The Relationship Between Anxiety, Depression, Suicidal Ideation and Quality of Life in Patients with Rheumatoid Arthritis

  • Aslı BeşirliEmail author
  • Jülide Öncü Alptekin
  • Derya Kaymak
  • Ömer Akil Özer
Original Paper


Rheumatoid arthritis (RA) is a chronic disease and many patients with RA experience lifelong anxiety and depression. The aim of this study is to provide an assessment of anxiety, depression, suicidal ideation, disease activity and quality of life in patients with RA. Fifty patients were included in the study. Hospital Anxiety and Depression Scale (HADS), Short Form Health Survey (SF-36), Beck Scale for Suicide Ideation (BSSI) and Disease Activity Score (DAS-28) were applied. A statistically negative correlation was found between HADS-A and HADS-D scores and all subscales of SF-36. There was a statistically negative correlation between the DAS-28 score and the subscales of the SF-36 except mental health and bodily pain. Suicidal ideation was associated with anxiety and depression and BSSI scores of patients suffering from anxiety and depression are higher than the patients not suffering from anxiety and depression. There was a statistically negative correlation between BSSI and the subscales of SF-36 excepting physical role. This study indicated that anxiety, depression, quality of life, disease activity and suicidal ideation are related to each other in patients with RA. The presence of concomitant anxiety and depression may lead to suicide and poor quality of life and may worsen the prognosis of the RA.


Rheumatoid arthritis Anxiety Depression Quality of life Suicide ideation 


Compliance with Ethical Standards

All procedures performed in this study involving human participants were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Psychiatry, University of Health SciencesŞişli Hamidiye Etfal Training and Research HospitalİstanbulTurkey
  2. 2.Department of Physical Medicine and Rehabilitation, University of Health SciencesŞişli Hamidiye Etfal Training and Research HospitalİstanbulTurkey
  3. 3.Department of Psychiatry, University of Health SciencesGülhane Training and Research HospitalAnkaraTurkey

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