The relationship between rheumatoid arthritis (RA) and psychiatric disorder

Rheumatoid arthritis (RA) is a chronic autoimmune disease that has a destructive effect on the joints, but also leads to many systemic complications, including mental disorders. This review will present the co-occurrence of mood disorders, such as depression, anxiety and cognitive disorders, in pat...

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Main Authors: Monika Kaźmierczak, Oskar Tudaj, Wiktoria Kalas, Krzysztof Sajewicz, Julia Dulęba, Julia Kalisiak, Mikołaj Musiał, Maciej Hobot, Aleksandra Mazur, Filip Kin
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-07-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/61176
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author Monika Kaźmierczak
Oskar Tudaj
Wiktoria Kalas
Krzysztof Sajewicz
Julia Dulęba
Julia Kalisiak
Mikołaj Musiał
Maciej Hobot
Aleksandra Mazur
Filip Kin
author_facet Monika Kaźmierczak
Oskar Tudaj
Wiktoria Kalas
Krzysztof Sajewicz
Julia Dulęba
Julia Kalisiak
Mikołaj Musiał
Maciej Hobot
Aleksandra Mazur
Filip Kin
author_sort Monika Kaźmierczak
collection DOAJ
description Rheumatoid arthritis (RA) is a chronic autoimmune disease that has a destructive effect on the joints, but also leads to many systemic complications, including mental disorders. This review will present the co-occurrence of mood disorders, such as depression, anxiety and cognitive disorders, in patients with RA and analyze the potential pathophysiological mechanisms. The impact of chronic inflammation and proinflammatory cytokines (IL-6, IL-1β, TNF-α) on the central nervous system and the hypothalamic-pituitary-adrenal axis (HPA) will be discussed. When rheumatoid arthritis (RA) is accompanied by mental health disorders, treatment methods used for RA may be less effective. This can make the condition harder to manage, increasing pain and reducing the quality of life. Additionally, the paper will present the impact of pain, fatigue and reduced physical fitness on the deterioration of the mental health of patients. In addition to the pharmacological treatment used for RA, which is also not neutral to patient’s health, additional therapeutic options such as psychological interventions will be discussed. Considering both somatic and psychological aspects, an interdisciplinary approach to the treatment of patients with RA is very important.
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institution Kabale University
issn 2450-3118
language English
publishDate 2025-07-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-90f3cf7c1d954f3f95a2f853f5e3752a2025-08-20T03:31:07ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-07-014310.12775/QS.2025.43.61176The relationship between rheumatoid arthritis (RA) and psychiatric disorderMonika Kaźmierczak0https://orcid.org/0009-0005-8868-8368Oskar Tudaj1https://orcid.org/0009-0003-6934-459XWiktoria Kalas2https://orcid.org/0009-0001-5051-1365Krzysztof Sajewicz3https://orcid.org/0009-0007-2274-400XJulia Dulęba4https://orcid.org/0009-0009-1465-0809Julia Kalisiak5https://orcid.org/0009-0002-2432-0773Mikołaj Musiał6https://orcid.org/0009-0007-3113-8677Maciej Hobot7https://orcid.org/0009-0001-0087-6171Aleksandra Mazur8https://orcid.org/0009-0001-5037-0080Filip Kin9https://orcid.org/0009-0008-9017-2901Independent Public Complex of Health Care Facilities of the Ministry of Interior and Administration in PoznańSamodzielny Publiczny Zakład Opieki Zdrowotnej Ministerstwa Spraw Wewnętrznych i Administracji w Poznaniu im. prof. Ludwika BierkowskiegoUniwersytet ZielonogórskiUniversity Clinical Hospital in PoznańUniversity Clinical Hospital in PoznańUniversity of Zielona Góra; Licealna Str. 9, 65-417 Zielona Góra, PolandIndependent Public Complex of Health Care Facilities of the Ministry of Interior and Administration in Poznań, Dojazd Str. 34, 60-631 Poznań, Poland University Clinical Hospital in Poznań; Przybyszewskiego 49, 60-355 Poznań, Poland; University Clinical Hospital in Poznań; Przybyszewskiego 49, 60-355 Poznań, Poland; University Clinical Hospital in Poznań, Przybyszewskiego 49, 60-355 Poznań, Poland Rheumatoid arthritis (RA) is a chronic autoimmune disease that has a destructive effect on the joints, but also leads to many systemic complications, including mental disorders. This review will present the co-occurrence of mood disorders, such as depression, anxiety and cognitive disorders, in patients with RA and analyze the potential pathophysiological mechanisms. The impact of chronic inflammation and proinflammatory cytokines (IL-6, IL-1β, TNF-α) on the central nervous system and the hypothalamic-pituitary-adrenal axis (HPA) will be discussed. When rheumatoid arthritis (RA) is accompanied by mental health disorders, treatment methods used for RA may be less effective. This can make the condition harder to manage, increasing pain and reducing the quality of life. Additionally, the paper will present the impact of pain, fatigue and reduced physical fitness on the deterioration of the mental health of patients. In addition to the pharmacological treatment used for RA, which is also not neutral to patient’s health, additional therapeutic options such as psychological interventions will be discussed. Considering both somatic and psychological aspects, an interdisciplinary approach to the treatment of patients with RA is very important. https://apcz.umk.pl/QS/article/view/61176rheumatoid arthritispsychiatric disordersdepressionanxiety
spellingShingle Monika Kaźmierczak
Oskar Tudaj
Wiktoria Kalas
Krzysztof Sajewicz
Julia Dulęba
Julia Kalisiak
Mikołaj Musiał
Maciej Hobot
Aleksandra Mazur
Filip Kin
The relationship between rheumatoid arthritis (RA) and psychiatric disorder
Quality in Sport
rheumatoid arthritis
psychiatric disorders
depression
anxiety
title The relationship between rheumatoid arthritis (RA) and psychiatric disorder
title_full The relationship between rheumatoid arthritis (RA) and psychiatric disorder
title_fullStr The relationship between rheumatoid arthritis (RA) and psychiatric disorder
title_full_unstemmed The relationship between rheumatoid arthritis (RA) and psychiatric disorder
title_short The relationship between rheumatoid arthritis (RA) and psychiatric disorder
title_sort relationship between rheumatoid arthritis ra and psychiatric disorder
topic rheumatoid arthritis
psychiatric disorders
depression
anxiety
url https://apcz.umk.pl/QS/article/view/61176
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