Spondyloarthritis Archives - Psychiatry Advisor


Information on the factors associated with anxiety and depression in patients with SpA has been scarce. A questionnaire-based Swedish study that sought to shed light on this issue found the associations to be multifactorial, including patient- and disease-related factors.[5] The study used the Hospital Anxiety and Depression Scales (HADS-A and HADS-D) to measure anxiety and depression. It found that higher scores on these scales, as correlated with a higher probability of anxiety and depression, were associated with lower education, more chronic pain problem, more fatigue, lower overall health, lower health-related QoL, lower physical functioning, higher disease activity, and lower self-efficacy.[5] Higher HADS-D scores were also associated with less physical activity. The study authors conclude that since these comorbidities are increased in SpA patients and treatable, they instruments like HADS should be used to screen patients in clinical practice.[5]

Psychological Comorbidities in Spondyloarthritis

Spondyloarthritis (SpA) is an umbrella term used to describe a group of chronic inflammatory diseases involving the joints and entheses. Ankylosing spondylitis (AS) is the most common form, affecting 0.2% to 0.5% of the US population.[1] In patients with AS, the spine and vertebrae are typically affected, which can result in back pain, impaired mobility,…

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