Influence of Sociodemographic and Lifestyle Factors on Depression and Anxiety in Patients with Rheumatoid Arthritis in Saudi Arabia

社会人口学和生活方式因素对沙特阿拉伯类风湿性关节炎患者抑郁和焦虑的影响

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Abstract

BACKGROUND/OBJECTIVES: Patients with rheumatoid arthritis (RA) frequently experience depression and anxiety, adversely affecting their quality of life. Addressing mental health in this population is a key public health priority. This study is aimed at examining the influence of sociodemographic and lifestyle factors on these conditions, which is essential for comprehensive patient care. METHODS: A cross-sectional study was conducted at a regional hospital in Riyadh between March and November 2022, involving 213 patients diagnosed with RA. Depression and anxiety levels were assessed using the Hospital Anxiety and Depression Scale, and sociodemographic and lifestyle information was collected via questionnaires and from patients' medical records. To identify significant associations, bivariate and regression statistical analyses were performed. RESULTS: The prevalence rates of depression and anxiety were 16.4% and 23%, respectively. Significant associations were found between sociodemographic factors (age, marital status, education level, healthcare facility type) and depression and anxiety levels. Lifestyle factors, specifically sugar-sweetened drink consumption, were significantly associated with anxiety. CONCLUSIONS: Sociodemographic and nutritional factors play a crucial role in shaping the psychological well-being of patients with RA. These findings highlight the importance of adopting holistic care strategies that address both the physical and mental health needs of these patients. Enhancing access to preventive medicine and public health services in Saudi Arabia is essential for achieving this goal. Future research should continue to explore these associations to guide the development of targeted interventions.

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