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Mental health and inflammatory arthritis

Self-management and psycho morbidity explored in a multiple methods design 

Title

Depression, anxiety, and self-management in people with inflammatory arthritis. Studies on the prevalence, association, interaction, and patient perspective - a nation-wide cross-sectional study (MaIA)

Background
An increased risk of psycho morbidity, depression, and anxiety has been observed in people with inflammatory arthritis and appears to be associated with suboptimal self-management abilities. Disease-related status, socio-economic status and psychological factors seem to play a role.

​Purpose and hypotheses

To explore psycho morbidity and social support and their influence on self-management in people with inflammatory arthritis.

Design
The MaIA study contains two sub-studies 
  1. ​A national cross-sectional questionnaire-based study, focusing on prevalence and associations 
  2. A qualitative study, exploring patient’s perspective on depression and anxiety and self-management

Project group

Annette de Thurah (principal investigator), Bente Appel Esbensen, Julie Midtgaard, Bente Glintborg, Mette Aadahl, Connie Yilmaz, Lene Lau

Depression, anxiety, and self-management in people with inflammatory arthritis. Studies on the prevalence, association, interaction, and patient perspective - a nation-wide cross-sectional study (MaIA)​.


This is a national cross-sectional study with the aim to explore the prevalence of psycho morbidity, indicated by depression and anxiety in a large cohort of people with inflammatory arthritis. Data will be retrieved through questionnaire and the clinical database, DANBIO. The association between psycho morbidity, indicated by depression and anxiety, and self-management abilities is evaluated. The evaluation will also cover the extent to which disease related factors, socio-economic factors, social support and loneliness, influence this.​



In this qualitative study of people with inflammatory arthritis, perspectives on depression, anxiety and self-management abilities are explored through semi-structured interviews. The interviews will provide insight into the participants’ experiences of mental health and self-management. The interviews will be based on the intention to explore the individual’s experiences to gain a nuanced understanding of self-management resources and strategies, both in people with high and low levels of depression and anxiety (n=10-20 in each group). Participants will be recruited purposively through their participation in MaIA, sub-study 1, and the selection process will continue until diversity is achieved.




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