A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care Center

Background: Rheumatoid arthritis (RA) is a chronic autoimmune condition often linked with depression, worsening symptoms, and lowering the quality of life. This study evaluated the prevalence of depression in female RA patients and its relationship with RA activity and inflammatory markers. Material...

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Main Authors: Hansraj Parmar, Prakash Joshi, Reena Singh, Sachin Parmar, Ranjana Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1478_24
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author Hansraj Parmar
Prakash Joshi
Reena Singh
Sachin Parmar
Ranjana Sharma
author_facet Hansraj Parmar
Prakash Joshi
Reena Singh
Sachin Parmar
Ranjana Sharma
author_sort Hansraj Parmar
collection DOAJ
description Background: Rheumatoid arthritis (RA) is a chronic autoimmune condition often linked with depression, worsening symptoms, and lowering the quality of life. This study evaluated the prevalence of depression in female RA patients and its relationship with RA activity and inflammatory markers. Material and Methods: A cross-sectional study was conducted over 18 months, involving 185 female RA patients with depression, diagnosed using DSM-5 criteria. RA disease activity was assessed using the Disease Activity Score 28 (DAS 28), and inflammatory markers, including CRP, ESR, RF, and anti-CCP, were evaluated. Data analysis was performed using SPSS version 20.0. Results: Depression was present in 72.4% of patients, with mild, moderate, and severe depression observed in 31.4%, 26.5%, and 14.6%, respectively. Significant associations were found between depression severity and RA activity (P = 0.000). Elevated CRP and ESR levels were seen in 81.6% and 89.7% of patients, correlating with depression severity. Rheumatoid markers (RF and Anti-CCP) were also significantly linked to both RA activity and depression. Conclusion: High depression prevalence in RA patients, especially those with severe disease activity, highlights the need for integrated mental health and RA care to enhance patient outcomes.
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spelling doaj-art-e93c3fb3859e4efca16bdb32a22b22822025-08-20T03:24:40ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-05-0117Suppl 1S634S63710.4103/jpbs.jpbs_1478_24A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care CenterHansraj ParmarPrakash JoshiReena SinghSachin ParmarRanjana SharmaBackground: Rheumatoid arthritis (RA) is a chronic autoimmune condition often linked with depression, worsening symptoms, and lowering the quality of life. This study evaluated the prevalence of depression in female RA patients and its relationship with RA activity and inflammatory markers. Material and Methods: A cross-sectional study was conducted over 18 months, involving 185 female RA patients with depression, diagnosed using DSM-5 criteria. RA disease activity was assessed using the Disease Activity Score 28 (DAS 28), and inflammatory markers, including CRP, ESR, RF, and anti-CCP, were evaluated. Data analysis was performed using SPSS version 20.0. Results: Depression was present in 72.4% of patients, with mild, moderate, and severe depression observed in 31.4%, 26.5%, and 14.6%, respectively. Significant associations were found between depression severity and RA activity (P = 0.000). Elevated CRP and ESR levels were seen in 81.6% and 89.7% of patients, correlating with depression severity. Rheumatoid markers (RF and Anti-CCP) were also significantly linked to both RA activity and depression. Conclusion: High depression prevalence in RA patients, especially those with severe disease activity, highlights the need for integrated mental health and RA care to enhance patient outcomes.https://journals.lww.com/10.4103/jpbs.jpbs_1478_24crpdas 28depressiondisease activityesrrheumatoid arthritis
spellingShingle Hansraj Parmar
Prakash Joshi
Reena Singh
Sachin Parmar
Ranjana Sharma
A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care Center
Journal of Pharmacy and Bioallied Sciences
crp
das 28
depression
disease activity
esr
rheumatoid arthritis
title A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care Center
title_full A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care Center
title_fullStr A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care Center
title_full_unstemmed A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care Center
title_short A Cross-Sectional Study of Depression in Rheumatoid Arthritis Patients at a Tertiary Care Center
title_sort cross sectional study of depression in rheumatoid arthritis patients at a tertiary care center
topic crp
das 28
depression
disease activity
esr
rheumatoid arthritis
url https://journals.lww.com/10.4103/jpbs.jpbs_1478_24
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