Prevalence of Generalized Anxiety Disorder in Patients with Rheumatoid Arthritis and its Relationship with Disease Activity
Ahmed, A., Radwan, A., Baddary, H. (2016). Prevalence of Generalized Anxiety Disorder in Patients with Rheumatoid Arthritis and its Relationship with Disease Activity. EKB Journal Management System, 65(1), 652-661. doi: 10.12816/0033778
Asmaa B Ahmed; Abdulah MA Radwan; Hameed M Baddary. "Prevalence of Generalized Anxiety Disorder in Patients with Rheumatoid Arthritis and its Relationship with Disease Activity". EKB Journal Management System, 65, 1, 2016, 652-661. doi: 10.12816/0033778
Ahmed, A., Radwan, A., Baddary, H. (2016). 'Prevalence of Generalized Anxiety Disorder in Patients with Rheumatoid Arthritis and its Relationship with Disease Activity', EKB Journal Management System, 65(1), pp. 652-661. doi: 10.12816/0033778
Ahmed, A., Radwan, A., Baddary, H. Prevalence of Generalized Anxiety Disorder in Patients with Rheumatoid Arthritis and its Relationship with Disease Activity. EKB Journal Management System, 2016; 65(1): 652-661. doi: 10.12816/0033778

Prevalence of Generalized Anxiety Disorder in Patients with Rheumatoid Arthritis and its Relationship with Disease Activity

The Egyptian Journal of Hospital Medicine
Article 23, Volume 65, Issue 1, October 2016, Page 652-661  XML PDF (437.71 K)
Document Type: Original Article
DOI: 10.12816/0033778
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Authors
Asmaa B Ahmed1; Abdulah MA Radwan1; Hameed M Baddary2
1Physical Medicine, Rheumatology and Rehabilitation Department
2psychiatry, Head of Neuropsychiatry Department,Faculty of Medicine, Sohag University
Abstract
Background: rheumatoid arthritis (RA) is a lifelong disease with a progressive disabling course and individuals with RA experience higher levels of psychological distress than general population. Objective: the objective of the present study was to assess the prevalence of generalized anxiety disorder (GAD) in RA patients and determine its relationship with disease activity.
Patients and Methods: the study included 200 RA cases. Psychiatry examinations of all cases were performed according to Hamilton scale. Patients who suspected to have GAD were further assessed by the most recent diagnostic criteria for GAD in diagnostic and statistical manual of mental disorders fifth edition (DSM-5) and psychiatry assessment sheet (PAS).
Results: the prevalence of GAD in RA cases was 38.5% (n=77) assessed by psychiatry assessment sheet (PAS). RA patients with GAD significantly showed higher disease activity measures than those without GAD (P value <0.001). It was found that GAD did not related to disease duration (r=0.617; p value >0.05) or RF positivity (r=0.058; p value >0.05). Conclusion: generalized anxiety disorder (GAD) is common to occur in RA cases. Disease activity was significantly higher in RA cases with GAD than RA cases without GAD. GAD was found to be not related to disease duration.                                                                                          
 
Keywords
Rheumatoid Arthritis; generalized anxiety disorder
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