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- Title
Impact of social support on severity of depressive symptoms by remission status in patients with rheumatoid arthritis.
- Authors
Mikako Yasuoka; Toshihisa Kojima; Yuko Waguri-Nagaya; Tami Saito; Nobunori Takahashi; Shuji Asai; Yasumori Sobue; Tsuyoshi Nishiume; Mochihito Suzuki; Hiroto Mitsui; Yohei Kawaguchi; Gen Kuroyanagi; Koto Kamiji; Miki Watanabe; Sadao Suzuki; Katsunori Kondo; Toshiyuki Ojima; Masayo Kojima
- Abstract
Objectives: We aimed to examine the psychosocial characteristics of patients with rheumatoid arthritis (RA) by remission status and determine the impacts of social support on severity of depressive symptoms. Methods: We enrolled RA patients aged 40--79 years who visited university hospitals' outpatient clinics. Severity of depressive symptoms (Beck Depression Inventory-II), physical disability (Health Assessment Questionnaire), and support were evaluated. Furthermore, RA disease activity was evaluated by 28-point Disease Activity Score (DAS28) calculation. The independent impacts of instrumental and emotional social support on depressive symptoms by remission status defined as DAS28 score< 2.6 were estimated by multivariable regression analysis. Results: This study included 360 RA patients. In the remission group, emotional support showed a statistically significant negative impact on depressive symptoms, whereas instrumental support had an extremely limited contribution to severity of depressive symptoms. In the nonremission group, instrumental support showed a negative tendency of impact on severity of depressive symptoms, whereas emotional support had a wide range of influence. Conclusions: Favourable association between emotional support and depressive symptoms is confirmed only among RA patients in remission status. The influence of emotional support in non-remission patients and that of instrumental support regardless of remission status are inconclusive.
- Subjects
SOCIAL support; MENTAL depression
- Publication
Modern Rheumatology, 2022, Vol 32, Issue 3, p528
- ISSN
1439-7595
- Publication type
Article
- DOI
10.1093/mr/roab001