TIT

The Relationship Between Arthritis Burden and Depression Among Adults in the United States and Indiana.
Jonei Delgado, Kilee Kimmel, Carly Spirito, Beth Wolters, & Brandon Kistler
Department of Nutrition and Health Science, Ball State University, Muncie, IN

ABSTRACT RESULTS IMPLICATIONS

Objective: Depression rates among adults with and without arthritis in Indiana and
• The dual diagnosis of arthritis and depression may be modulated by the U.S. • Arthritis affects millions of individuals within the United States.
activity burden and gender. The purpose of this study was to determine 30

Weighted Percentage of Self

the relationship between arthritis and depression among males and X2= 95.66 , p<0.0001
X2= 3874.15 , p<0.0001
females in Indiana and the United States. 25 • This condition has been shown to impact both functional ability

Reported Depression
Methods and psychosocial health.
• Data from the 2015 Behavioral Risk Factor Surveillance Survey was 20
analyzed using crosstabs and logistic regression. Associations among
15
• Depression has been shown to effect both quality of life and
variables and odds of developing depression among different activity
overall disease activity in patients with arthritis.
burdens were determined with an alpha of 0.05.
Results 10
• A significant relationship was found between arthritis and depression • If not well managed, depressive symptoms could contribute to
among the entire United States cohort (n=441,456) (!² = 3874.15, p< 5 further declining health status.
0.001) and the Indiana cohort (n= 6,067) (!² = 95.66, p< 0.001). This
significance remained among both males and females (p< 0.001). 0
Indiana United States • Interventions to target disability burden could reduce depression
Logistic regression demonstrated that among all activities (social, work,
With Arthritis Without Arthritis among adults with arthritis, both in the United States and Indiana.
and usual), the odds of being diagnosed with depression increased with
arthritis-related burdens (not limited, limited some, or limited a lot) (p< The odds of a depression diagnosis among different levels of arthritis-
0.05 for all). 8
associated activity burden in Indiana adults
Discussion
• Arthritis was associated with depression independent of gender, 7 DISCUSSION
however, the odds of a depression diagnosis increased with increasing
6 • A strength of this study was the utilization of BRFSS to collect
level of activity limitation. Interventions targeting activity limitations
data, as it is a validated and widely used tool.
may help decrease depression among adults with arthritis in the United
Odds Ratio

5
p<0.0001 p<0.0001
States and Indiana. p<0.0001
• Limitations of this study include cross-sectional design and the
4
lack of control for additional variables like age, ethnicity, and
AIM 3
comorbidities that could influence outcome.

The purpose of this study was to determine the relationship between 2 • Future research is warranted to fully understand individuals with
arthritis and depressive disorders among Indiana and US adults. arthritis and the associated risk for activity burden and development
1 of depression.
METHODS
0
Materials: Social Usual Work
• Using the 2016 US Behavioral Risk Factor Surveillance System Limted a lot Limted a little Not limited Reference (without arthritis)
(BRFSS). 8
REFERENCES
The odds of a depression diagnosis among different levels of arthritis- 1. National Institute of Health [NIH]. Major depression.
Participants: 7 associated activity burden in US adults https://www.nimh.nih.gov/health/statistics/major-
• Adult population (18 years or older) residing in Indiana and the United
depression.shtml#part_155030. Accessed February 1, 2019
States. 6 2. Murphy LB, Sacks JJ, Brady TJ, etc. Anxiety and depression
p<0.0001 p<0.0001 p<0.0001
among US adults with arthritis: prevalence and correlates. Arthritis
Variables: 5
Odds Ratio

Care Res. 2012; 64: 968- 976. doi: 10.1002/acr.21685

• Ever diagnosed with a depression disorder, including depression, major 3. Arthritis Foundation. (2018). Arthritis by the Numbers.
depression, dysthymia, or minor depression 4
https://www.arthritis.org/Documents/Sections/About-
• Ever diagnosed with some form of arthritis, rheumatoid arthritis, gout,
Arthritis/arthritis-facts-stats-figures.pdf. Accessed February 20, 2019.
lupus, or fibromyalgia. 3
4. Matcham F, Rayner L, Steer S, & Hotopf M. The prevalence of
• Limited social activity due to arthritis
depression in rheumatoid arthritis: a systematic review and meta-
• Limited usual activity due to arthritis 2
analysis. Rheumatology. 2013; 52(12): 2136-2148.
• Limited work activities due to arthritis
5. Aurrecoechea, E., Llorca Díaz, J., Diez Lizuain, M. L., McGwin
1
Jr., G., & Calvo-Alen, J. Gender-associated comorbidities in
Data Analysis:
rheumatoid arthritis and their impact on outcome: data from
• Data was analyzed using Crosstabs and Logistic Regression within the 0
Social Usual Work
GENIRA. Rheumatology International. 2017; 37: 479-485.
Web Enabled Analysis Tool. Significance was determined at p<0.05
Limited a lot Limited a little Not limited Reference (without arthritis)