Veronese</LastName>
<ForeName>Nicola</ForeName>
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<Affiliation>National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy.</Affiliation>
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<AffiliationInfo>
<Affiliation>Institute of clinical Research and Education in Medicine (IREM), Padova, Italy.</Affiliation>
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<ForeName>Davy</ForeName>
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<Affiliation>KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Thompson</LastName>
<ForeName>Trevor</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Faculty of Education and Health, University of Greenwich, London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Kohler</LastName>
<ForeName>Cristiano</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza, CE, Brazil.</Affiliation>
</AffiliationInfo>
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<LastName>Schofield</LastName>
<ForeName>Patricia</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Solmi</LastName>
<ForeName>Marco</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>KU Leuven, University Psychiatric Center KU Leuven, Leuven-Kortenberg, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Neurosciences, University of Padova, Padova, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mugisha</LastName>
<ForeName>James</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Kyambogo University, Kampala, Uganda.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Butabika National Referral and Mental Health Hospital, Kampala, Uganda.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Kahl</LastName>
<ForeName>Kai G</ForeName>
<Initials>KG</Initials>
<AffiliationInfo>
<Affiliation>Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover Medical School, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Pillinger</LastName>
<ForeName>Toby</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>South London and Maudsley NHS Foundation Trust, Denmark Hill, London, SE5 8AZ, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, Box SE5 8AF, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Carvalho</LastName>
<ForeName>Andre F</ForeName>
<Initials>AF</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Medicine and Translational Psychiatry Research Group, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Koyanagi</LastName>
<ForeName>Ai</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, 08830, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Instituto de Salud Carlos III, Centro de InvestigaciónBiomédicaenRed de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, Madrid, 28029, Spain.</Affiliation>
</AffiliationInfo>
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<Month>08</Month>
<Day>02</Day>
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<DescriptorName UI="D001168" MajorTopicYN="N">Arthritis</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
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<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
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<DescriptorName UI="D003906" MajorTopicYN="N">Developing Countries</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008603" MajorTopicYN="N">Mental Health</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
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<DescriptorName UI="D062486" MajorTopicYN="N">Public Health Surveillance</DescriptorName>
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<DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName>
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