ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Improving recognition of anxiety and depression in rheumatoid arthritis: a qualitative study in a community clinic.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Candidacy 2.0 (CC) - an enhanced theory of access to healthcare for chronic conditions: lessons from a critical interpretive synthesis on access to rheumatoid arthritis care.BMC health services research · 2024Pooled it
- A scoping review of how the candidacy framework has been used in research on access to general practice.Journal of health services research & policy · 2026Article
- Underrecognized depressive and anxiety symptoms in inflammatory arthritis: implications for systematic screening using PHQ-9 and GAD-7.Rheumatology international · 2026Observational
- Continuity of care in UK primary care: a scoping review of measures, challenges, and future interventions.Primary health care research & development · 2026Article
- Patient perspectives on the impact of appearance and weight changes attributed to systemic glucocorticoid treatment of rheumatic diseases.Rheumatology (Oxford, England) · 2025Article
- Do individuals with inflammatory arthritis receive minimally adequate treatment for incident depression and anxiety: A population-based study.Arthritis research & therapy · 2025Article
- The comparative prevalence of comorbidities across rheumatoid arthritis, psoriatic arthritis and axial spondyloarthritis.Rheumatology advances in practice · 2025Article
- A qualitative survey on factors affecting depression and anxiety in patients with rheumatoid arthritis: a cross-sectional study in Syria.Scientific reports · 2024Article
- Social determinants of depression in systemic lupus erythematosus: A systematic scoping review.Lupus · 2023Article
- The prevalence and correlation of depression and anxiety with disease activity in rheumatoid arthritis.Reumatologia · 2023Article
- Effect of solution-focused approach on anxiety and depression in patients with rheumatoid arthritis: A quasi-experimental study.Frontiers in psychology · 2022Article
- Access to Psychological Support for Young People Following Stoma Surgery: Exploring Patients' and Clinicians' Perspectives.Qualitative health research · 2021Article
- A pilot study of a nurse-led integrated care review (the INCLUDE review) for people with inflammatory rheumatological conditions in primary care: feasibility study findings.Pilot and feasibility studies · 2021Article
- High Prevalence of Depressive Symptoms Among Ugandan Patients with Rheumatoid Arthritis.Open access rheumatology : research and reviews · 2021Article
- Depressive Symptoms and the Arthritis-Employment Interface: A Population-Level Study.Arthritis care & research · 2021Article
- Insights on mental health when living with rheumatoid arthritis: a descriptive qualitative study of threads on the Reddit website.BMC rheumatology · 2020Article
- Prioritising physical and psychological symptoms: what are the barriers and facilitators to the discussion of anxiety in the primary care consultation?BMC family practice · 2019Article
- The extra-articular impacts of rheumatoid arthritis: moving towards holistic care.BMC rheumatology · 2018Review
- The INCLUDE study: INtegrating and improving Care for patients with infLammatory rheUmatological DisordErs in the community; identifying multimorbidity: Protocol for a pilot randomized controlled trial.Journal of comorbidity · 2018Article
- Reimagining mental health in primary care: a blueprint for STPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComorbid anxiety and depression are common in patients with rheumatoid arthritis (RA) but are often under-recognised and treated, contributing to worse outcomes. National Institute for Health and Care Excellence (NICE) recommends that patients with RA should be offered a holistic annual review, including an assessment of mood.
aimTo explore patients' perspectives of anxiety and depression in RA and preferences for disclosure and management of mood problems. DESIGN AND
settingQualitative interview study with patients recruited from a nurse-led RA annual review clinic in the Midlands, England.
methodPatients attending the clinic who scored ≥3 on the case-finding questions (PHQ-2 and GAD-2) were invited for interview. Data were analysed thematically using principles of constant comparison.
resultsParticipants recognised a connection between their RA and mood, though this was perceived variably. Some lacked candidacy for care, normalising their mood problems. Fear of stigmatisation, a lack of time, and the perception that clinicians prioritise physical over mental health problems recursively affected help-seeking. Good communication and continuity of care were perceived to be integral to disclosure of mood problems. Participants expressed a preference for psychological therapies, though they reported problems accessing care. Some perceived medication to be offered as a 'quick fix' and feared potential drug interactions.
conclusionPrior experiences can lead patients with RA and comorbid anxiety and depression to feel they lack candidacy for care. Provision of equal priority to mental and physical health problems by GPs and improved continuity of care could help disclosure of mood concerns. Facilitation of access to psychological therapies could improve outcomes for both mental and physical health problems.
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